symptomes pre menstruels. 2023. symptomes pre menstruels

 
2023symptomes pre menstruels  Symptoms are caused by the changing levels of hormones in the body

Days 7 to 13 (or Starting as Early as Day 4 for Some Lucky Ladies) What's Happening to You: Your period is over—tuck those tampons away until next time. Most women, over 90%, say they get some premenstrual symptoms, such as bloating, headaches, and moodiness. Support groups are valuable resources for connecting with other women who have PMDD. Often, menstrual periods will skip a month and return, or skip several months and then start monthly cycles again. Abdominal cramps. Drink water. This helps in reducing the severity of PMS symptoms. Medically reviewed by Carolyn Kay, MD. Anger. 2. Fatigue. About half of women who experience PMS also have another health problem, which may get worse in the time before their menstrual. ” Around this time, your child might also. Endometriosis: In endometriosis, tissue similar to the uterine lining grows outside the uterus. Then the cycle starts again. However, please keep in mind that. Many women feel physical or mood changes during the days before menstruation. Symptoms can usually be treated with. Nausea. The influenza virus that causes the flu is not the same as the period flu. Premenstrual syndrome ( PMS) is a disruptive set of emotional and physical symptoms that regularly occur in the one to two weeks before the start of each. premenstrual. Premenstrual Dysphoric Disorder (PMDD) PMDD is another term that is used to describe severe PMS. Different women experience different symptoms. Symptoms can range from mild to severe, and can sometimes be debilitating enough to. "La consommation d'eau (pour éviter la déshydratation) pourrait diminuer la durée des saignements menstruels, la quantité d'analgésiques consommés et. We explore these and other signs below. If a pregnancy doesn’t happen, the uterine lining sheds during a menstrual period. You also may have lower back and stomach pain. The constellation of the physical and psychological symptoms that appear several days before the menstrual period is known as the premenstrual syndrome (PMS) . Advertisement. 7. There is no exact “right” time for anything to happen. The symptoms of PMDD are more severe than those seen with premenstrual syndrome (PMS). Add higher progesterone levels and your growing uterus pushing on your bladder: peeing more is a. Symptoms of PMS vary from person to person, but they can include bloating, food cravings, fatigue, and mood swings. If your cycles aren't regular, you may notice other early pregnancy symptoms before you notice a missed period. Hormone. Many women experience an array of symptoms as their hormones shift during the months or years leading up to menopause — that is, the natural end of menstruation. A week or two before your period starts, you may notice bloating, headaches, mood swings, or other physical and emotional changes. “That is a good marker for parents because breast buds are usually fairly noticeable. Pre-period hormone changes can trigger yeast infections, but they’re not the only factor. 1-3. Each woman's symptoms are different and can vary from month to month. Whether you have recently gotten your first period. Implantation is a critical early stage in every pregnancy. Painful periods are periods with severe and frequent menstrual cramps and pain. If your busy life is messing with. The areolas may darken and small rashes can appear around them (Montgomery glands). In Western contexts [] and in. Symptoms are caused by the changing levels of hormones in the body. Other PMS symptoms: in the days before your period, you feel extra bloated, have breast tenderness, headaches, and/or water retention in your arms and legs. selective serotonin reuptake inhibitors (SSRIs) are the first line treatment for severe PMS or premenstrual dysphoric disorder (PMDD). Symptoms may become more severe during stress or perimenopause. Symptoms tend to recur in a predictable pattern. Many find the trade-off well worth it to ease the symptoms of PMS and PMDD. BACKGROUND AND OBJECTIVES. gastrointestinal issues, including constipation, diarrhea, nausea. Using relaxation techniques to reduce stress may help control your premenstrual anxiety. Doctors generally consider such feelings PMS if they happen month after month and they interfere with. Symptoms generally strike five-to-10 days before the period and dissipate with its start or soon after. Bloating is when the stomach expands, creating a tight feeling of fullness. Premenstrual dysphoric disorder (PMDD) is a more serious form of PMS. Headache: This is a common early pregnancy and PMS symptom. Elles apparaissent généralement quelques jours avant les règles. Tanya Simon-Hall said her employer dismissed her symptoms as just being a period, leaving her feeling guilty for missing work. Leaking pee when you cough or sneeze. Most girls do not experience. poor coordination or clumsiness. Abdominal cramps. This makes the. Heartburn. 