Menstruation, a monthly experience for women in their childbearing years, involves the shedding of the uterine lining when pregnancy doesn't occur. While medications and heating pads are common remedies for associated symptoms like cramps, dietary choices can also play a significant role in managing these discomforts. A healthy diet is crucial not only during menstruation but also in the days leading up to it, especially considering the prevalence of Premenstrual Syndrome (PMS) and its associated emotional and physical symptoms.
How Diet Can Affect Your Menstrual Cycle
Nutrition plays a vital role in managing and relieving the symptoms of menstrual disorders. Research indicates a significant relationship between specific foods, nutrient intake, and menstrual health. The menstrual cycle, typically 28 days long, consists of four phases: the menstrual phase, the follicular phase, the ovulation phase, and the luteal phase. Each phase is characterized by hormonal shifts that can affect mood, energy levels, appetite, creativity, and social engagement.
The Growing Up Today Study (GUTS)
A large, prospective study of more than 7,500 children, aged between 9 and 14, who were enrolled in the Growing Up Today Study (GUTS) in the USA in two waves in 1996 and 2004. For the first time, the researchers investigated the link between particular diets and the age that periods first started (menarche). They are also the first to examine whether BMI might have a modifying effect on the association between diet and age of menarche. In previous work conducted in the Nurses’ Health Study II, a higher risk of breast cancer was observed among people who consumed an inflammatory-promoting diet during adolescence and early adulthood. Researchers were interested in understanding whether earlier life dietary intake might influence breast cancer through impact on risk factors for breast cancer that occur between early life and breast cancer, such as age at menarche. Before their periods started, the children completed questionnaires about their diet when they joined the study and then every one to three years thereafter. The researchers assessed the girls’ diets against two established dietary patterns: the Alternative Healthy Eating Index (AHEI), and the Empirical Dietary Inflammatory Pattern (EDIP). The AHEI awards more points for healthier foods, including vegetables, legumes and whole grains, while unhealthy foods such as red and processed meats, trans fats and salt are awarded fewer points. The EDIP scores diets in a way that reflects their overall potential for causing inflammation in the body. A total of 6,992 girls (93% of the whole group) had their first period during the study. Analysis of data from the questionnaires showed that the 20% of girls with the highest AHEI score and who, therefore, had the healthiest diets, were eight percent less likely to have their first period within the next month compared to the 20% of girls who had the lowest AHEI score. These two dietary patterns were associated with age at menarche, indicating that a healthier diet was linked to menstrual periods starting at an older age. Importantly, these results were independent of BMI and height, demonstrating the importance of a healthy diet regardless of body size. As this is the first study to look at these specific dietary patterns it is important to examine the association in other populations. It also highlights that eating a healthy diet, which we know is associated with chronic disease outcomes in later life, could also have benefits in adolescence. Generally, eating fruits, vegetables, whole grains, fatty fish, nuts and legumes, polyunsaturated fatty acids, while limiting intake of red and processed meats, refined grains, sugar-sweetened beverages and added salt, benefits everyone regardless of age. Strengths of the study include that it collected data on diet in a prospective manner, and it was able to see whether or not BMI and height influenced the association with age at menarche.
The Turkish Study
A study conducted in Turkey in 2022 with 509 women, revealed that women with menstrual disorders had a lower intake of protein, vitamin K, vitamin B3, vitamin B5, and sodium compared to healthy women. This study highlights the importance of adequate nutrient intake for gynecological health and normal menstrual regulation. The study also found that healthy participants consumed jellybeans less often than participants with menstrual disorders, while women with menstrual disorders consumed sugar-sweetened drinks, hot chocolate, and sahlep more often than healthy women.
Cycle Syncing: Aligning Diet with Your Menstrual Cycle
Cycle syncing involves adjusting routines to align with the phases of the menstrual cycle, recognizing the fluctuations in sex hormones. This approach can involve tailoring diet and fitness routines to the menstrual cycle, potentially decreasing period symptoms, improving mood, lowering stress, and reducing premenstrual syndrome (PMS).
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Foods to Embrace During Your Period
Certain foods can alleviate uncomfortable symptoms during menstruation. These include:
- Water: Staying hydrated is crucial to reduce dehydration headaches and bloating.
- Fruit: Water-rich fruits like watermelon and cucumber are hydrating, while sweet fruits can satisfy sugar cravings without refined sugars.
- Leafy Green Vegetables: These boost iron levels, combating fatigue and dizziness, and are rich in magnesium.
- Ginger: Ginger's anti-inflammatory effects can soothe achy muscles and reduce nausea.
