Irregular menstruation and general weakness, what is the condition?

Patient's question:

I am 18 years old and preparing to take my final exams. Previously, when I had my period, I never felt particularly uncomfortable physically. This time, during my period, I felt extremely weak all over and in a lot of pain. The next month is when my final exams are, and I'm worried it will affect my performance in the exams. I want to ask what to do if my period is irregular and I feel weak all over.

Doctor's answer:

Your symptoms are preliminarily judged to be related to premenstrual syndrome (PMS), which is also associated with fatigue and insufficient sleep before final exams, as well as high emotional stress. These factors may exacerbate PMS. Currently, before the final exams, it is recommended to slightly adjust your sleep schedule to help you have more energy for practice and memory during the day. Additionally, it is advisable to have a thorough examination at a regular hospital, including an abdominal ultrasound, to confirm the cause and provide symptomatic treatment for your menstrual cycle.

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