1. But it's not "all in your head," as you've probably been told. dayane_1270205. Growing pubic hair: Just after your breasts start to form, you'll probably start. The need to urinate more frequently. Depression. Les symptômes doivent apparaître au cours de 3 cycles menstruels consécutifs et doivent être suffisamment graves pour nécessiter un avis médical ou un traitement. Appetite changes or specific food cravings. Il est possible de diminuer les manifestations souvent invalidantes qui surviennent au cours de cette période. The most common symptoms of Endometriosis are: Pain before and during periods. Cut back on your alcohol, sugar, salt, and caffeine intake. The PMS symptoms can develop as early as 14 days or two weeks prior to the menstrual period; however, on average, the PMS symptoms occur 5 to 11 days prior to the menstrual period. Le SPM se manifeste par des ballonnements, des crampes, des douleurs mammaires. Le syndrome prémenstruel (ou SPM), c’est une série de symptômes physiques et psychiques qui démarrent entre quelques heures et plusieurs jours avant les règles, et qui disparaissent généralement peu après leur arrivée. It causes a range of emotional and physical symptoms every month during the week or two before your period. Premenstrual dysphoric disorder (PMDD) is a condition in which a woman has severe depression symptoms, irritability, and tension before menstruation. Symptoms may include cramping or pain in the lower abdomen, low back pain, pain. It can also help you avoid dehydration, which can cause headaches and make you feel. In most cases, the pain begins in the 24 to 48 hours before your period and subsides within 48 hours of getting your period. Muscle aches. leg, back, or stomach cramping. Vomiting. For 3 to 8% of women, these symptoms can be much more severe and debilitating. Le SPM entraîne souvent des maux de tête, des douleurs lombaires et musculaires, une hypersensibilité aux bruits et à la lumière. Premenstrual symptoms do not occur when a woman is pregnant, breast-feeding (at least during the first few months before menstrual cycles begin again), and after menopause. Your uterine lining gets thicker over the course of your cycle and then sheds during your period. Tender, tingly, darker, more 'sticky out' nipples. Fatigue or lack of energy. Symptoms usually stop once. passing fluids, larger. Le syndrome prémenstruel (SPM) est un ensemble de symptômes physiques et émotionnels qui surviennent habituellement de 2 à 7 jours avant les règles (parfois jusqu’à 14 jours). For people using the lower-dose hormonal IUDs (19. PMS is a combination of physical, behavioral, and emotional symptoms that occur in a woman during the premenstrual phase of her menstrual cycle. This discharge period will last from 2 to 10 days, and the volume of blood being discharged will vary based on the woman. 5. In six PMS cases, premenstrual symptoms were reduced to levels of their follicular phase, whereas little improvement in premenstrual symptoms and even a slight increase in depressed symptoms were observed in the two MDD patients. Premenstrual syndrome commonly produces one or. Depression. With its symptom tracker, you can document your days and events as well as record the evolution of your symptoms over a period of time. If your pre-period sleep problems are affecting your everyday life, it may be worth trying medication to help you get more sleep. PMS affects up to 75 percent of women in their childbearing years, although only 20 percent to 40 percent have difficulties as a result. Constipation before your period is another common symptom of premenstrual syndrome (PMS). Adult women get. It can occur at any time, but is more often experienced when periods start or during menopause. Premenstrual dysphoric disorder (PMDD) is thought to be caused by disturbances that alter your brain's neurochemistry and communication circuits. About 5–8% of women thus suffer from severe premenstrual syndrome (PMS); most of these women also meet criteria for premenstrual. Thus, during perimenopause, women tend to experience lower levels of this hormone. Shortness of breath. A priori sans gravité, ces symptômes sont néanmoins désagréables, franchement pénibles ou carrément handicapants. One word: hormones. Breast changes caused by pregnancy hormones such as tenderness or sensitivity tend to stick around rather than disappear shortly before the arrival of your period. Period pain is one of the most common menstrual symptoms. 4 min read July 12, 2023. 1. PMS (premenstrual syndrome) is the name for the symptoms women can experience in the weeks before their period. Background: Although many women do not satisfy strict. More than 90%. Studies indicate that 14-88% of adolescent girls have moderate-to-severe symptoms. There are both in-person and online peer support. Learn about symptoms, diagnosis, and treatment options. How does secondary dysmenorrhea cause menstrual cramps? Menstrual pain from secondary dysmenorrhea is a result of a condition affecting your reproductive. 