[20F] Experiencing breast pain, heart palpitations, and prolonged menstrual bleeding

What might be happening

Based on the information you provided, the following conditions might be contributing to your symptoms:

• Anxiety and Stress: You've mentioned having a diagnosis of generalized anxiety disorder, panic disorder, and PTSD. These conditions can cause physical symptoms like heart palpitations, muscle tension (which could be contributing to your underarm and breast pain), and sleep disturbances. Stress can also exacerbate these symptoms.

• Hormonal Imbalance: Your prolonged menstrual bleeding and breast tenderness could be due to a hormonal imbalance. You've mentioned having low progesterone levels, which can cause menstrual irregularities and breast tenderness.

• Anemia: This could be contributing to your fatigue and shortness of breath. It could be worsened by your prolonged menstrual bleeding.

• Sleep Apnea: This is likely contributing to your excessive sleep and fatigue. It could also be causing your heart palpitations, especially if they occur when you're lying down.

• Eye Strain or Fatigue: This could be causing your eye twitching. It's often harmless and can be caused by factors like lack of sleep, stress, or looking at a screen for extended periods.

• Vitamin D Deficiency: This can cause fatigue and muscle pain.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

1. Continue taking your prescribed medications and supplements as directed by your doctor.
2. Try to manage your stress levels. This could involve techniques like deep breathing exercises, yoga, or meditation. Therapy or counseling could also be beneficial.
3. Try to maintain a regular sleep schedule. This can help manage your sleep apnea symptoms.
4. Make sure you're eating a balanced diet and staying hydrated. This can help manage your anemia and ensure you're getting the nutrients you need.
5. Try to take breaks from looking at screens to help manage your eye twitching.
6. Consult with your doctor about your prolonged menstrual bleeding and breast tenderness. They might want to adjust your treatment plan or conduct further tests.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain or discomfort
• Trouble breathing
• Fainting or loss of consciousness
• Severe abdominal pain
• Heavy vaginal bleeding (soaking through one or more pads or tampons every hour)

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.