What are the signs of menstruation?

Patient's question:

What are the signs and symptoms before menstruation?

Doctor's answer:

Most people do not experience any premonitory symptoms, while a few may have pain, emotional tension, irritability, fatigue, and other symptoms. During the menstrual period, there is generally no significant discomfort. A small number may experience lower back pain, a heavy feeling in the lower abdomen, mild diarrhea, or constipation, which are caused by pelvic congestion during menstruation. Due to the imbalance of the cerebral cortex and the influence of hormonal fluctuations during menstruation, some may also have varying degrees of systemic reactions, such as dizziness, headaches, fatigue, sleepiness, restlessness, emotional excitement, and breast tenderness. However, these symptoms are usually mild and do not affect learning or work. If severe abdominal pain occurs before or during menstruation, accompanied by nausea, vomiting, or fainting, it should be considered as dysmenorrhea and medical attention should be sought promptly.

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