3. Symptoms of PMS vary from person to person, but they. Some have an upset stomach or diarrhea around or during their periods. Lifestyle changes and sometimes medicine are used to treat PMS. 8% []. The severity of the symptoms of PMS in two cycles, before the intervention and during the intervention, was recorded by the students. In fact, more than 100 symptoms have been linked to PMS. At times you may notice some nipple discharge. Cough. However, these are also common signs of other problems, such as hormonal changes. The increased level of hormones impedes digestion, trapping gas in the intestines. This is markedly different than other times during the month. To help with backache, headache, or sore breasts: Try a warm heating pad or acetaminophen. This is called implantation bleeding. see breast lump details belownipple discharge: milk, blood,. 6. Signs and symptoms, including changes in menstruation can vary among women. When it comes to having a baby, everyone is unique, but there are some early signs of pregnancy to look for. This article looks at the most common period symptoms. Implantation bleeding or spotting. une humeur changeante, des. Slight cramping. Pelvic pain and cramping may start before a menstrual period and last for days into it. Sleep. a depressed or lower mood. Anxiety. Many women have uncomfortable feelings starting a week or two before their period that usually stop when their period starts. Your nipples may also change significantly during the early weeks of pregnancy. "In the mid-portion of your cycle when you ovulate, your estrogen and progesterone levels start to surge, and they decline when you do not get pregnant and get your period," Dr. Menarche refers to your first period, or your first time menstruating. 1 The frequency, type, severity, and combination of symptoms that comprise PMSx vary. Unlike PMS, period flu goes beyond the hallmark crankiness and bloating, instead dealing more with physical, rather than emotional, symptoms. However, these cramps may continue into your period and get less severe as your period ends. Symptoms are present for most of the time in the week before menses, diminish with the onset of menses and are absent in the week following menses. Stress. Many body changes and. If you have longer menstrual cycles, ovulation may occur closer to day 21. It can feel like painful muscle cramps around the abdomen as a dull or constant pain, or even as intense spasms. Symptoms. For many, PMS symptoms are mild and are managed with lifestyle changes and natural or over the counter medications. Colds and flu. Pain during or after sex is common with endometriosis. Cramps associated with your period typically occur closer to the 10-12 DPO mark, while implantation cramping occurs most often between 6-12 DPO. A. Always follow the instructions on the bottle. Some people experience symptoms every month before their period: stomach cramps, muscle pain, changes in mood, etc. Premenstrual symptoms are common, occurring in 95% of women of reproductive age. If you don't conceive, your progesterone levels will dip back down when your period arrives. Symptom severity can. Luteal phase: Days 16–28. These changing hormone levels can cause menstrual. You may notice some light bleeding or spotting around the time your period is due. Takeaway. Stress is a surprisingly common reason for missing your period. ”. Bloating and a Feeling of Tightness. Your skin is the first place to let you know that your periods are due soon, even though not in the most desirable ways. To ease bloating: Lower salt in your diet. bloating of the abdomen. A 2014 study of healthy premenopausal women investigated the GI and emotional symptoms some people experience before and during their period. Des sensations de pesanteur ou de compression pelvienne et des. Premenstrual dysphoric disorder (PMDD) is a severe, sometimes disabling extension of premenstrual syndrome (PMS). Anxiety. But in some cases, symptoms may be absent. Le degré d’intensité peut varier. As mentioned, PMs is the abbreviation used to refer to symptoms before period. Increased urination. - Le samedi 5 octobre, aucune règle, j'ai pourtant mes symptômes pré-menstruels (douleurs à la poitrine, tiraillement dans le bas du ventre). Learn about premenstrual syndrome or PMS symptoms, treatment, definition, and causes. premenstrual: [ pre-men´stroo-al ] preceding menstruation . Research suggests that the flu-like symptoms may be caused by a person’s reaction to a drop in progesterone levels during the latter half of the menstrual cycle. Pain that starts 1 to 3 days before your period, peaks 24 hours after the onset of your period and subsides in 2 to 3 days. 1 day ago · “This broad range symptoms along with a tendency to normalise and dismiss period pain meant diagnosis took between 7 and 11 years on average. This means a person’s most fertile days will fall