“Dizziness could be as a consequence of underlying causes which might be associated to your interval,” says Tiffany Pham, DO, a board-certified OB/GYN in Houston, Texas, and medical advisor for Flo Well being. (And simply to be clear, we’re speaking about that faint, lightheaded sensation that may depart you feeling such as you would possibly move out. This can be a little totally different than vertigo, or feeling just like the room is spinning, which might stem from internal ear or neurological points.)
Whereas most causes of pre-period dizziness are innocent, it could generally level to an underlying well being situation that wants treating. Both approach, determining the foundation reason behind your woozy spells might help you come back to extra steady footing. Here is a have a look at the highest causes of dizziness earlier than your interval, and what to do about every.
If that lightheaded, faint feeling tends to pop up earlier than your interval, it may very well be associated to PMS, or premenstrual syndrome.
“[PMS] can embrace a wide range of signs within the days main as much as your interval, together with temper signs, belly bloating, pelvic ache or cramping, dizziness, fatigue, complications, breast tenderness, pores and skin adjustments, or adjustments in your urge for food,” says Dr. Pham.
PMS occurs, as you would possibly’ve guessed, because of fluctuations in hormones like progesterone, which might have an effect on your ranges of feel-good neurotransmitters like serotonin. Being wired tends to exacerbate the issue and make signs worse, notes the National Library of Medicine.
What to do
PMS usually goes away as soon as your interval begins and, though annoying, its signs are usually not dangerous. But when your PMS signs are extreme or disrupt your each day life, attain out to your OB/GYN or primary-care physician. They might help you provide you with a plan to make your cycles really feel smoother.
“PMS can embrace a wide range of signs within the days main as much as your interval, together with temper signs, bloating, fatigue, and dizziness.”—Tiffany Pham, DO, OB/GYN
2. Menstrual migraines
PMS can also trigger a migraine within the days main as much as your interval (which, once more, is all because of hormone fluctuations). Generally that may give individuals vertigo—a queasy, dizzy sensation the place you’re feeling just like the room is spinning and it is arduous to steadiness, says Dr. Pham.
What to do
If migraines are inflicting your dizziness, speak to your physician about migraine treatment choices. You could possibly take an over-the-counter ache reliever like Excedrin or Advil (ibuprofen), use an ice pack, and/or sleep it off. But when these choices do not work, chances are you’ll want a selected migraine remedy, which your physician can prescribe.
3. Dysmenorrhea (aka painful intervals)
Most individuals can have delicate cramping for a day or two throughout their intervals. However for some, the ache can attain the extent the place you really really feel dizzy, says Kiarra King, MD, an OB/GYN in Chicago and ladies’s well being medical advisor to Oura.
Consultants name this dysmenorrhea, or interval ache that is dangerous sufficient to maintain you from doing all of your regular actions. It may possibly occur when your uterus contracts abnormally or stem from situations like endometriosis, uterine fibroids, or pelvic inflammatory illness, in keeping with Johns Hopkins Medicine.
What to do
In case your cramping is extreme, speak to your OB/GYN. They’ll run checks (like pelvic exams, blood work, or ultrasounds, to call a couple of) to rule out any underlying situations inflicting your ache. From there, they will provide you with a selected remedy plan to assist relieve your ache. Within the meantime, taking an NSAID (non-steroidal, anti-inflammatory drug) like ibuprofen, or utilizing a heating pad, might help relieve cramping.
Over time, very heavy intervals (the place you lose a whole lot of blood) could cause iron-deficiency anemia, which might make you’re feeling weak and dizzy, and even trigger coronary heart palpitations or shortness of breath, notes the Mayo Clinic.
Different widespread signs of iron-deficiency anemia embrace:
- Weak point
- Pale pores and skin
- Chilly palms and toes
- Sore, infected tongue
- Brittle nails
- Poor urge for food
What to do
In case you suppose you may need anemia, your physician can order a blood check to seek out out. In case you do, “you possibly can contemplate taking iron supplements to assist increase your blood iron rely,” says Dr. Pham. You too can strive consuming extra foods rich in iron like spinach, eggs, purple meat, and fortified cereal. Some individuals additionally strive taking hormonal contraception drugs, as a result of they will cut back future blood loss by making your intervals lighter, she provides.
5. Speedy, heavy blood loss
This is not widespread, however shedding a considerable amount of blood from a really heavy circulate—suppose, soaking by greater than two pads or tampons in an hour, says Dr. King—might trigger a fast drop in blood stress, making you’re feeling dizzy.
