Patient's question:
Around one week before each menstrual period, my body shows subtle reactions. This time, during the period, I had no reactions at all. I had sexual activity. What could be the reason for this?Doctor's answer:
Generally refers to various physical discomfort symptoms that occur a few days before menstruation. There are usually two types of manifestations: one is primarily characterized by mental symptoms, such as hypersensitivity, irritability, depression, aloofness, excessive sensitivity, general fatigue, easy exhaustion, insomnia, headaches, and difficulty concentrating; the other is primarily characterized by physical symptoms, such as swelling in the hands, feet, and face, a sense of abdominal bloating, diarrhea, lower abdominal heaviness or pain, breast tenderness, headaches, dizziness, and nausea. Premenstrual tension syndrome (PMS) most commonly occurs in young women, who often experience one or several of the above symptoms. The causes of PMS are mostly due to dysfunction of the nervous and endocrine systems during the premenstrual period. Additionally, psychological factors also play an important role in the development of PMS.Depressive, gloomy emotions, and unresolved psychological conflicts can all lead to dysfunction of the nervous and endocrine systems, thereby causing the onset of PMS. Young women with PMS generally have mild symptoms that do not require treatment. For those with severe symptoms, medication may be considered, such as pain relievers for headaches or mild sedatives like Librium or Meprobamate for irritability. In cases of necessity, medical consultation is recommended.
Furthermore, women experiencing premenstrual discomfort should understand that menstruation is a normal physiological phenomenon. They should not feel anxious during menstruation, prioritize rest, and reduce salt intake to avoid exacerbating edema. A light, balanced diet is recommended, and bowel movements should be kept regular. It is also important to manage emotions, cultivate an optimistic and cheerful personality, and avoid unnecessary mental stress. These measures can help alleviate or eliminate discomfort.