[37F] Experiencing hip pain, irregular periods, headaches, and nausea

What might be happening

Based on the information you've provided, here are a few possibilities:

• Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It often coexists with other painful conditions like irritable bowel syndrome, migraines, and pelvic pain conditions. The cause of fibromyalgia is unknown, but it most likely involves a variety of genetic, environmental, and psychological factors.

  • There isn't a cure for fibromyalgia, but a variety of medications can help control symptoms. Exercise, relaxation and stress-reduction measures also may help.

• Osteoarthritis: This is the most common form of arthritis, and it affects millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over time. While osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine.

  • Osteoarthritis symptoms can usually be effectively managed, although the underlying process cannot be reversed. Staying active, maintaining a healthy weight and some treatments might slow progression of the disease and help improve pain and joint function.

• Polymyalgia Rheumatica: This is an inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders and hips. The cause of polymyalgia rheumatica is unknown, but it's associated with immune system problems, genetic factors, and environmental exposures.

  • Treatment usually involves medications to help manage symptoms, with corticosteroids being commonly used.

• Pelvic Floor Dysfunction: You've mentioned you have a history of this condition, which can cause a variety of symptoms including hip pain, urinary issues, and discomfort during intercourse. It's possible that your current symptoms are related to this condition.

  • Treatment typically involves physical therapy to help strengthen the pelvic floor muscles, and in some cases, medication or surgery may be recommended.

What you can do

1. Schedule an appointment with your primary care doctor to discuss your symptoms. They may refer you to a specialist, such as a rheumatologist or a neurologist, for further evaluation.
2. Keep a symptom diary. Note when your symptoms occur, what you're doing when they occur, and how severe they are. This can help your doctor identify patterns and formulate a diagnosis.
3. Try gentle exercises, like yoga or swimming, to help alleviate some of your pain and stiffness. However, always consult with your healthcare provider before starting a new exercise regimen.
4. Over-the-counter pain relievers, like ibuprofen or acetaminophen, may help with your pain. Always follow the package instructions and consult with your healthcare provider if you have any questions.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe pain that doesn't improve with rest or over-the-counter medications
• Sudden or severe swelling in your hips
• An inability to move your hips or legs
• Any changes in your bowel or bladder habits

Please remember, while I strive to provide accurate and helpful health information, this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.