Headaches and fatigue before menstruation - How to regulate?

Patient's question:

Headaches before menstruation
Lacking energy

Doctor's answer:

After the initial occurrence of headaches, it is one of the symptoms of premenstrual tension syndrome. The common manifestations of premenstrual tension syndrome include——premenstrual headaches, breast tenderness, swelling in the hands, feet, or face, difficulty concentrating, nervousness, emotional instability, and in severe cases, symptoms such as abdominal bloating, nausea, or vomiting. Symptoms may begin 7 to 14 days before menstruation, worsen 2 to 3 days before menstruation, and significantly subside or disappear during menstruation.
The causes of these symptoms are usually due to dysfunction of the nervous and endocrine systems.