PMS Symptoms: Constipation, Breast Tenderness, and Cancer Myths - Obstetrics and Gynecology

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Constipation before menstruation?


Hello Doctor, I would like to ask you: Recently, there has been a rumor online that breast tenderness, constipation, and dizziness before menstruation are signs of cancer.
Is this true? I often experience breast tenderness before my period and thought it was normal, but it doesn't happen every time, and I frequently have constipation.
I have had an ultrasound, and the doctor said there is no endometriosis.
How can I improve this? Thank you! ^^

Jing, 20~29 year old female. Ask Date: 2012/06/17

Dr. Liu Yuhong reply Obstetrics and Gynecology


1.
Cancer is not a single disease; it refers to a variety of malignant tumors, approximately 200 different types.
The symptoms exhibited by different cancers (malignant tumors) can vary widely, so it is important not to trust online rumors.

2.
Normal women often experience constipation before menstruation, which is due to the effects of hormones (progesterone) in the body.
To alleviate premenstrual constipation, it is advisable to consume more vegetables and drink plenty of water, as this is the most natural and healthiest approach.
Wishing you good health!

Reply Date: 2012/06/17

More Info


Understanding the relationship between premenstrual syndrome (PMS) symptoms, such as breast tenderness, constipation, and the myths surrounding cancer can be quite complex. It’s important to clarify that while PMS can cause various physical and emotional symptoms, the specific symptoms you mentioned—breast tenderness and constipation—are not direct indicators of cancer.

PMS Symptoms and Their Normalcy
Premenstrual syndrome is a common condition that affects many women in the days leading up to their menstrual period. Symptoms can vary widely among individuals but often include:
1. Breast Tenderness: This is a common symptom of PMS, caused by hormonal fluctuations, particularly the rise in estrogen and progesterone levels. Many women experience breast swelling and tenderness during this time, which is typically not a cause for concern.

2. Constipation: Hormonal changes can also affect bowel movements. Some women may experience constipation or changes in their bowel habits due to the influence of progesterone, which can slow down the digestive system.

3. Headaches and Dizziness: These can also occur due to hormonal changes, stress, or dehydration, but they are not specific indicators of cancer.

Cancer Myths and Misunderstandings
There is a lot of misinformation circulating online regarding symptoms that could indicate cancer. It’s crucial to approach these claims with skepticism. While certain symptoms can be associated with cancer, they are often nonspecific and can be attributed to a variety of benign conditions. For instance:
- Breast Changes: While breast lumps or changes can be a sign of breast cancer, most breast changes, including tenderness or swelling related to the menstrual cycle, are benign. Regular self-exams and mammograms as recommended by your healthcare provider are essential for monitoring breast health.

- Constipation: This symptom alone is rarely indicative of cancer. It can be caused by dietary factors, lack of physical activity, stress, or hormonal changes. If constipation persists, it’s advisable to consult a healthcare professional for further evaluation.

Improving PMS Symptoms
If you are experiencing bothersome PMS symptoms, there are several strategies you can consider to alleviate them:
1. Dietary Changes: Incorporate a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing salt intake can help minimize bloating, while increasing fiber can aid in digestion and help with constipation.

2. Hydration: Drink plenty of water to stay hydrated, which can help alleviate constipation and reduce bloating.

3. Regular Exercise: Engaging in regular physical activity can help reduce PMS symptoms, improve mood, and promote better digestive health.

4. Stress Management: Techniques such as yoga, meditation, or deep-breathing exercises can help manage stress, which may exacerbate PMS symptoms.

5. Over-the-Counter Remedies: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve breast tenderness and cramps. However, consult with your healthcare provider before starting any medication.

6. Consult a Healthcare Provider: If your symptoms are severe or significantly impact your quality of life, it may be beneficial to discuss them with a healthcare provider. They can offer tailored advice and may suggest treatments such as hormonal therapy or other interventions.

In conclusion, while PMS can cause a range of symptoms, including breast tenderness and constipation, these are typically not indicators of cancer. It’s essential to maintain regular check-ups with your healthcare provider and to seek medical advice if you have concerns about your symptoms or health. Understanding your body and its changes is key to managing your health effectively.

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