
What Causes Extreme Tiredness During Menstruation?

It could be premenstrual syndrome
Detailed Answer:
Dear XXXXXXX
Thanks for using healthcare magic.
I read your query and understand your concerns.
Although it is difficult for me to spell out the exact reason for extreme tiredness during menstrual period but the first possibility is premenstrual syndrome. Almost 85% of women experience some symptoms of perimenstrual syndrome and out of them almost 20 % have symptoms severe enough to warrant clinical attention.
Since fibromyalgia is ruled out we need to look for depression as second possibility. This is again one of the common problem with young and middle aged women and a trial of antidepressant can bet offered if nothing works.
Regarding alleviation of your tiredness I will request only one thing apart from antidepressants and which is enough exercise. Contrary to popular belief exercise helps in depression tiredness and you will realise importance of it.
I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.


Follow up
Detailed Answer:
Dear XXXXXXX
Thanks for follow up and adding few more details.
However I keep my stand about antidepressants as prolonged nature of illness (one year) and worsening during menstrual cycle makes me more hopeful with use of antidepressants. Although your doctor may decide some other antidepressant I feel cymbalta will make the perfect choice.
I hope this assists you further.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
