Fever and Symptoms During Menstruation: What You Need to Know

Fever during menstruation!

Hello doctor, I have had my period three times in June.
The menstrual blood is dark brown and the flow is very light, lasting only 3 to 5 days before stopping.
I also experience body aches and a low-grade fever ranging from 37.5 to 38.3 degrees Celsius.
What could be wrong with me?

julia, 40~49 year old female. Ask Date: 2020/07/02

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you are still experiencing discomfort, it is advisable to consult an internist.
Wishing you good health.

Reply Date: 2020/07/02

More Info

When it comes to understanding fever and symptoms during menstruation, it's essential to consider various factors that can influence your body temperature and overall well-being. In your case, experiencing a low-grade fever (37.5°C to 38.3°C) alongside menstrual symptoms such as deep brown menstrual blood, minimal flow, and generalized body aches can be indicative of several underlying conditions.

Firstly, it is important to note that hormonal fluctuations during the menstrual cycle can affect body temperature. The luteal phase, which occurs after ovulation and before menstruation, is characterized by increased progesterone levels. This hormone can raise your basal body temperature slightly. However, if you are experiencing a fever that is higher than your normal range, it may suggest an underlying issue.

The presence of brown menstrual blood typically indicates older blood that has taken longer to exit the uterus. While this can be normal for some women, especially if they have irregular cycles, it can also be a sign of hormonal imbalances or other gynecological issues such as endometriosis or fibroids. The accompanying symptoms of body aches and fever could suggest an infection or inflammation, possibly related to the reproductive system.

Infections such as pelvic inflammatory disease (PID) can cause fever and discomfort during menstruation. PID is often a result of sexually transmitted infections (STIs) that ascend from the vagina to the reproductive organs. Symptoms may include fever, unusual discharge, and pelvic pain. If you suspect an infection, it is crucial to seek medical attention promptly, as untreated infections can lead to serious complications.

Another possibility is that your symptoms could be related to a systemic condition, such as an autoimmune disorder or a viral infection. Conditions like systemic lupus erythematosus (SLE) or rheumatoid arthritis can cause fever and body aches, and they may also interact with your menstrual cycle. If you have a history of autoimmune issues, it would be wise to discuss these symptoms with your healthcare provider.

Additionally, stress and lifestyle factors can also play a significant role in menstrual health. High levels of stress can lead to hormonal imbalances, which may affect your menstrual cycle and overall health. Ensuring adequate rest, nutrition, and hydration can help mitigate some of these symptoms.

Given your symptoms of fever, body aches, and unusual menstrual flow, it is advisable to consult with a healthcare professional. They may recommend blood tests, pelvic examinations, or imaging studies to determine the underlying cause of your symptoms. It is essential to rule out any serious conditions, especially if your symptoms persist or worsen.

In summary, while some fluctuations in body temperature and menstrual symptoms can be normal, the combination of low-grade fever, body aches, and unusual menstrual flow warrants further investigation. Seeking medical advice will help ensure that any potential issues are addressed promptly, allowing you to maintain your health and well-being.

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