Something I've been learning about over the last six months is how much your menstrual cycle can affect you beyond the actual period itself. I wanted to share my experience because I genuinely wasn't aware of some of these things before they started happening to me, and I wonder how many other women might be going through something similar without knowing what to make of it.
I turned 20 this year, and around that time, I started noticing some significant changes in my cycle. I've heard people say that your cycle can change as you get older, but the changes I experienced weren't just about the timing of my period.
Around ten days to two weeks before my period, I can become unusually emotional. I cry more easily, feel intensely lonely or sad, get irritated over things that normally wouldn't bother me, and find myself overthinking my relationships. I also seem to need more affection, reassurance, and care from the people around me. I become clingier than usual, and sometimes things feel much worse than I would ordinarily perceive them to be.
What's difficult to explain here is that I'm sometimes aware of the change while it's happening. I can recognise that I'm being more sensitive or that I'm overthinking something, but I still feel the emotions very intensely. At other times, I only realise how differently I was experiencing things after my period starts and I begin feeling better.
Within a few hours of my period starting, some of that emotional heaviness can begin lifting. It's gradual, but I start feeling more like myself. And honestly, it's a little bewildering. I look back at how intensely I felt about things and wonder how my emotional state could have shifted so much over a few days.
Learning about premenstrual dysphoric disorder, or PMDD, helped me understand that there is a recognised medical condition involving severe emotional and physical symptoms in the lead-up to the period.
PMDD is more than ordinary PMS. It can involve severe mood changes, sadness, anxiety, irritability, difficulty concentrating, and feelings of hopelessness that interfere with everyday life. Some people experience suicidal thoughts during their worst symptoms, which is why it's important not to trivialise the condition.
Something I found interesting is that PMDD isn't necessarily caused by abnormal hormone levels. Research suggests that some people are unusually sensitive to the normal hormonal changes that happen during the menstrual cycle. Changes involving oestrogen and progesterone, as well as the brain's response to a progesterone-derived neurosteroid called allopregnanolone, are thought to play a role.
I've also been dealing with really bad headaches and migraines before my period, despite not having experienced headaches like this previously. These can be debilitating, and hormonal fluctuations can contribute to menstrual migraines. Since mine are new, I know they deserve proper medical assessment rather than simply assuming they're hormonal.
Another thing I learnt about is ovulation pain, called Mittelschmerz in German. It literally translates to 'middle pain' and refers to pain around ovulation, which usually occurs around the middle of the menstrual cycle.
I'd always associated menstrual pain with period cramps, but ovulation itself can cause pain too. Some people experience a mild ache, while others experience more intense pain. Mine can be severe enough that there have been times when I couldn't get out of bed.
I think it's worth knowing that these things exist, especially because we don't always have the vocabulary to describe what we're experiencing. At the same time, severe pelvic pain shouldn't automatically be assumed to be ovulation pain, and new or debilitating symptoms deserve medical attention.
I'm not claiming a formal diagnosis of PMDD, and I'm still learning about what's happening to me. PMDD, PMS, menstrual migraines, and ovulation pain are distinct issues, even though they can overlap in one person's experience.
I wish we'd been taught a little more about the different phases of the menstrual cycle and the range of symptoms that can accompany them. Knowing that your cycle can affect your mood, concentration, and physical well-being is useful, but so is knowing when something goes beyond the usual discomfort and warrants medical attention.
I'm curious about other women's experiences, especially those who've noticed changes in their cycles in their late teens or early twenties and how did you figure out what was happening?
I'd really like to hear your experiences. I'm sharing mine because I wish I'd known more about these things earlier, and perhaps somebody else here is trying to make sense of something similar.