Can alcohol cause PMS?

Find out if your alcohol consumption could be behind your PMS symptoms

Qualified Nutritionist (BSc, MSc, RNutr)
Ask Emma

16 May 2018

Alcohol and PMS

Whether it’s a glass of wine to celebrate the end of the working week or an evening of drinks with friends, most of us like a little alcohol from time to time. However, if you suffer from PMS symptoms like mood swingsirritability, insomnia and depression, alcohol can make things worse.

Studies have shown that sleep for example, tends to be more interrupted after drinking, with an increase in the amount of time it takes to get to sleep and more restlessness as well. Therefore, as insomnia is often problematic for PMS sufferers, alcohol can make this issue worse.

Also high, regular consumption of alcohol can contribute to irregular periods thus worsening another key symptom of PMS.  

So, from all of this it is reasonable to conclude that PMS may be aggravated by alcohol. This cycle is often exasperated further if people resort to alcohol in order to ease PMS symptoms like fatigue and low mood. 

For more information on periods and alcohol have a look at my blog ‘Boozy periods: what are the effects?’.

The research

Not only is there evidence to suggest that alcohol could make PMS symptoms worse, a recent study by the University of Santiago de Compostela in Spain found that there was a link between alcohol consumption and the onset of PMS as well.

To find out what impact, if any, drinking had on PMS symptoms, the study analysed the findings of 19 previous studies on the issue. This data included 47,000 women in 8 countries. 

The results showed that 11% of PMS cases worldwide could be associated with alcohol. This was based around the fact that around 30% of women worldwide drink alcohol, with about 6% of these being heavy drinkers.4  

The figures are slightly higher in Europe and the US where drinking rates for women are between 50% and 60%, with the number of heavy drinkers at 12%. The overall conclusion from this is that 1 in 5 PMS cases in these areas could be linked to drinking.

These results suggest that alcohol slightly increases your chances of suffering from PMS, with heavy drinking bringing a higher risk than not drinking at all. Nevertheless, more studies need to be undertaken on the topic to gain further information. It would be beneficial to determine whether there is a certain amount of alcohol you can drink for example, whereby it will have no damaging effect on PMS. 

Also, this study only concludes that there is an association between PMS and alcohol, it does not gain any information on whether or not alcohol could cause PMS.

So, why does alcohol affect PMS rates and severity?

According to those behind the study, alcohol changes the balance of steroid sex hormones which are said to be contributing factors in the onset of PMS. Also, these researchers believe that alcohol might affect certain brain neurochemicals such as serotonin that recent studies have suggested have a part to play in the onset of PMS symptoms. Seratonin is responsible for sleep cycles and it has been suggested that women with PMS have lower levels of it.

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Addressing PMS symptoms

Although there is some research into alcohol and PMS, there isn’t yet enough evidence to draw firm conclusions on the links between the two. Therefore, don’t pour your wine down the sink straight away!

 I’d recommend you keep track of your symptoms in a PMS Diary and, if you can see a link between alcohol and your symptoms, then at this point it may be beneficial to cut down your intake. This won’t change whether or not you get PMS in the first place but by understanding your symptoms, you’ll gain some control over them.

As well as keeping a PMS diary, you may find it helpful to try a herbal remedy such as Agnus castus. This is used to treat a variety of PMS symptoms including menstrual cramps, breast tenderness, bloating, irritability and mood swings.  

For more information on how to deal with PMS, have a look at our PMS treatment page.

What should PMS sufferers be drinking?

The studies I’ve so far discussed suggest limiting your alcohol consumption in order to improve PMS symptoms or to prevent the onset of symptoms in the first place. However, if you’re wondering what you can drink to help PMS symptoms, here are a few suggestions.

  • Caffeine-free drinks – caffeine can increase oestrogen levels which can then fuel PMS symptoms. Therefore, when suffering from the condition it may be helpful to avoid coffee, tea and alcohol and opt for a caffeine free drink instead such as Bambu. This coffee substitute is made from a mix of organically grown Turkish figs, malted barley, wheat and Greek acorns making it 100% natural
  • Drink lots of water – as well as benefiting your overall health, this might also help bloating which is a common symptom of PMS. Why not try or detox water for something with a little more flavour?
  • Mocktails – ok, so this won’t really help your PMS symptoms, but if you have decided to cut down on your alcohol intake, this will provide a refreshing alternative! 

Agnus castus


£ 10.85

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A traditional herbal remedy used to relieve the symptoms of PMS
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Here's what I recommend

As the A.Vogel Women's Health advisor, I recommend Agnus castus to help relieve symptoms such as menstrual cramps, breast tenderness and irritability.

Learn more

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