Persistent Numbness and Dizziness After Menstrual Napping: Causes and Concerns - Family Medicine

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Persistent numbness in the limbs and dizziness after napping during menstruation?


Hello, Doctor: I have issues with polycystic ovary syndrome and iron deficiency anemia.
My menstrual period started two days ago, and I experienced light bleeding yesterday.
After taking a nap today, I woke up with numbness and weakness in my limbs.
I then did about ten minutes of light aerobic exercise, but the numbness in my limbs persisted, accompanied by body weakness and dizziness.
I am concerned about the possibility of a stroke or if this could be related to diabetes caused by obesity from polycystic ovary syndrome (there is a family history of diabetes among female relatives).
I read that other doctors suggested drinking more water, and I tried drinking 600ml of water, which helped reduce the dizziness after ten minutes, but the numbness in my limbs has continued for two hours.
Thank you, Doctor, for taking the time to help me with this.
I appreciate it.
🙏🏻

Lily, 20~29 year old female. Ask Date: 2022/05/26

Dr. Lin Zhebin reply Family Medicine


Hello: I personally believe that your discomfort is more likely due to anemia, as you have iron deficiency anemia.
Additionally, your menstrual cycle may exacerbate the anemia.
Typical symptoms of anemia include dizziness and weakness, and it is also possible to experience numbness in the limbs.
Given your age, the likelihood of a stroke is relatively low; typical stroke symptoms include unilateral weakness, slurred speech, and facial drooping.
Since you have polycystic ovary syndrome, you are indeed in a high-risk group for diabetes.
However, considering your age, the onset of diabetes would be somewhat early.
Typical symptoms of diabetes include increased thirst, frequent urination, and excessive hunger.
If you do have diabetes, your symptoms could be caused by either high or low blood sugar levels, leading to dizziness and weakness, and diabetic neuropathy could also result in limb numbness.
In summary, I still recommend that you seek medical evaluation for a clearer understanding.

Reply Date: 2022/05/26

More Info


The symptoms you are experiencing—persistent numbness and dizziness after a menstrual nap—can be concerning, especially given your medical history of polycystic ovary syndrome (PCOS) and iron deficiency anemia. It is essential to approach this situation with a comprehensive understanding of potential causes and necessary actions.

Firstly, the numbness and weakness in your limbs, along with dizziness, could be attributed to several factors. One possibility is that your recent menstrual cycle, particularly with the episode of light bleeding, may have led to a temporary drop in your blood pressure or hemoglobin levels, especially if you are already dealing with iron deficiency anemia. Anemia can cause fatigue, weakness, and dizziness, as your body may not be getting enough oxygen due to a reduced number of red blood cells.

Additionally, the hormonal fluctuations associated with your menstrual cycle can also contribute to feelings of dizziness and fatigue. In women with PCOS, these hormonal imbalances can be more pronounced, leading to various symptoms, including those you are experiencing.

Another consideration is the possibility of dehydration or electrolyte imbalances, especially if you have not been drinking enough fluids. Dehydration can lead to dizziness and feelings of weakness. The suggestion to drink water is a good one, as staying hydrated can help alleviate some of these symptoms.

However, it is crucial to rule out more serious conditions, such as a transient ischemic attack (TIA) or stroke, particularly since you mentioned concerns about the possibility of a stroke. While the likelihood of a stroke in a young individual is relatively low, it is not impossible, especially if there are underlying risk factors such as a family history of diabetes or other vascular issues.

Given your symptoms have persisted for two hours, it is advisable to seek medical attention promptly. A healthcare professional can perform a thorough evaluation, including checking your blood pressure, conducting blood tests to assess your hemoglobin levels, and possibly imaging studies if deemed necessary. They may also evaluate your neurological status to rule out any acute issues.

In the meantime, here are some steps you can take to help manage your symptoms:
1. Hydration: Ensure you are drinking enough fluids throughout the day. Aim for at least 2-3 liters of water daily, especially during your menstrual cycle.

2. Nutrition: Focus on a balanced diet rich in iron, particularly if you are experiencing anemia. Foods such as lean meats, leafy greens, legumes, and fortified cereals can help improve your iron levels.

3. Rest: Ensure you are getting adequate rest and managing stress, as fatigue can exacerbate feelings of dizziness and weakness.

4. Monitor Symptoms: Keep track of your symptoms, noting any changes or patterns, which can be helpful information for your healthcare provider.

5. Avoid Strenuous Activity: Until you have a clearer understanding of your symptoms, it may be wise to avoid intense physical activity that could exacerbate your dizziness or weakness.

In conclusion, while your symptoms may be related to your menstrual cycle and existing health conditions, it is essential to seek medical evaluation to rule out any serious underlying issues. Your health and well-being are paramount, and timely intervention can help address your concerns effectively.

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