PMS: Symptoms, Timing, and Early Menopause Concerns

Premenstrual Syndrome (PMS)

Hello Doctor, my discomfort started in my early 30s with occasional headaches and fever (without actual fever).
It comes and goes, and I recently realized it might be related to my menstrual cycle.
Over the past two years, I've also experienced digestive issues (I consulted a gastroenterologist and had an endoscopy, which showed no problems), but it improved after taking traditional Chinese medicine.
My headache symptoms often occur after my period ends and before it starts, while the fever seems to begin after suspected ovulation (though sometimes it returns to normal in 2-3 days).
I would like to ask the doctor:
1.
Are my headaches, fever, and gastrointestinal discomfort symptoms of premenstrual syndrome (PMS), or could they be related to my menstrual cycle? I experience discomfort for a few days and then feel fine again; do I need to seek medical attention?
2.
Could menopause occur at my age of 39? My mother and aunts experienced menopause in their 50s, and I started menstruating in the second year of junior high school, so is it unlikely for me to experience menopause this early? I've heard that menopause can come with symptoms like hot flashes.
Thank you for taking the time to respond, Doctor!

Amy, 30~39 year old female. Ask Date: 2022/04/11

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it doesn't seem like premenstrual syndrome, and it probably isn't menopause either.
If you still feel unwell, I recommend seeing a neurologist.
Wishing you good health.

Reply Date: 2022/04/11

More Info

Hello! Thank you for reaching out with your concerns regarding your symptoms and their potential connection to your menstrual cycle and menopause. It's understandable to seek clarity on these matters, especially when experiencing discomfort.

1. Understanding Your Symptoms: The symptoms you describe—headaches, intermittent fever (without actual fever), and gastrointestinal issues—can indeed be related to your menstrual cycle. Premenstrual syndrome (PMS) is characterized by a variety of physical and emotional symptoms that occur in the luteal phase of the menstrual cycle, typically in the week or two leading up to menstruation. Common symptoms include headaches, mood swings, bloating, and gastrointestinal disturbances.
Given that you notice your headaches occurring around the time of your menstrual cycle—both before and after menstruation—it is plausible that these could be linked to hormonal fluctuations. The hormonal changes that occur during your cycle can affect neurotransmitters in the brain, which may lead to headaches. Additionally, the gastrointestinal symptoms you mentioned could also be influenced by hormonal changes, as estrogen and progesterone can affect gut motility and sensitivity.

However, it’s essential to consider that while these symptoms can be attributed to PMS, they could also indicate other underlying conditions. If your symptoms are significantly impacting your quality of life or if they persist, it would be wise to consult with a healthcare provider for a thorough evaluation. They may suggest keeping a symptom diary to track the timing and severity of your symptoms in relation to your menstrual cycle, which can provide valuable information for diagnosis.

2. Concerns About Early Menopause: Regarding your concerns about early menopause, it is generally defined as occurring before the age of 40. While it is less common, early menopause can happen due to various factors, including genetics, autoimmune disorders, certain medical treatments, or lifestyle factors. Since you mentioned that your mother and aunt experienced menopause in their 50s, it is likely that you may follow a similar pattern, but this is not guaranteed.
The onset of menopause is influenced by a combination of genetic, environmental, and lifestyle factors. If you are experiencing symptoms such as hot flashes, night sweats, or significant changes in your menstrual cycle, it may be worth discussing these with your healthcare provider. They can perform tests to assess your hormone levels and determine if you are approaching menopause or if your symptoms are due to other causes.

In summary, while your symptoms may be related to PMS and hormonal fluctuations, it is essential to monitor their frequency and severity. If they persist or worsen, seeking medical advice is advisable. Additionally, early menopause is possible but less common, and your family history may suggest a later onset. Regular check-ups with your healthcare provider can help you navigate these concerns and ensure you receive appropriate care.
Take care, and I hope this information helps clarify your situation!

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