Some potential causes of heavy vaginal bleeding embrace the next, per the Cleveland Clinic:
- Hormone imbalances (like from a thyroid dysfunction or PCOS)
- Uterine fibroids
- An infection
- An IUD
- Ectopic being pregnant
- Sure bleeding problems
What to do
“In case you’re having fast blood loss, you will wish to name your physician,” says Dr. King. “It’s possible you’ll should be checked out shortly,” to verify nothing extra severe is happening.
6. Poisonous shock syndrome (TSS)
TSS is a uncommon however life-threatening bacterial an infection marked by dizziness, sudden excessive fever, confusion, vomiting, and a rash in your palms or soles of your toes. Anybody can get it (together with individuals assigned male at start and children), however it’s tied to tampon use as a result of tampons can probably trigger micro organism to get trapped in your vagina and enter your cervix and uterus, the place it could unfold to your bloodstream, per the Cleveland Clinic.
What to do
TSS just isn’t widespread, however should you do really feel any of the corresponding unintended effects, and use tampons typically, name your physician and go to the ER as quickly as doable.
You’ll be able to shield your self from TSS by changing your tampon no less than each eight hours and utilizing tampons with the lightest absorbency on your circulate, which reduces the chance for dangerous micro organism development, per the Cleveland Clinic.
Non-period associated causes of dizziness
Generally dizziness you discover earlier than or throughout your interval is not really associated to your cycle, says Dr. King. Some widespread culprits embrace:
- Dehydration: Together with feeling dizzy, you may also have a dry mouth, dry pores and skin, dark-colored urine, or really feel sluggish or fatigued, in keeping with the National Institutes of Health.
- Low blood sugar: Your blood sugar would possibly drop beneath the wholesome vary should you’ve gone too lengthy with out consuming, particularly when you have diabetes. Low blood sugar could make you dizzy, shaky, and irritable. You would possibly really feel like your coronary heart is racing or like you possibly can’t suppose clearly, per the National Institute of Diabetes and Digestive and Kidney Diseases.
- Orthostatic hypotension: This can be a sort of low blood stress that occurs when standing or sitting up from mendacity down, says the Mayo Clinic. You would possibly briefly get dizzy, faint, or have blurry imaginative and prescient while you get out of a chair or off the bed, for example.
Methods to forestall period-related dizziness
Preserving period-related dizziness at bay is determined by what’s inflicting it, says Dr. Pham. Dizziness attributable to PMS, dysmenorrhea, or heavy intervals can typically be managed with hormonal contraception drugs. Identical goes for period-related migraines, which may also be handled with prescription migraine meds, she provides. If the issue stems from anemia, supplemental iron can right your deficiency and assist you to really feel higher.
Attempting to give attention to fundamental self-care—like consuming balanced meals and snacks, drinking plenty of water, and getting enough sleep—may even assist decrease your possibilities of non-period causes of dizziness like dehydration or low blood sugar, says Dr. King.
What to do while you really feel dizzy
Firstly: Do not attempt to push by it, since you might find yourself falling and getting harm. If doable, slowly decrease your self right into a seated place or discover a place to lie down, says Dr. Pham. In case you’re not in a position to sit, no less than seize on to one thing that will help you really feel steadier. As soon as the dizzy feeling goes away, rise up slowly and thoroughly, she provides.
This additionally means, should you want a rest day to sleep off that woozy feeling, take it.
Might dizziness earlier than your interval imply you are pregnant?
Perhaps, however provided that your interval by no means really got here. Whereas dizziness is not a brilliant widespread early being pregnant symptom, it could have an effect on some individuals. “This may be as a consequence of hormonal adjustments that result in a reducing of blood stress, notably within the first trimester,” says Dr. Pham.
Different clues that you possibly can be pregnant? Bloating, fatigue, peeing more than usual, nausea, vomiting, temper swings, and tender or swollen breasts, notes Planned Parenthood. However do not depend on your signs alone: In case you suppose you may be pregnant, take a being pregnant check to get a definitive reply, says Dr. King.
When to see a health care provider
As a rule, that woozy feeling earlier than your interval is because of the regular hormone fluctuations that occur at the moment of the month.
But when dizziness earlier than or throughout your interval retains you from dwelling your daily, let your physician know. Dr. King recommends utilizing a period tracker to maintain tabs in your cycle and your signs, which might help you and your physician slender down what may be occurring.
And naturally, when you have extreme signs like muscle weak spot, very heavy bleeding, or indicators of TSS, name your physician and go to the ER as quickly as doable.