At a glance
- Cravings tend to be mildest in the follicular phase and strongest in the days before your period.
- Chocolate cravings are specifically more common during the days of bleeding than at other points in the cycle.
- The same hormone shifts that change food cravings also change how rewarding nicotine and alcohol feel.
- A craving on its own doesn't point to PMDD. What matters is whether mood symptoms take over your week, every month.
- Tracking your cravings against your cycle for two or three months turns a vague feeling into a pattern you can plan around.
Strength of evidence
Moderate evidence
Most direct food-craving-cycle studies are small (n=27 to n=83) and observational, with mixed findings on actual food intake. Neuroimaging and substance-craving research (nicotine, alcohol, amphetamine) consistently link hormone shifts to reward response, though designs and samples vary.
Side by side
PMS cravings and PMDD cravings
Timing
PMS cravings
1 to 2 weeks before your period
PMDD cravings
Mainly the final week before your period
Also compared in the table below
- What comes with it
- What eases it
- How it's confirmed
| Compared on | PMS cravings | PMDD cravings |
|---|---|---|
| Timing | 1 to 2 weeks before your period | Mainly the final week before your period |
| What comes with it | Cravings can occur on their own | Cravings alongside a mood symptom like irritability, low mood or anxiety |
| What eases it | Starting your period | Within a few days of your period starting |
| How it's confirmed | No formal diagnosis needed | Daily symptom ratings over at least two cycles |
How does the menstrual cycle affect cravings?
Cravings change across your cycle because the hormones that shape hunger and reward change too.
Estrogen and progesterone also shift how your brain's reward circuits work, a pattern shown across dozens of neuroimaging studies [5]. More specific work links the same hormone shifts to food, nicotine and alcohol cues [1] [2] [8].
These shifts follow the same four phases that shape your period and mood, described in the 4 phases of the menstrual cycle.
Cravings tend to follow a loose pattern across the cycle:
- Follicular phase: mildest, as estrogen climbs after your period ends.
- Late luteal phase: cravings build again in the week or so before your next period, as progesterone falls and estrogen dips with it [4] [7].
- Menstrual days: chocolate cravings specifically spike during the days of bleeding, more than at any other point in the cycle [3].
Your brain's reward circuits are responding to a hormone pattern that repeats every cycle.
Which phase is it worst in?
Here's roughly what research has found, phase by phase. Timing can shift by a few days from person to person, and a full cycle can run anywhere from about 21 to 35 days.
| Phase | What's happening hormonally | What cravings tend to look like |
|---|---|---|
| Menstrual (days 1 to about 5) | Estrogen and progesterone are both low | Chocolate cravings peak compared with other phases [3] |
| Follicular (after bleeding until ovulation) | Estrogen rises | Cravings tend to be milder for many people; separately, women's subjective response to stimulant drugs is higher in this phase, when estrogen is high relative to progesterone [2] |
| Ovulation (around mid-cycle) | Estrogen peaks, a short progesterone rise begins | Appetite often feels steadier, though this phase is less studied |
| Luteal (final 1 to 2 weeks before your period) | Progesterone rises then falls, estrogen dips | Cravings for high-calorie foods build, especially in the final days [4] [7] |
If your own pattern doesn't line up exactly with this table, that's normal too. The goal is to find your pattern, not someone else's. For how other symptoms line up by phase, see symptoms in each phase of your cycle.
Why do hormones change cravings?
Estrogen and progesterone act directly on the parts of your brain that process reward, including regions that respond to food, nicotine and alcohol cues [5]. When estrogen is high and progesterone is low, those circuits respond more strongly to a stimulant; when progesterone rises later in the cycle, that response quiets down [2].
The same pattern shows up outside food:
- Nicotine withdrawal and tonic cravings trend stronger in the luteal phase than the follicular phase [1].
- Alcohol use and binge drinking are more common on days when estradiol is high relative to progesterone [8].
Food cravings follow a similar arc. Brain responses to pictures of high-calorie food differ only slightly by phase overall, but higher progesterone and stronger premenstrual symptoms predict a bigger response to high-calorie images during the luteal phase [4].
This is also why a craving that feels unmanageable one evening before your period can feel completely ordinary two weeks later. That pattern tracks your cycle phase more than that particular day.
Is it PMS or something else?
Wanting more food before your period is common and usually falls under PMS: physical or emotional symptoms in the one to two weeks before your period that ease once it starts.
PMDD is different. It's a diagnosis in the DSM-5-TR, requiring at least five symptoms, including a mood symptom like irritability, low mood or anxiety, confined mostly to the final week before your period and easing within days of it starting. For more on this window, see the luteal phase: what's happening in your body and mood.
A craving on its own, even a strong one, doesn't point to PMDD. What matters is whether it comes with mood symptoms that take over your week, every month. Niyora is a PMS and PMDD support app. If a craving comes with a wave of frustration at yourself, Niyora's Moon lets you write down what's happening, see it another way and calm down before you decide what to do next.
How do you track it?
Tracking turns a vague sense of "I always want sugar before my period" into a pattern you can actually plan around.
- Note the date each time a craving feels strong, and what you're craving.
- Mark the day your period starts and ends each cycle.
