What is the reason for dizziness and palpitations before menstruation?

Patient's question:

I am 21 years old, and I had my first period at the age of 13. My menstrual cycle is regular, with heavy bleeding, usually lasting three to five days. In the past few months, I have been experiencing dizziness and palpitations a few days before my period, which disappear during the period. I don't have any symptoms of anemia and am generally healthy. I wonder if my symptoms could be premenstrual syndrome (PMS)? I take gamma-oryzanol regularly, but it hasn't helped.

Doctor's answer:

Before menstruation, some girls may experience a series of symptoms, such as fatigue, irritability, depression, sleepiness, and even crying or getting angry for no reason. Severe cases may refuse to communicate with parents and friends, become so isolated that they stay in bed. It is often accompanied by breast tenderness, a feeling of fullness in the lower abdomen, and constipation. Some people also experience swelling 1-3 days before their period, especially morning swelling in their fingers, and afternoon swelling in their lower limbs. Others may have symptoms such as difficulty concentrating, forgetfulness, impaired judgment, coordination problems, headaches, and general discomfort before their period.

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