Does PMS get worse in your 20s? Introducing PMS symptoms by age

"I became irritable before menstruation," "I get pimples three days before my period," and "I get headaches before my period." Some people may think so.

In fact, PMS symptoms change with age. When you reach sexual maturity in your twenties, your menstrual cycle stabilizes and menstrual cramps decrease, and at the same time, female hormones are exposed to fluctuations, so PMS is more likely to occur.

Therefore, in this article, we will explain the hormonal balance and PMS symptoms that change with age.

Find out in this article

  • Why does PMS get worse in your 20s?
  • How do PMS symptoms change with age?
  • Is it true that having a baby changes your PMS symptoms?

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PMS symptoms change with age.

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Female hormones, which affect changes in a woman's body, increase sharply in her teens when she reaches her first menstrual period, peaking in her 20s and entering the "sexual maturity stage" suitable for pregnancy and childbirth. After that, it gradually decreases until menopause, which is reached around the age of 50.

PMS is most likely to occur during the sexual maturity period, and it is said that fluctuations in the secretion of female hormones that make up the menstrual cycle have a great influence. The fact that we often hear that PMS worsens in the twenties is proof that female hormones are fluctuating normally as we enter sexual maturity.


When the menstrual cycle, which was unstable with menarche in your teens, becomes stable in your 20s, various PMS symptoms that occur in your body, such as premenstrual breast swelling, lower abdominal pain, headaches, and rough skin, become stronger. You will feel it. Many people who first experience symptoms mistakenly think that they are suffering from another disease other than PMS.

The changes that occur in the body before menstruation are due to the large fluctuations in the two female hormones that are produced during the monthly menstrual cycle.

It is also during this age that disturbances in eating habits and lifestyle habits are likely to occur.


In your 30s, you often feel mental instability in addition to physical PMS symptoms such as headaches and chest tightness that continue from your 20s .

In your 30s, the amount of female hormone secretion gradually decreases, and you are in the late stage of sexual maturity. In your 30s, stress due to life stage changes such as marriage, pregnancy, childbirth, and childcare can have a major impact, and you may experience mental symptoms such as irritability, emotional instability, depression, and inattentiveness.


After the age of 40, when the secretion of female hormones suddenly decreases, the symptoms of PMS gradually decrease and disappear completely by the time of menopause.

On the other hand, as women enter menopause, when female hormones decrease and fluctuate greatly, there is a possibility of developing menopausal disorders such as dizziness, fatigue, and insomnia due to disturbances in the autonomic nervous system.

Unlike PMS, menopausal symptoms are not symptoms that occur only before menstruation every month.

Also read the following articles
Women who go through menopause in their 30s... What is pre-menopause?

Childbirth also influences PMS symptoms

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In general, women who have given birth often suffer from mental disorders such as becoming irritable, angry, and having a strong sense of self-denial . It seems that the stress of childcare and busyness has no small effect.

In addition, some people report that their PMS symptoms become more severe after childbirth than they were before childbirth, while others report that they become lighter after childbirth.

The cause of this is not clearly known, but it is said that the environment (stress, lifestyle, etc.) and mental state change significantly before and after childbirth.

What you can do to improve your PMS symptoms

There are several ways to relieve PMS symptoms.

Improve lifestyle and stress

To prevent PMS, you can improve your lifestyle and avoid putting too much strain on yourself mentally and physically. It would be better if moderate exercise, nutritious meals, and time to relax are provided. That said, if you are in your 20s and are in the prime of your life and tend to have a disturbed life rhythm, it may be difficult to change your life immediately even if you want to change it. Try to improve little by little.

Improving the internal environment with herbal medicine

Chinese herbal medicines may be prescribed to improve or prevent PMS symptoms. Chinese herbal medicine gradually improves the malfunction of the body. Therefore, the effect is not so immediate, and it takes time for the internal environment to be adjusted. On the other hand, it is also good that you can easily incorporate it into your daily life because it will be effective just by taking Chinese herbal medicine at a fixed timing . Here are some recommended herbal remedies for PMS symptoms.

  • Toki Shakuyakusan: Those who feel heavy in the body and head
  • Keishibukuryogan: Stiff shoulders, abdominal pain, and hot flashes
  • Kamishoyosan: Feeling irritated and depressed

Let the herbal medicine be prescribed for your constitution and symptoms. If you don't know about herbal medicine, or if you're curious but don't have time to go to the hospital, there are shops where you can consult a pharmacist online, so it's recommended to consult with them.

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Knowing the changes in the amount of female hormones secreted by age and the fluctuations of female hormones according to the menstrual cycle, we can understand that the age-related changes in PMS symptoms are quite natural . It is important to get along well while understanding the symptoms that change according to age.

Just keep track of when, how, and how intense your symptoms are, and be aware of your monthly symptoms, and you may be able to get relief.

Also, it will be easier for you to adapt if you are aware that PMS symptoms can change significantly due to changes in your life stage, including childbirth.

When the symptoms are severe and painful, it is possible to consult with your family without putting up with it, or to get help with medicine.

Also, if you think that you have PMS symptoms and you have another disease, please consult your family doctor if your physical discomfort persists or if you have any concerns. Let's get along well with the symptoms while caring for your mind and body.

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