somewhere between day 8 and day 21. However, there are ways of. 6. A sharper, more acute pain. Premenstrual dysphoric disorder (PMDD) is a severe, sometimes disabling extension of premenstrual syndrome (PMS). However, first periods can be less. Headaches are another early symptom of implantation or pregnancy that you might experience before a missed period. As mentioned, PMs is the abbreviation used to refer to symptoms before period. Symptoms of PMS. So with that said, here's average pregnancy symptoms timeline, based on a typical 28-day menstrual cycle: About 14 days after your last period: Conception. Chills. One study found that around 70% to 85% of women experienced these symptoms, so if you find yourself feeling queasy or are physically sick, take comfort in knowing you’re not alone. The uterus is located between the bladder and the lower. Ovulation and menstruation are associated with progesterone. Premenstrual syndrome (PMS) is a group of physical and psychologic symptoms that start several days before a menstrual period begins and usually end a few hours after the first day of a period. PMS symptoms are most often experienced by women in their 20s and 30s, although all women who have periods can be susceptible to PMS. Manger (et boire) pendant vos règles. Breast tenderness. These monthly. Early pregnancy symptoms before a missed period. But some women get severe menstrual pain. Kallen says. unscented baby wipes to clean any leakages. Your body will go through significant changes in early pregnancy. And Dr. Your discharge is dry. In a second study, Freeman et al. But the. A menstrual cycle begins with the first day of your period, or menstruation [ MEN-stroo-AY-shuhn] and starts over again when the next period begins. Takeaway. Dietary changes that may help reduce the symptoms of PMS include following a low-fat vegetarian diet, or reducing your intake of sugar, dairy, red meat, alcohol, and caffeine—all known to be inflammatory foods. Some people have hot flashes only once a day, and some have them much more often. Here are some distinctions between spotting and menstrual bleeding. Sleep problems are often due to hot flashes or night sweats, but sometimes sleep becomes unpredictable even without them. The length of time you have symptoms of perimenopause can vary between a few months to many years. 2023. Fatigue. Peeing more. Pain when you poop or pee. Premenstrual dysphoric disorder (PMDD) is a health problem that is similar to premenstrual syndrome (PMS) but is more serious. Nausea and vomiting. 2 The most frequently reported symptoms are. Missed or lighter period. These monthly symptoms are known as premenstrual syndrome, or PMS. Diarrhea. Progesterone hypersensitivity (PH) is a condition that triggers an allergic reaction in the skin ahead of your period beginning and then improves once it's over. What’s more, if you’ve been pregnant before, the early symptoms you experience this time around may not be the same as your last pregnancy. Mood swings. Premenstrual syndrome (PMS) is a group of physical and psychologic symptoms that start several days before a menstrual period begins and usually end a few hours after the first day of a period. Rising levels of estrogen in the days leading up to your period affect estrogen receptors in your stomach and small intestine. See your doctor. Follicular phase: Days 6–13. PMS is a combination of emotional and physical symptoms that people experience after ovulation during the luteal phase. Constipation. What’s more, symptoms can get. Symptoms include irritability, depression, crying, mood swings, and oversensitivity. Sometimes they go undiagnosed, being told they are just hormonal and need to get over it. The best time to take a test is the first day of your missed period. If your. This gets the uterus ready for an egg (from the mom) and sperm (from the dad) to attach and grow into a baby. “Pre-period symptoms. Missing one or more periods is often the clearest early sign of pregnancy. Although the symptoms usually stop when the menstrual period begins, in some people the symptoms continue during and even after their menstrual periods. 001; during p = 0. Mood. Amongst those, some women are so severely affected that it interferes with their mental health, interpersonal relationships, and studies []. Menopause: When the ovaries have shut down. Physical symptoms like. 2 Mild. "The areoles – the dark circle around your nipple – may also become even darker and larger. And more. Things like missing your period, sore or tender breasts, feeling more tired and nausea (morning sickness) are common symptoms of early pregnancy. Symptoms do not start again until at least day 13 in the cycle. PMS is the changes in mood, emotions, physical health, and behavior that. You may see signs such as nausea, breast tenderness, and the hallmark symptom of a missed period. The first sign of pregnancy was usually a missed period. The symptoms markedly interfere with relationships with