[34F] With hip pain before menstruation

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Endometriosis: This condition occurs when tissue similar to the lining inside the uterus grows outside of it. It can cause significant pain, especially around the time of your period, and may affect fertility. The pain you describe in your hip could be related to endometriosis affecting areas near your pelvic region.

  • Typical treatments: Treatment options include pain relief medications, hormone therapy, and in some cases, surgery. A doctor may also recommend lifestyle changes and physical therapy.

• Sciatica: Although you mentioned the pain feels like sciatica, it is important to consider that sciatica itself is a symptom rather than a diagnosis. It can be caused by various underlying conditions, such as a herniated disc or spinal stenosis, which may not be directly related to your menstrual cycle but could be exacerbated by hormonal changes.

  • Typical treatments: Treatment often includes pain relief medications, physical therapy, and in some cases, surgery.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It is often caused by sexually transmitted infections (STIs) but can also occur due to other infections. PID can cause pain in the pelvic area, which might be mistaken for hip pain.

  • Typical treatments: Treatment usually involves antibiotics to clear the infection. Early treatment is crucial to prevent complications.

• Ovarian Cysts: These are fluid-filled sacs that can form on the ovaries. They can cause pain, especially if they rupture or become large. The timing of your pain could be related to the growth or rupture of a cyst.

  • Typical treatments: Many ovarian cysts resolve on their own, but some may require medication or surgery.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Keep a Symptom Journal: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any patterns or triggers. This information can be very helpful for your healthcare provider.
2. Pain Management: Continue taking Tylenol as needed for pain relief, but avoid exceeding the recommended dosage. You might also try other over-the-counter pain relievers like ibuprofen, which can help with inflammation.
3. Heat Therapy: Applying a heating pad to the affected area can help alleviate pain.
4. Lifestyle Changes: Maintain a healthy diet, stay hydrated, and engage in regular physical activity. Gentle exercises like yoga or stretching can help relieve tension and improve overall well-being.
5. Avoid Triggers: If you notice certain activities or foods exacerbate your symptoms, try to avoid them.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If your pain becomes unbearable or significantly worsens.
• Fever: A fever could indicate an infection that needs prompt treatment.
• Unusual Symptoms: Any new or unusual symptoms, such as changes in your menstrual cycle, unusual vaginal discharge, or pain during intercourse.
• Difficulty Walking: If the hip pain affects your ability to walk or perform daily activities.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized treatment plan.