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Author: Leila Tan
16 October 2025

Period bloating is a common monthly issue for many women. Although weight may temporarily increase due to water retention during menstruation, this period can actually be a golden window for rapid weight loss! Swelling during menstruation is often most noticeable in the face and feet. This type of bloating can be part of premenstrual syndrome, with water retention becoming more severe during menstruation. While the bloating will eventually subside, the timing varies for everyone, which can contribute to appearance-related anxiety. Here, we break down the 4 main causes of period bloating and share recommended weight loss methods from both TCM practitioners and nutritionists, so you can slim down efficiently and regain confidence!

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1. Why Does Bloating Occur During the Menstrual Cycle? The Link Between Periods and Water Retention

During the female menstrual cycle, bloating is most common before menstruation, mainly due to hormonal fluctuations. When estrogen levels rise, the kidneys’ ability to excrete sodium is affected, causing the body to retain more water. Before menstruation, increased progesterone stimulates aldosterone secretion, further promoting water and sodium reabsorption in the kidneys, worsening premenstrual bloating. 

These changes can also affect metabolism and leg circulation, with common bloating areas including calves, face, and lower abdomen. In addition to hormonal changes, elevated prostaglandin levels during menstruation increase blood vessel permeability, allowing more fluid to move into tissues and causing localized swelling. Excessive salt intake, insufficient sleep, or low activity levels can further worsen bloating, potentially triggering constipation, acne, or mood swings associated with premenstrual syndrome. Understanding these physiological reactions can help with proper adjustments and prevention during your cycle.

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2. Causes of Premenstrual Bloating: 4 Key Details to Watch

1. Hormonal Fluctuations Are the Main Cause of Bloating

During the luteal phase before menstruation, estrogen and progesterone levels fluctuate dramatically. Estrogen can affect the kidneys’ sodium excretion, causing water retention, while progesterone raises aldosterone levels, further promoting sodium and water retention. This combination is the core factor behind premenstrual bloating.

2. Uterine Lining and Prostaglandin Chain Reaction

During PMS, the body releases large amounts of prostaglandins to prepare for shedding the uterine lining. Prostaglandins increase blood vessel permeability, making fluids more likely to leak into tissues, leading to noticeable swelling in the face and limbs.

3. Diet and Lifestyle Are Behind-the-Scenes Culprits

Improper habits can amplify bloating: 

• High-sodium diet: Consuming too much salty food, sauces, or fried snacks increases sodium levels, worsening water retention. 
• Prolonged sitting: Long periods of sitting hinder blood return from the lower body, causing leg swelling.
• Lack of sleep & high stress: Both affect hormone balance and metabolism, making fluid retention worse.

4. Watch for Potential Health Alerts

If bloating persists after PMS or becomes systemic, it may indicate more than menstrual changes. Kidney disease, heart failure, or hypothyroidism can also cause fluid retention. In such cases, further medical consultation is recommended.

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3. Common Symptoms of Period Bloating and Self-Checks

Symptoms vary from person to person. Some may only notice slight weight gain, while others feel clear discomfort. Common symptoms include: 

• Weight gain: 1–3 Kg around menstruation due to water retention. 
• Swelling in limbs, abdomen, or eyelids: Particularly noticeable in the morning. 
• Skin tightness: Excess water under the skin causes tightness and reduced elasticity. 
• Joint stiffness: Swelling around joints can lead to stiffness and limited mobility.

Self-check methods: 

• Press on ankles or fingers: If noticeable indentation occurs and takes time to recover, bloating may be present. 
• Track daily weight: If weight rises around menstruation, it may indicate water retention. 
• Monitor accompanying symptoms: Fatigue, bloating, or breast tenderness can indicate PMS-related bloating.

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4. Diet-Based Approaches to Reduce Bloating: TCM and Nutritionist Perspectives

1. TCM Approach: Strengthen Spleen and Promote Fluid Metabolism

According to TCM, bloating is often related to spleen and kidney function, especially when women’s constitution tends to be “damp” before menstruation, leading to fluid retention. TCM recommends dietary adjustments with foods that strengthen the spleen, promote diuresis, and support circulation: Recommended foods: • Red amaranth: Helps reduce swelling. • Mushrooms (shiitake, wood ear): Aid digestion and metabolism. • High-potassium fruits and vegetables (kiwi, banana): Promote fluid balance.

2. Nutritionist Approach: Balance Sodium and Potassium

From a modern nutrition perspective, bloating is linked to high sodium intake. Increasing potassium helps the body excrete excess sodium and maintain fluid balance. Recommended principles: • Reduce red meat intake: Excess can promote inflammation and water retention. • Include potassium-rich foods: Kiwi, red amaranth, sweet potato. • Limit processed foods and seasoning: Use natural herbs instead of salt.

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5. 4 Lifestyle Habits to Improve Period Bloating

1. Exercise: Boost Metabolism and Circulation

Exercise improves blood and lymph circulation, reduces water retention: • At least 30 minutes of aerobic activity per session, such as walking, jogging, yoga, or swimming. • Leg-elevating exercises before bed improve blood return and reduce lower limb swelling. • Avoid long periods of sitting; stand and stretch every hour.

2. Hydration and Urination: The First Step

Proper water intake is key. Experts suggest 1.5–2 liters per day, spread throughout the day. Adequate hydration helps metabolize and excrete retained water and sodium. Combining with potassium-rich foods aids smoother water elimination.

3. Massage and Baths: Relieve Swelling and Relax

Gentle massage and warm baths help improve circulation: • Massage calves, ankles, and wrists from bottom to top. • Use rollers or lymphatic drainage techniques if unfamiliar with massage.

4. Stress and Sleep: Maintain Hormone Balance

Stress and sleep affect hormone and autonomic nervous system balance: • Maintain a regular sleep schedule with 7–8 hours per night. • Practice relaxation techniques such as deep breathing, meditation, or yoga.

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6. Eliminate Period Bloating: S6 Body Sculpting Treatment Helps Remove Fluid Retention and Sculpt Your Ideal Figure

Regardless of menstrual timing, bloating is a female nemesis. S6 Body Sculpting Treatment helps reduce water retention without tracking sodium or exercising. This non-invasive treatment combines medical-grade lasers and vacuum suction to break down stubborn fat in multiple areas. The released fatty acids are naturally excreted through the lymphatic system, improving overall health while sculpting the body. Register for a session to enjoy professional body analysis + S6 Body Sculpting Treatment.

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FAQ

Is period bloating normal?

Yes, mainly due to hormonal changes.

Can I drink coffee during bloating?

Limit intake as caffeine may affect sleep.

Does red bean water reduce bloating?

Moderate consumption can help with diuresis but should not be excessive.

How much weight gain occurs during bloating?

Typically 1–3 Kg, depending on the person.

How to distinguish bloating from actual weight gain?

Bloating shows temporary weight increase and skin indentation when pressed.

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