others, work or school, or usual social activities: 3. For most women, the symptoms cause only mild to moderate discomfort, but in some cases PMS can be severe. Severe migraines or lower back pain during your period. Takeaway. Flushed skin. 1 It is characterized by physical, affective, and behavioral symptoms that significantly impair the daily lives of women, including work and personal activities, during. These monthly symptoms are known as premenstrual syndrome. food cravings and weight gain. Common treatments include: Antidepressants. Premenstrual syndrome (PMS) is a group of physical and emotional symptoms that generally occur one to two weeks before your menstrual period. Bloating is very common before and during a person’s period. Period bloating can be unpleasant, but there are steps you can take to combat this uncomfortable symptom. 23 hours ago · DOI: 10. The group of symptoms that happen before and during a menstrual period is called premenstrual syndrome (PMS). They are, however, common symptoms of early pregnancy. Hormone therapy. The reminder functionality also. But if you’re pregnant, there may be some telltale. Mood changes. Learn more about breast symptoms-teen including symptoms included in this guide are:breast pain (most common complaint)breast lumpbreast size, shape or symmetry questionsredness of breastnipple dischargecauses of breast symptomsbreast lump: fibroadenoma, cyst. Hormonal changes before a period can make the symptoms of an existing mental health condition worse. Australian women with endometriosis can experience symptoms including severe period pain, depression and back pain for. Bleeding. Bloating. Symptoms often peak just before menstruation begins, then fade during or immediately following a menstrual period. Body shape. PMS can include: irritability, moodiness, impulsiveness, anxiety and/or feeling a ‘loss of control’. What is premenstrual dysphoric disorder (PMDD)? PMDD is a mental health disorder that causes intense emotions in the days leading up to a person’s menstrual period. You may see signs such as nausea, breast tenderness, and the hallmark symptom of a missed period. Most women will experience cramps 2 – 3 days before their period starts. Premenstrual dysphoric disorder is a form of PMS in which symptoms are so severe that they interfere with work, social activities, or relationships. What is premenstrual dysphoric disorder (PMDD)? Le syndrome prémenstruel (SPM) est un ensemble de symptômes physiques et émotionnels qui surviennent habituellement de 2 à 7 jours avant les règles (parfois jusqu’à 14 jours). PMS stands for Premenstrual Syndrome; “pre” means “before” and “menstrual” refers to the menstrual cycle or periods. PMDD can cause depression, anxiety, and other physical and mental health symptoms during the two weeks leading up to your period. Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period. Symptoms usually stop once the period starts. Premenstrual symptoms tend to start a few days before bleeding, or menstruation, and stop once menstruation occurs. Periods look different for everyone, and your symptoms can even vary from period to period. There are many possible symptoms of PMS, but typical symptoms include: feeling bloated; breast tenderness; mood swings; feeling irritable. Common Symptoms of Menstruation. Most women at some point in their life will experience some cramping during their period or around their period. That’s completely normal, too. How does secondary dysmenorrhea cause menstrual cramps? Menstrual pain from secondary dysmenorrhea is a result of a condition affecting your reproductive organs. Hormone therapy (like birth control pills) Changes in what you. The increased level of hormones impedes digestion, trapping gas in the intestines. Premenstrual syndrome (PMS) is a group of psychiatric and physical symptoms that occur during women's reproductive period mostly on a cyclic basis, with a worldwide mean prevalence of 47. Mood swings, irritability or increased risk of depression may happen during perimenopause. PMS typically occurs about 1 to 2 weeks before your period. A week or two before your period starts, you may notice bloating, headaches, mood swings, or other physical and emotional changes. Cette sensation, plus courante que vous ne l’imaginez, fonctionne comme un avertissement de certains déséquilibres dans le corps. It also discusses the use of period products like tampons and pads. Ross agreed: “Regular exercise 4-6 times a week for. "PMS Symptoms and Signs. If you would like to reduce your PMI, you can try the following anti-inflammatory approaches: 1. L’extrait de graines de fenouil est un autre remède populaire servant à calmer le syndrome prémenstruel . The psychological symptoms of PMDD include: a sense of loss of control or overwhelmed. Shepherd—including the hormones. Early pregnancy symptoms before a missed period. Premenstrual syndrome (PMS) encompasses clinically significant somatic and psychological