Q I’ve been so irritable lately after my period. It feels like PMS, but the timing is off. I’m 46. Could it still be related to my cycle?

A

Yes! Although many women have PMS symptoms like irritability, fatigue and mood swings before their period, it’s also possible to have them after—a phenomenon some call postmenstrual syndrome. And since perimenopause is a time when hormone fluxes are more exaggerated, postmenstrual syndrome is more likely to be bothersome in your 40s.

I recommend supplementing with Serenol—a hormone-free Swedish flower pollen extract—to stabilize mood. In one study, 60% of women using it daily for at least three months experienced reduced irritability, although many reported improvements by month two. In the meantime, you can try getting out for a 30-minute brisk walk or taking an online yoga class, both of which can offer immediate boosts in mood.