What Kind of Exercise Works Best to Mitigate PMS?

One of the first things my mom told me when she gave me the scoop on feminine cycles is that taking a walk can help ease menstrual cramps. She didn’t explain why, but I quickly learned she was right. A few years later, I was traveling to a family vacation and sat in a car for the majority of the day I got my period. The cramps I experienced the next day are still the worst I’ve ever experienced.

Cardio for the Win

Research shows that aerobic exercise (that is, movement that uses oxygen as part of the energy cycle, also known as “cardio”) can ease more than cramps in the days leading up to your period. A study in Iran compared the effects of aerobic exercise on the physical and psychological PMS symptoms of female non-athletes. After just four weeks of three one-hour workout sessions, the subjects who were working out reported a reduction of symptoms, and at eight weeks, even more so.

The authors of the study suggest that common physical symptoms of PMS—headaches, breast pain, swelling, and weight gain—could be related to “increased aldosterone in serum, prostaglandin E2, and deficiency of vitamin B and [magnesium].” Aerobic exercise seems to mitigate the fluctuations in these hormones and nutrients, as well as those of estrogen, progesterone, and more, and thus decrease the severity of the symptoms. If cramping is your main symptom, another study indicated certain yoga poses (“cobra,” “cat,” and “fish”) could help you feel better as well.

Mood Mitigation

Some studies have found that both aerobic and anaerobic exercise can reduce PMS symptoms, but it seems that aerobic exercise (e.g. swimming, walking, running, cycling, or using an elliptical) has a more significant effect on mood-related symptoms, such as depression. In addition to the chemical effects, psychologically, exercise can help to eliminate negative intrusive thoughts and cognitive impairment and to increase positive thoughts. When physical exercise works to boost confidence and facilitate community and relationships, women may also see a reduction in stress and anxiety.

Find What Works for You

Exercise can prove beneficial for PMS symptoms, but not necessarily as a quick fix. In order to get the greatest benefit from exercise, aim to make it part of your lifestyle all month long. For every woman, that’s going to look a little different. Maybe you need to find an accountability partner to help you stick to a workout schedule. Maybe it’s best for you to exercise after work, rather than in the morning. Or maybe you need to try a few different YouTube channels before you find a fitness instructor that motivates and encourages you.

If you’re getting into a new fitness routine, start slow and be mindful of the changes in muscle movement that you may experience during your period. You don’t need to run a marathon or place on the Crossfit leaderboard to experience the benefits of working out. Something is better than nothing, and doing something you enjoy is key to making a lasting lifestyle change.

While aerobic exercise may give you the most bang for your buck, don’t neglect strengthening movements and stretching. A well-rounded workout routine can lower blood pressure, help maintain a healthy weight, and increase bone density—all good news for your overall health. The American College of Obstetrics and Gynecology recommends, “at least 30 minutes of exercise most days of the week.”

See the Proof

If you’re charting your cycle with a Fertility Awareness-Based Method (FABM), you will likely notice changes in your charts when regular, moderate exercise becomes part of your lifestyle. It’s possible you’ll see improvements in symptoms of polycystic ovary syndrome (PCOS), irregular cycles, and more. What’s more, you’ll likely feel better, and won’t have to worry so much about PMS interfering with social or professional responsibilities. Whether it’s at the gym, around the block, or in your living room, the time you spend moving your body will be time well spent.

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