- Chicken: A source of iron and protein, chicken helps you stay full and curbs cravings.
- Fish: Rich in iron, protein, and omega-3 fatty acids, fish can reduce period pain and depression.
- Turmeric: Curcumin, the active ingredient in turmeric, has been shown to lessen PMS symptoms.
- Dark Chocolate: A tasty snack rich in iron and magnesium, which can reduce PMS severity.
- Nuts: A great source of protein, omega-3 fatty acids, magnesium, and various vitamins.
- Flaxseed Oil: May soothe constipation, a common symptom of menstruation.
- Quinoa: Rich in iron, protein, and magnesium, and also gluten-free with a low glycemic index.
- Lentils and Beans: Excellent sources of protein and iron, ideal for vegans and vegetarians.
- Yogurt: Probiotic-rich yogurt can combat yeast infections and provides magnesium and calcium.
- Tofu: A protein source rich in iron, magnesium, and calcium.
- Peppermint Tea: Can soothe PMS symptoms, including menstrual cramps, nausea, and diarrhea.
- Kombucha: A probiotic-rich fermented food that can help fight yeast infections.
Nutrition for Each Phase of the Menstrual Cycle
- Menstrual Phase (Days 0-7): Focus on iron-rich foods (leafy greens, lean red meat, lentils, beans), vitamin C (citrus fruits, berries, broccoli, red peppers), vitamin K (leafy greens, blueberries, cheese, eggs), and omega-3 fatty acids (salmon, flaxseed, tree nuts).
- Follicular Phase (Days 8-13): Choose foods to support increased energy levels, such as lean proteins and complex carbohydrates (whole wheat, brown rice, quinoa). Incorporate estrogen-balancing foods like cruciferous vegetables, fermented foods, healthy fats, and leafy greens.
- Ovulation Phase (Days 14-15): Continue eating estrogen-balancing foods and maintain an overall healthy diet.
- Luteal Phase (Days 16-28): Focus on complex carbohydrates and high-fiber foods (cruciferous vegetables, leafy greens, sweet potatoes) to curb hunger. Opt for dark chocolate, fruit, nuts, and seeds as substitutes for sweet or salty cravings. Stay hydrated to reduce bloating and brain fog.
Foods to Limit or Avoid During Your Period
Certain foods can exacerbate menstrual symptoms. It's advisable to limit or avoid:
- Salt: Leads to water retention and bloating.
- Sugar: Can cause energy spikes followed by crashes, worsening mood.
- Coffee: Caffeine can cause water retention, bloating, and headaches.
- Alcohol: Can dehydrate you, worsen headaches, and cause digestive issues.
- Spicy Foods: May upset the stomach, leading to diarrhea, stomach pain, and nausea.
- Red Meat: High in prostaglandins, which can cause cramps.
- Foods You Don't Tolerate Well: Avoiding food sensitivities is crucial to prevent nausea, constipation, or diarrhea.
Anti-Inflammatory Diet
An anti-inflammatory diet, rich in fiber, vitamins, and minerals, can help decrease inflammation and bring hormones back to their proper levels. This includes vegetables (especially leafy greens for magnesium), phytoestrogens (nuts, legumes, whole grains, flaxseeds, soy), protein (at least 1 gram per kilogram of ideal body weight), zinc, complex carbohydrates (150-200 grams), and fats (plant-based fats, omega-3 fats, vitamin D).
Foods to Reduce for Hormone Balance
- Sugar: Promotes insulin resistance and inflammation.
- Alcohol: Causes inflammation and affects HPA axis regulation.
- Vegetable Oils: High in omega-6 fats, which are inflammatory.
- Gluten and Dairy: Common food sensitivities that can cause inflammation and contribute to irregular periods.
The Impact of Diet on Hormone Levels
A low-fat, high-fiber diet can significantly reduce estrogen levels. Less estrogen means less stimulation for cancer cell growth. High-fiber vegetables, beans, fruits, and whole grains help the body eliminate estrogens by binding to fiber in the digestive tract and carrying it out with other waste. Animal products and many processed foods do not contain fiber, leading to the reabsorption of estrogens into the bloodstream.
Lifestyle Adjustments and Exercise
Cycle syncing extends to exercise, matching the intensity of workouts to changing energy levels. During the menstrual phase, low-intensity activities like walking or stretching are suitable. As energy levels increase during the follicular phase, cardio-based workouts can be added. High-intensity workouts are best during the ovulation phase, while medium-intensity cardio and strength training are recommended during the luteal phase.
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