[26F] Experiencing lightheadedness and other symptoms during menstruation

Patient Description

A 26-year-old female experiences episodes of lightheadedness, dizziness, shakiness, shortness of breath, cold hands, and cold lips during her menstrual period. The lightheadedness is described as a floating sensation, with a severity of 7 out of 10, and is exacerbated by excessive movement. Relief is found by lying down and relaxing. The shortness of breath is mild, rated at 3 or 4 out of 10. The patient does not experience palpitations, chest pain, or fainting during these episodes. Menstrual periods are normal, but fatigue is present. The patient has a history of anxiety and panic attacks but has not pursued treatment. In 2022, she was diagnosed with severe preeclampsia and HELLP syndrome during pregnancy. She has no known allergies and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Vasovagal Syncope: This is a common cause of lightheadedness and dizziness, often triggered by stress, anxiety, or standing for long periods. It can cause symptoms like cold hands and lips due to reduced blood flow.

    • Treatment typically involves lifestyle changes, such as staying hydrated and avoiding triggers.

  • Anxiety or Panic Attacks: Your history of anxiety could contribute to these symptoms, especially during stressful times like your period.

    • Treatment may include therapy, relaxation techniques, or medication prescribed by a healthcare provider.

  • Hormonal Changes: Fluctuations in hormones during your menstrual cycle can sometimes cause dizziness and fatigue.

    • Managing stress and maintaining a balanced diet can help alleviate these symptoms.

What you can do

  1. Stay Hydrated: Drink plenty of water, especially during your period, to help maintain blood pressure and circulation.

  2. Practice Relaxation Techniques: Deep breathing, meditation, or yoga can help manage anxiety and reduce symptoms.

  3. Monitor Your Symptoms: Use MDandMe to journal your symptoms, track patterns, and share insights with your healthcare provider.

  4. Rest When Needed: If you feel lightheaded, sit or lie down until the sensation passes.

What you should look out for

  • Seek Medical Attention: If your symptoms worsen, become more frequent, or if you experience fainting, it's important to consult a healthcare provider.

  • Monitor for New Symptoms: Be aware of any new or severe symptoms, such as chest pain or severe shortness of breath.

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

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2 mo ago

People Also Ask

Can hormonal changes during the menstrual cycle cause dizziness and fatigue?

Yes, hormonal changes during the menstrual cycle can lead to symptoms such as dizziness and fatigue. These fluctuations can affect blood pressure and circulation, contributing to these sensations.

How can anxiety or panic attacks contribute to symptoms like lightheadedness and shortness of breath?

Anxiety or panic attacks can lead to symptoms like lightheadedness and shortness of breath due to the body's stress response, which can cause hyperventilation and changes in blood flow.

What are some effective relaxation techniques to manage anxiety-related symptoms?

Effective relaxation techniques include deep breathing exercises, meditation, yoga, and progressive muscle relaxation. These practices can help reduce stress and manage anxiety symptoms.

When should someone seek medical attention for symptoms like dizziness and shortness of breath?

Medical attention should be sought if symptoms worsen, become more frequent, or if there are additional symptoms like fainting, chest pain, or severe shortness of breath. It's important to consult a healthcare provider for a thorough evaluation.

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