[18F] With severe cramps, prolonged heavy menstrual bleeding, and intense headache

What might be happening

It sounds like you are experiencing a combination of symptoms that could be related to several underlying conditions. Here are some possibilities:

1. Endometriosis

Given your family history and the symptoms of severe cramps, prolonged heavy periods, and pain radiating through your body, endometriosis is a strong possibility. Endometriosis occurs when tissue similar to the lining inside the uterus grows outside of it, causing pain and heavy bleeding. Typical treatments include hormonal therapies, pain management, and sometimes surgery.

2. Migraine with Aura

Your intense headache, sensitivity to light and sound, dizziness, and visual disturbances (floaters) suggest that you might be experiencing a migraine with aura. Migraines can be debilitating and are often accompanied by nausea and vomiting. Treatment usually involves pain relief medications, anti-nausea drugs, and preventive medications.

3. Ovarian Cysts or Fibroids

Given your mom's history and your symptoms, ovarian cysts or fibroids could also be contributing to your pain and heavy bleeding. These conditions can cause severe cramps, back pain, and prolonged menstrual bleeding. Treatment may include hormonal therapies, pain management, and sometimes surgical intervention.

4. Hormonal Imbalance

Prolonged heavy bleeding and severe cramps can also be due to hormonal imbalances. Conditions like polycystic ovary syndrome (PCOS) or thyroid disorders can cause irregular and heavy periods. Blood tests and hormonal treatments are typically used for diagnosis and management.

What you can do

Severe Cramps and Heavy Bleeding

• Seek Immediate Medical Attention: Given the severity of your symptoms, it's crucial to see a healthcare provider as soon as possible. Your symptoms could indicate a serious condition that needs prompt evaluation.
• Pain Management: While over-the-counter pain medications haven't helped, your doctor may prescribe stronger pain relief options or hormonal treatments to manage your symptoms.
• Keep a Symptom Journal: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in diagnosing and managing your condition.

Headache and Migraine Symptoms

• Rest in a Dark, Quiet Room: Since you are sensitive to light and sound, resting in a dark, quiet room can help alleviate your headache.
• Hydration: Ensure you are well-hydrated, as dehydration can worsen headaches.
• Consult a Doctor: Your doctor may prescribe medications specifically for migraines, such as triptans or anti-nausea drugs.

General Well-being

• Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing heavy bleeding.
• Balanced Diet: Eat a balanced diet rich in iron to help counteract any potential anemia from prolonged heavy bleeding.
• Monitor Symptoms: Keep track of any new or worsening symptoms and report them to your healthcare provider.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Uncontrollable Pain: If your pain becomes unbearable or unmanageable with over-the-counter medications.
• Fainting or Severe Dizziness: If you experience fainting spells or severe dizziness.
• Heavy Bleeding: If you experience heavy bleeding that soaks through a pad or tampon in an hour or less.
• Fever or Signs of Infection: If you develop a fever or notice any signs of infection.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.