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Dr. Shella Sukova, MSc, ANutr

Nutrition for Menstruation: How Diet Impacts Menstrual HealthTitle

Menstruation is a natural process influenced by various factors, including nutrition. A well-balanced diet can help manage menstrual symptoms, support hormonal balance, and maintain overall well-being. Research suggests that certain nutrients and dietary habits play a crucial role in menstrual health, including reducing pain, regulating cycles, and preventing deficiencies.

The Role of Diet in Menstrual Pain and Cycle Regulation

Studies show that diet influences menstrual pain and cycle characteristics. A study on Spanish students found that consuming less than two portions of fruit per day was associated with more severe menstrual pain. Additionally, a Mediterranean diet—rich in vegetables, whole grains, and healthy fats—was linked to shorter menstrual cycles and less bleeding. Olive oil consumption, in particular, was associated with reduced menstrual blood flow (1).

Iron: Essential for Menstrual Health

Iron is a vital mineral that helps transport oxygen throughout the body and supports muscle, brain, and immune system function. Since iron is lost through menstrual bleeding, women with heavy periods are at risk of iron deficiency. If dietary intake does not compensate for iron loss, it can lead to fatigue, weakness, and anemia. To maintain healthy iron levels, include iron-rich foods such as:

• Heme iron sources (better absorbed by the body): red meat, chicken, and fish.

• Non-heme iron sources: leafy green vegetables, lentils, beans, tofu, and fortified cereals.

Pairing plant-based iron sources with vitamin C-rich foods like citrus fruits, bell peppers, and strawberries enhances iron absorption (2).

Managing PMS Through Nutrition

Premenstrual syndrome (PMS) can cause mood swings, bloating, breast tenderness, and fatigue. Dietary choices can help alleviate these symptoms. Research suggests that:

• Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) may reduce inflammation and menstrual cramps.

• Calcium and vitamin D help regulate mood and may reduce PMS symptoms. Good sources include low-fat dairy, fish with bones (e.g., sardines, salmon), tofu, and leafy greens.

• Magnesium and zinc may help relieve cramps and emotional symptoms. These minerals are found in nuts, seeds, whole grains, and legumes.

• Curcumin, the active compound in turmeric, has anti-inflammatory properties that may alleviate PMS discomfort (4).

Foods to Avoid for a Healthier Menstrual Cycle

Certain foods can worsen menstrual symptoms and should be limited:

• Excess salt contributes to fluid retention, bloating, and swelling. Reduce processed and packaged foods high in sodium.

• Caffeine can increase irritability, disrupt sleep, and worsen cramps. Limit coffee, energy drinks, and cola.

• Saturated fats from butter, cream, bacon, and fried foods may contribute to hormonal imbalances and inflammation (3).

Hydration and Herbal Support

Drinking plenty of water helps reduce bloating and supports circulation. Herbal teas such as chamomile and ginger tea may have calming and anti-inflammatory effects, helping to ease menstrual cramps and discomfort (3).

Conclusion

A balanced diet rich in fruits, vegetables, healthy fats, and essential minerals plays a significant role in menstrual health. Incorporating iron, calcium, omega-3s, and other beneficial nutrients while reducing salt, caffeine, and processed foods can help manage menstrual symptoms. By making mindful dietary choices, women can support their overall well-being and improve their menstrual health.

References:

1. Relationship between Diet, Menstrual Pain and Other Menstrual Characteristics among Spanish Students. https://doi.org/10.3390/nu12061759

. Menstruation and Nutrition. https://reproductive-health.ed.ac.uk/hope/about-menstruation/patient-information/menstru 2 action-and-nutrition

3. Exercise and Diet for Healthy Periods. https://www.thewomens.org.au/health-information/periods/healthy-periods/exercise-diet-periods

4. Nutritional Practices to Manage Menstrual Cycle-Related Symptoms: A Systematic Review. Brown et al., Nutrition Research Reviews, 2024. doi:10.1017/S0954422423000227