Symptoms of Fatigue and Nausea Despite Menstrual Cycle - Obstetrics and Gynecology

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Experiencing all the symptoms of pregnancy but still having a menstrual period could indicate several possibilities, including hormonal imbalances, early pregnancy loss, or conditions such as ectopic pregnancy. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate evaluation?


Hello Dr.
Huang, my menstrual cycle started on March 16.
I began experiencing fatigue, a desire to sleep, and lower back pain from March 15.
However, starting March 17, my appetite improved significantly, and I felt hungry easily.
Yet, my mouth has a lack of taste, and I experience nausea.
I want to eat, but certain foods trigger a gag reflex when I smell them.
To alleviate the discomfort of nausea, I crave sour foods.
Even the smell of smoke makes me feel like vomiting, but fortunately, I haven't actually vomited yet.
I would like to know what my current symptoms indicate.
I'm really troubled by this.
Please help me.
Thank you, Qiu Qiu, March 21.

Qiuqiu, 30~39 year old female. Ask Date: 2006/03/21

Dr. Huang Jianxun reply Obstetrics and Gynecology


Hello: It is possible that the discomfort is related to your menstrual period, unless you are pregnant and experiencing abnormal bleeding that is not related to menstruation, in which case a pregnancy test can help differentiate.
Sincerely, Dr.
Huang Chien-Hsun, Obstetrics and Gynecology.

Reply Date: 2006/03/21

More Info


Hello Qiu Qiu,
Thank you for sharing your symptoms and concerns regarding your menstrual cycle and the accompanying feelings of fatigue, nausea, and changes in appetite. It sounds like you are experiencing a complex interplay of physical and emotional symptoms that can often accompany the menstrual cycle.

Firstly, it's important to understand that hormonal fluctuations during the menstrual cycle can significantly impact your body and mood. The menstrual cycle is regulated by hormones such as estrogen and progesterone, which can influence various bodily functions, including digestion, energy levels, and emotional well-being.
1. Fatigue and Sleepiness: The fatigue and desire to sleep you experienced starting from March 15 could be attributed to the premenstrual phase, where many women report increased fatigue due to hormonal changes. Progesterone, which rises after ovulation, can have a sedative effect, leading to feelings of tiredness and lethargy.

2. Physical Discomfort: The lower back pain and discomfort in your abdomen are common symptoms associated with menstruation. These symptoms can be exacerbated by hormonal changes and the body's inflammatory response to the menstrual cycle.

3. Changes in Appetite: The increase in appetite you noted starting March 17 could be linked to the hormonal shifts as your body prepares for menstruation. Some women experience cravings for certain foods, often due to changes in blood sugar levels and hormonal influences. However, the nausea and aversion to certain smells and foods, such as smoke, can also be a sign of heightened sensitivity during this time. This sensitivity is often related to hormonal fluctuations, particularly estrogen, which can affect how your body perceives taste and smell.

4. Nausea and Gastrointestinal Symptoms: The feelings of nausea and the urge to eat sour foods to alleviate discomfort may indicate a mild gastrointestinal upset, which can occur during menstruation. Hormonal changes can affect gastrointestinal motility and sensitivity, leading to symptoms like nausea and changes in appetite. If you find that certain smells trigger nausea, this could be a heightened sensitivity due to hormonal changes.

5. Taste Changes: The sensation of having a "bland" taste in your mouth is not uncommon during the menstrual cycle. Hormonal fluctuations can alter taste perception, leading to a temporary change in how you experience flavors.

Given these symptoms, it is essential to monitor how you feel over the next few days. If your symptoms persist or worsen, or if you experience severe nausea, vomiting, or any other concerning symptoms, it would be wise to consult with a healthcare professional. They can provide a more thorough evaluation and rule out any underlying conditions that may need attention.

In the meantime, consider maintaining a balanced diet, staying hydrated, and engaging in light physical activity, which can help alleviate some symptoms. Gentle stretching or yoga may also help with back pain and overall discomfort.

If you have any further questions or concerns, please feel free to reach out. Take care of yourself, and I hope you feel better soon!

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