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Period Hub - PH05 - Pregnancy

Pregnancy

There are six main energy-draining culprits that lead to PMS fatigue.

- Hormonal fluctuations – Oestrogen usually acts as a stimulant, but its levels drop significantly after you ovulate, depriving you of its energy. At the same time, your levels of feel-good serotonin also dip, leaving you without its mood-boosting effects as well. Meanwhile, the calming effects of progesterone begin to kick in, which makes you feel more mellow.

- Energy burning – When you ovulate, your body temperature rises and your body starts burning more energy in preparation for pregnancy. For the next few days, your basal metabolic rate can go up by 9 percent, draining your energy. This all adds up to making you feel more tired.

- Anaemia – If your periods are heavy, you lose a lot of blood, which could lead to an iron deficiency in your red blood cells. This makes it difficult for your tissues to get the oxygen they need, meaning your cells need to work harder to function normally.

- Giving in to other symptoms – You’re sore and you’re hungry. You’re not sleeping well and you feel bloated. It’s no wonder you’re not jumping for joy. All these factors may stop you from exercising, which would make you feel rejuvenated. It is hard to get motivated when faced with these factors.

- Cravings – Your fluctuating hormones may have convinced you to binge on chocolate or other sugary foods, triggering a sugar high that is followed by a crash. This cycle can repeat itself unless you recognise it and actively switch to healthier alternatives.

- Premenstrual dysphoric disorder (PMDD) – If you are experiencing severe emotional lows, this acute form of PMS may be to blame. In addition to physical symptoms, you may find yourself crying, lashing out at others, feeling out of control or losing interest in things that used to bring you joy. If this happens monthly, you should see a doctor.

A149-T02-Can PMS cause fatigue?

Can PMS cause fatigue?

In the run-up to your period, your hormones fluctuate in ways that make you moodier and less able to cope with these changes.
 

Firstly, oestrogen and progesterone levels drop dramatically once your body realises it isn’t pregnant. This affects the neurotransmitters in your brain, particularly the ones that regulate your mood – serotonin and dopamine – leaving you feeling depressed and/or anxious. Meanwhile, your cortisol levels rise rapidly in the days before your period begins, making you feel more anxious. If you know bad cramps or bloating are on their way, you are probably already on edge, so this just makes it worse. If your sleep is also interrupted by these thoughts, you are even less able to cope with these emotions.
 

Some women are more sensitive to hormonal changes, which makes them more vulnerable to their ups and down. While it is not clear why this happens, genetics is the main suspect.
 
Severe anxiety can be a sign of two more serious issues that may require a visit to your doctor.
 

Premenstrual dysphoric disorder (PMDD) affects 1 in 20 women to the point where their moods and other symptoms impact their daily lives. There is an increased risk if a family member has anxiety or depression.
 

Watch out for the following symptoms:

- Irritability or anger that undermine your relationships
- Tension, sadness, anxiety, hopelessness or despair
- Inability to focus
- Loss of interest in activities or people
- Mood swings or bouts of crying
- Loss of energy
- Inability to sleep
- Craving food and bingeing
- A sense of loss of control

Premenstrual exacerbation occurs when pre-existing anxiety intensifies in the days leading up to your period. While it is related to the disorder described above, in this case your anxiety is a constant throughout the entire month, but gets worse during PMS.
 
Other conditions that can intensify during the luteal phase are depression, seizures, substance abuse, eating disorders, schizophrenia and migraines.

A148 - T01 - Can PMS cause anxiety?

Can PMS cause anxiety?

A144 Can you have a period while pregnant?

Can you have a period while pregnant?

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A142 Can you get pregnant after your period?

When you see vaginal bleeding, you may think that the chances of getting pregnant while on your period is lower since your body is clearing away any recently released eggs. However, the sight of blood could arise from ovulation, which means you have an egg ready to be fertilised.

While you are less likely to get pregnant during your period, it is still possible.
Your period begins 7 to 19 days after an egg is released – although usually between 12 and 16 days -- and travels down your Fallopian tubes. It survives for 12 to 24 hours, waiting to encounter viable sperm. If that does not happen, your body prepares for the next opportunity for pregnancy by shedding the blood-rich lining of your uterus and starting anew.
Typically, your body ovulates every 28 to 30 days, but some women have cycles of 20 or even 40 days between their periods and their next ovulation. You can track your personal patterns by counting the days between the start of one period and the next one. There are a few tools available, including paper journals, predictor kits or [mobile apps](https://www.parents.com/getting-pregnant/ovulation/fertile-days/the-10-best-period-and-ovulation-tracker-apps/ "Mobile apps").

If you are trying to get pregnant, this [ovulation calculator](https://uk.clearblue.com/how-to-get-pregnant/ovulation-calculator "Ovulation calculator") may help you pinpoint the perfect timing.
While the chances of getting pregnant while on your period are particularly low in the first two days, it climbs to nine per cent by Day 13 after menstruation begins.

If you are trying to conceive, this is not the optimal time to achieve that goal. However, if you are not ready for a baby in your near future, then stick with your birth control plan during your entire cycle.
Even if you are taking birth control pills, you can conceive while taking the placebo pills during the inactive-pill week of the prescription. These pills are [91-per-cent effective at preventing pregnancy](https://www.parents.com/getting-pregnant/ovulation/fertile-days/can-a-woman-become-pregnant-during-her-period/ "91-per-cent effective at preventing pregnancy"), as long as you take them consistently during the entire month.

A142-T01-Can you get pregnant while on your period?