- After two or three cycles, line up the craving days against your cycle phase calculator estimate.
- Look for a repeat. Most people land somewhere in the late luteal phase or the first days of bleeding [3] [7].
- Once you see your pattern, plan lower-stakes days (groceries already in the house, fewer food decisions) for your highest-craving window.
One weight-loss study found that tailoring a diet and exercise plan to cycle phase produced more weight loss than simple calorie restriction, though only among the women who stuck with the modified plan [6]. That's a small, specific result, but it points at something practical. Working with your cycle's pattern, rather than against it, seems to help more than treating every day the same.
For the hormone shifts behind this pattern, see the menstrual cycle hormone chart or read how estrogen and progesterone move phase by phase.
From the research library
Research on food cravings
179 studies in the library look at food cravings in PMS and PMDD. They were published from 1982 to 2026, and each one has a short summary of what was tested and found.
179
studies, 1982 to 2026
How strong the studies are
- Strong study design
- 7
- Moderate study design
- 70
- Early or limited evidence
- 102
Systematic review, 2026
Does vitamin D supplementation help PMS symptoms?
Vitamin D reduced overall PMS severity and particularly helped with physical symptoms and depression, but the certainty of this evidence is very low. We cannot be confident in these findings yet and more high-quality research is needed.
Strong study design
Cohort study, 2021
Are low antioxidant vitamins or high oxidative stress linked to premenstrual syndrome?
This study found that oxidative stress markers were linked to more depression and food cravings symptoms and more severe PMS, but antioxidant vitamin levels were mostly not associated with PMS symptoms.
Strong study design
Survey study, 2016
Is PMS or PMDD linked to eating disorders like bulimia and binge eating?
Yes. Women with PMDD had 7 times higher odds of bulimia nervosa and women with PMS had 2.5 times higher odds of bulimia, but neither was strongly linked to binge-eating disorder.
Strong study design
Randomised trial, 2011
Does a birth control pill reduce negative emotions, food cravings, and water retention in women with PMDD?
Yes, the pill significantly reduced all three symptom clusters compared to placebo in all three treatment cycles. The greatest improvements happened in the first cycle.
Strong study design
Review, 2001
What causes PMS and PMDD, and how are they treated?
PMS is caused by abnormal responses to normal hormone changes during the menstrual cycle. Treatment includes lifestyle changes like diet and exercise, and medications. SSRIs are the first-line treatment for PMDD, and calcium supplements may help.
Strong study design
Review, 1997
Does appetite and food cravings change during the menstrual cycle, especially in women with PMS?
Yes. Energy intake is higher in the second half of the cycle (luteal phase) compared to around ovulation. Many women with PMS report carbohydrate cravings before menstruation, possibly linked to changes in serotonin levels.
Strong study design
Clinical trials
Questions people ask
Why do cravings get stronger in the days before my period?+
Cravings often get stronger in the days before your period because progesterone falls and estrogen dips at the same time, a shift linked to how strongly your brain responds to food pictures, which research ties to progesterone level rather than the phase alone. That pattern is common and isn't a sign of low willpower.
Does craving chocolate during my period mean something is wrong?+
Craving chocolate during your period is common and isn't a sign anything's wrong. One study found chocolate cravings were higher during the days of bleeding than at any other phase, though cravings for sugar or starch overall didn't differ as much.
Can tracking help me plan around premenstrual cravings?+
Tracking cravings against your cycle for two or three months can show you your own pattern. Once you know your highest-craving days usually fall in the late luteal phase, you can plan lighter food decisions for those days ahead of time.
Do cravings for cigarettes or alcohol also change across the cycle?+
Cravings for cigarettes and alcohol can shift across the cycle too. Nicotine withdrawal and tonic cravings tend to be stronger in the luteal phase, and alcohol use rises on days when estrogen is high relative to progesterone.
Is a sugar craving before my period the same as PMDD?+
A sugar craving before your period isn't the same as PMDD on its own. PMDD requires at least five symptoms, including a mood symptom like irritability or low mood, mainly in the final week before your period, confirmed with daily tracking over two cycles.
Sources
- 1.Systematic and meta-analytic review of research examining the impact of menstrual cycle phase and ovarian hormones on smoking and cessation, Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2015
- 2.Differential subjective effects of D-amphetamine by gender, hormone levels and menstrual cycle phase, Pharmacology, biochemistry, and behavior, 2002
- 3.Menstrual cycle and food cravings in young college women, Journal of the American Dietetic Association, 1987
- 4.Food cue-elicited brain potentials change throughout menstrual cycle: Modulation by eating styles, negative affect, and premenstrual complaints, Hormones and behavior, 2020
- 5.Neuroimaging the menstrual cycle: A multimodal systematic review, Frontiers in neuroendocrinology, 2021
- 6.A weight-loss program adapted to the menstrual cycle increases weight loss in healthy, overweight, premenopausal women: a 6-mo randomized controlled trial, The American journal of clinical nutrition, 2016
- 7.Do Food Intake and Food Cravings Change during the Menstrual Cycle of Young Women?, Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2018
- 8.Interactive effects of ovarian steroid hormones on alcohol use and binge drinking across the menstrual cycle, Journal of abnormal psychology, 2017