manifestations during the luteal phase of the menstrual cycle, leading to substantial distress and impairment in functional capacity. Most women of reproductive age have some physical discomfort or dysphoria in the weeks before menstruation. In the premenstrual, or luteal phase, progesterone and estrogen rise and then fall right before menstruation occurs. PMS symptoms usually happen between ovulation and the start of your period, then subside within a few. The feelings of malaise and pain may kick in just before. Symptoms usually go away two to three days after your period starts. However, first periods can be less. Pregnancy symptoms before a missed period can include nausea, headaches, fatigue, and breast changes. Diarrhea. Eating healthy is always a good idea, but making healthier choices in the two weeks leading up to your period can reduce PMS symptoms. These are the physical and emotional symptoms you may feel right before your period. Surging progesterone can make you feel tired and emotional. food cravings. This is the time when women may begin to experience pregnancy symptoms, including: breast tenderness. The most common symptoms of menstrual cramps include: Throbbing pain in the lower abdomen. Feeling overwhelmed or out of control. PMS is a set of symptoms in females that occur in the first half of the menstrual cycle. This reaction is caused by a rise in progesterone that naturally occurs during the menstrual cycle . Bloating, fluid retention. Most people get their periods between 11 and 14. Knowing the signs of menstruation helps women better prepare for their monthly period. Estrogen is rising while your uterus starts to rebuild. Read on for more information about the causes of premenstrual constipation and popular remedies. Symptoms of menstrual cramps include: Throbbing or cramping pain in your lower abdomen that can be intense. Summary. It is a common sign your period is coming and usually starts one to two weeks before your period begins, says Sherry Ross MD, an OB-GYN at Providence Saint John's Health Center. Puberty in itself is a big sign that your first period’s on its way. 17 or more days after your last period: Sensitivity to smell, tender breasts, fatigue, raised basal body temperature may begin. Most people get their periods between 11 and 14. The PMS symptoms can develop as early as 14 days or two weeks prior to the menstrual period; however, on average, the PMS symptoms occur 5 to 11 days prior to the menstrual period. By Linda Carroll. Premenstrual dysphoric disorder. Appetite changes or specific food cravings. Additional symptoms include: Abdominal or pelvic cramping Lower back pain Bloating and sore breasts Food cravings Mood swings and irritability Headache FatigueSwift changes to your mood or behavior. Symptoms of PMS are often a normal part of having your period. After ovulation, women may feel tired, cranky and off-kilter. Vaginal spotting or bleeding: Your period starts when you start bleeding. Premenstrual Dysphoric Disorder (PMDD) PMDD is another term that is used to describe severe PMS. Symptoms can include: physical symptoms such as cramps, headaches and joint and muscle pain behavioural symptoms such as binge eating and problems sleeping mental. Some early symptoms of pregnancy before a missed period include nausea, breast tenderness, and fatigue. It can trigger several physical and emotional symptoms a week or two before your period starts. swollen ankles. premenstrual dysphoric disorder premenstrual syndrome viewed as a psychiatric disorder. Symptoms typically start during the 5 days before menses and ending within a few hours of when menses begins. Unveiling the Power of Honey and Salt as a Pre-Workout Boost A Natural Approach to Elevate Your Gym Sessions. Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) Approximately 85% of women who menstruate report changes in the days or weeks before their menstruation that cause problems that affect their normal lives. SSRIs are the first line treatment for severe PMS or PMDD. Here are some pregnancy symptoms before a missed period to look out for if you suspect you may be pregnant. Causes. Eating healthy is always a good idea, but making healthier choices in the two weeks leading up to your period can reduce PMS symptoms. Heavy and/or irregular periods. Here are a few to look out for, too: Developing breast "buds": It can take three to four years for your breasts to then fully develop, but you can expect your period about two years after your breasts start developing. Common signs of menopause include the following: Mood swings: Some people will find that hormone fluctuations can create feelings of irritability, anxiety, fatigue, and depressed mood. In both PMDD and PMS, symptoms usually begin seven to 10 days before your period. Medications are often used to treat perimenopausal symptoms. Approximately 2-10% of women report having severe symptoms that affect. Another name for painful periods is dysmenorrhea. Fatigue.