PMS: THE HORMONE IMBALANCE THEORY

It seemed obvious when PMS was first recorded in the medical textbooks that it must have a hormonal cause. Since PMS only occurs during the luteal phase of the menstrual cycle (in the two weeks before a period), research has focused on the hormones at that time of the month.

At this time of the cycle, levels of oestrogen drop markedly, while levels of progesterone are usually fairly high. There are two camps in the hormone debate. One side says that PMS is caused by a lack of oestrogen. The other says that PMS is caused by lack of progesterone.

The oestrogen theory. Support for an oestrogen deficiency has come from studies of women who have had their normal menstrual cycle stopped. Doctors do this either by giving women a drug that blocks the action of GnRH (the hormone that controls the regulation of the menstrual cycle) or surgery to remove the womb and ovaries.

When the menstrual cycle is stopped women do not get PMS. If women are then given oestrogen-replacement therapy they still do not develop symptoms. If, however, they are given progesterone, or its artificial form progestogen, they develop PMS-like symptoms.

Doctors who believe that PMS is caused by a lack of oestrogen tend to treat women with oestrogen therapy.

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Womens health

 
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ALEXANDER TECHNIQUE IN PREGNANCY AND CHILDBIRTH: CONSTRUCTIVE CONSCIOUS CONTROL

From his lengthy observations of himself, Alexander ended up with what were several pertinent facts. His habits of use were unconscious and very deeply rooted, and he could not change them using what 'felt' right to him because his sensory awareness was untrustworthy. He also knew that his habitual misuse happened in response to a stimulus to do something.

Armed with these facts, he realized that instead of being ruled by habitual reactions he had to take back control of his actions and reactions on to a conscious plane. The word 'control' to many people implies some land of restraint, but control in this sense is the freedom not to interfere with our natural reflex mechanisms for balance and movement, or in Alexander jargon 'to leave yourself alone'. This is a crucial point and one that is often misunderstood - it is through freedom that we gain control of our actions.

For Alexander, control is more akin to 'guiding' our use. The 'conscious guidance' he devised, which enabled him to replace his old unconscious habits of using himself with a new conscious way, were the thought processes of 'inhibition' and 'direction', to which we will now turn.

'How can the right thing happen if we are still doing the wrong thing? Obviously we have to stop doing the wrong thing first.' F.M. Alexander

'Give yourself time to change die habits of a lifetime.' Claire

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Womens health

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