[23F] With late period, nausea, and dizziness

Patient Description

A 23-year-old female reports a period that is six days late. She experiences nausea, cramps, headaches, dizziness, and mood swings. The nausea occurs in the mornings and at night. The dizziness is described as spinning and wobbly, rated as mild to moderate. The headache is throbbing, located in the forehead, with an intensity of 6 out of 10. Cramps have been ongoing for about two weeks, rated at 7 out of 10. Mood swings have persisted for two weeks, causing constant irritation, though naps provide some relief. A recent cold was noted, but there have been no changes in weight, lifestyle, stress, medications, diet, or travel. A pregnancy test was negative. No pre-existing conditions or medications are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Hormonal Imbalance: Stress, changes in weight, or other factors can affect your hormone levels, leading to late periods, mood swings, and headaches.

    • Treatment often involves lifestyle changes or medication to regulate hormones.

  • Pregnancy: Despite a negative test, it's still possible, especially if taken too early. Symptoms like nausea, cramps, and mood swings are common in early pregnancy.

    • Consider retesting or consulting a healthcare provider for confirmation.

  • Premenstrual Syndrome (PMS): Can cause mood swings, cramps, headaches, and nausea before your period.

    • Over-the-counter pain relief and lifestyle changes can help manage symptoms.

  • Thyroid Issues: An underactive or overactive thyroid can cause irregular periods, mood changes, and dizziness.

    • Blood tests can diagnose thyroid issues, and treatment usually involves medication.

What you can do

  1. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
  2. Rest and Hydrate: Ensure you're getting enough rest and staying hydrated, which can help with dizziness and headaches.
  3. Diet and Exercise: Maintain a balanced diet and regular exercise to help regulate your cycle and improve mood.
  4. Retest for Pregnancy: Consider taking another pregnancy test in a few days if your period doesn't start.

What you should look out for

  • Seek Medical Attention: If symptoms worsen or you experience severe pain, heavy bleeding, or other concerning symptoms.
  • Monitor Symptoms: Keep an eye on any new symptoms or changes in your current symptoms.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

Can a negative pregnancy test still mean I'm pregnant?

Yes, a negative pregnancy test can still mean you're pregnant if the test was taken too early or not according to instructions. It's advisable to retest a few days later or consult a healthcare provider for confirmation.

What are common symptoms of hormonal imbalance?

Common symptoms of hormonal imbalance include irregular periods, mood swings, headaches, weight changes, and fatigue. It's important to consult a healthcare provider for proper diagnosis and treatment.

How can I differentiate between PMS and other conditions with similar symptoms?

PMS symptoms typically occur in the luteal phase of the menstrual cycle and include mood swings, cramps, and headaches. If symptoms persist beyond this phase or are severe, it may indicate another condition, and a healthcare provider should be consulted.

What are the signs of thyroid issues affecting menstrual cycles?

Signs of thyroid issues affecting menstrual cycles include irregular periods, fatigue, weight changes, mood swings, and dizziness. A blood test can diagnose thyroid problems, and treatment usually involves medication.

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