My symptoms often occur mainly during the luteal phase, which typically falls around day 13-15 of a 28-day monthly cycle for women. If you felt glued to a tumultuous emotional rollercoaster every luteal phase like I did, you would’ve also spent sleepless nights desperately scanning Google for answers. Finally identifying this for what it was felt validating, but then it was time to understand the cause and solution.
Kicking off my general research into women’s health disorders, there is one fact that, when I first read it, felt like a total sucker punch to my gut: It wasn’t until 1993 that women were included in any pharmaceutical trials.
For reference, Adobe Photoshop launched in 1990, so up until just three years later,
all pharmaceutical clinical trials only included men. This lack of information and inclusivity of women in clinical trials can arguably be due to the history of Western science’s invalidation and dismissal of
psychological and physical pain experienced by women.
When I started to explore clinical research related to the symptoms I was experiencing, it became clear that most available studies primarily focused on men. The
studies addressing women’s health disorders, particularly those related to PMDD and other menstrual issues, were often disappointingly vague. (Balch, 2024)
I read about a
key study in 2017 that revealed ADHD symptoms in women with regular menstrual cycles worsened during
low estrogen periods. From 2020 to 2022, ADHD diagnoses in women
aged 23 to 49 nearly doubled. Stimulant prescriptions for women and girls rose by
14% in just one year. (Dennis, 2024) While I understand stimulants and certain pharmaceuticals can be imperative to one’s healthcare, I don’t believe in them as a band-aid solution.
With so many questions still unanswered, I began exploring natural aids that could better support my symptoms, creating a path for insight into my own wellness.
Exploring Natural Remedies for PMDD
I tried many different herbal supplements like Chasteberry, Vitamin B6, dong quai, Lemon balm, and licorice root. Herbal tinctures infused with cannabis and CBG have been supportive during challenging emotions, and throughout this exploration of plant medicines for mental health, I discovered that psychedelics played a crucial role in my healing.
My research hit a new level when I finished Ayelet Waldman’s book
A Really Good Day: How Microdosing Made a Mega Difference in My Mood, My Marriage, and My Life. With her background as an experienced public defender, novelist, and mother, she writes about her 30-day trial with microdosing LSD: 10 micrograms every three days.
Diagnosed with bipolar II disorder and PMDD, she exhausted all options before she came across
James Fadiman’s The Psychedelic Explorer’s Guide and wanted to see what feeling “better” through psychedelics meant. Her daily log and journal excerpts of her microdosing exploration are authentic and honest. She shares her bad days as equally as the good, including interesting insights and the science behind how it’s interacting with her body.
Waldman explains that psilocybin and its prodrug, psilocin, are tryptamine alkaloids that mimic the actions of serotonin neurotransmitters.
Studies are showing that psychedelics boost neuroplasticity in the brain,
increasing brain-derived neurotrophic factor (BDNF) levels, which supports the development of new neurons and synapses. (Ly, 2018) What’s happening is a mix of
improved cognitive functions and neurological factors that can change negative thought patterns associated with disorders like PMDD.
Another study I read was a
clinical case series led by Natalie Gukasyan and Sasha Narayan. The series explored the idea that changes in menstrual health could be linked to the impact of psilocybin on the hypothalamic-pituitary-gonadal (HPG) axis, which plays a vital role in regulating hormonal and reproductive functions. (Gukasyan, 2024)
The study examined three women between 27 and 34, who all reported notable changes in their menstrual cycles after using psychedelics. Notable results included the return of menstruation after periods of amenorrhea, an unexpectedly early onset of menstruation when psychedelics were taken during the luteal phase, and improved cycle regularity in one participant diagnosed with polycystic ovarian syndrome (PCOS).