Can you get pregnant while on your period?

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Why do you get cravings on your period?

## Anxiety Before Period: Cause and Relief

You always want to be prepared for your period, by having the right supplies and time to change them to stay fresh. However, some women also focus on the emotions they experience each month.
This leads to the question: Can PMS cause anxiety?

The hormones related to your cycle do play a role in making you feel more insecure and anxious. However, if you experience excessive worrying, tension and nervousness, you are facing a different level of anxiety.


Premenstrual Syndrome (PMS) brings on physical and psychological symptoms during the luteal phase of your period, i.e. the phase between ovulation and the end of bleeding. Fortunately, there are some ways to relieve PMS anxiety before it builds up to full-scale panic.

A148 Can PMS cause anxiety?

Read the full article below

Dr Anne Henderson

Your body only menstruates after it ovulates each month. Therefore, it is not possible to have a period while pregnant.

Women who experience vaginal bleeding during the first three months of pregnancy often mistake spotting for their period. The good news is that most women who experience spotting go on to have healthy babies without any complications. On average, 15 to 25 percent of women have spotting early in pregnancy.

Although spotting can catch you off-guard, it does not mimic the flow of a period. When you menstruate, you begin with light bleeding, which then becomes heavier before tapering off.

However, if you are bleeding heavily enough to soak through a pad, you may no longer be pregnant and should seek medical attention.

A144-T01-Can you have a period while pregnant?

Many women already feel tired on the average day, stretched by various demands of family, school, work and social networking. However, if you are feeling even more worn down in the week before your period, it’s time to look at possible remedies for premenstrual fatigue. 

In the days leading up to your period, your feel-good hormones take a holiday. This happens just as your body needs them to provide the energy to power through the cravings, the loss of blood and the other transitions occurring at this time of the month. 

You can combat PMS fatigue by committing to some healthy habits.

A149-T01-Why Are You Tired Before Your Period? Causes and Remedies

Why Are You Tired Before Your Period? Causes and Remedies

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Although genetics and hormones can throw you a curveball, you can manage these symptoms in a variety of ways.

Take charge of your mental health by doing the following things to relieve PMS anxiety:

- __Exercise__ – Getting regular aerobic exercise helps you to cope with the physical symptoms of PMS and puts you in a better state to handle mood swings and anxiety. 
- __Relax__ – Try yoga, meditation and massage therapy to unwind.
- __Eat ‘good’ carbs__ – While some diets discourage you from eating carbs, adding whole grains and vegetables to your diet will help you to cope with cravings brought on by your anxiety. Pair them with foods rich in calcium to satisfy other cravings and keep you balanced.
- __Sleep__ – Go to bed and get up at the same time every day, even on weekends. Take time to relax before you go to bed and make sure your bedroom is dark and quiet. You need at least seven hours of sleep per night.
- __Take vitamins__ – Calcium, magnesium and vitamins B and D are your friends. They provide your cells with what they need to regenerate and, in the case of Vitamin D, boost your mood.
- __Avoid alcohol, caffeine, fatty foods, salt and sugar.__  They will either make you feel slightly better or sabotage your healthy habit.
- __Drink green tea__ – Amino acid L-theanine, found in its leaves, relaxes you without making you feel sleepy.

If you feel that you need more support, via medication or therapy, there are a few options to discuss with your doctor:

- Anti-anxiety and anti-depression medications 
- Hormonal contraceptives (although some women find this makes their PMS more intense) 
- Cognitive behavioural therapy to replace negative thoughts with more positive ones
- Herbal therapies are very safe and have minimal side effects

*__Disclaimer__: This information aims to answer some of your questions or concerns. If you are worried about your health, talk to your family doctor or your gynecologist for professional medical advice.*

A148 - T02 - PMS anxiety relief

PMS anxiety relief

A145 -  Why do you get cravings on your period?

A144-Can-you-have-a-period-while-pregnant

Symptoms Explained

This comes with lots of changes – some of them pretty obvious, but some of them may come as a surprise. Like changes in your [discharge](/en-gb/period-hub/vaginal-discharge/ "Discharge").

When your period ends, you may think your body is temporarily in a state where it cannot conceive. After all, your understanding of this natural process would lead you to believe that any fertile eggs would have been cleared out with your menstrual blood. While it is less likely, you can get pregnant right after your period. Rather than guessing, you want to know “How many days after my period can I get pregnant?” There is a chance you could conceive – at any stage, due to numerous factors.

A029 9 Natural Remedies for PMS

9 Natural Remedies for PMS

From cramps to mood swings, get insights into common period symptoms and how to manage them effectively.

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Some women may experience vaginal bleeding during pregnancy and wonder if they can have a period while pregnant. The simple answer is ‘no.’
The next obvious questions are why this would happen and if it is a sign of trouble with your pregnancy. While it may only be spotting, it is best to see your doctor or midwife, particularly if it continues or if you experience pain.
For the health of you and your baby, do not ignore these symptoms.

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A065 What is PMS (Premenstrual Syndrome)?

What is PMS (Premenstrual Syndrome)?

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Miss Anne Henderson- content2column

# Anne Henderson 
## BRITISH MENOPAUSE SOCIETY ACCREDITED SPECIALIST, MEDICO-LEGAL EXPERT
Consultant Gynaecologist


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Calculate your menstrual cycle

The obvious next questions are: ‘why are you bleeding?’ and ‘what does it mean?’.

__Bleeding during the first three months of pregnancy__

Always seek medical advice if you are experiencing bleeding or spotting during your pregnancy. Your doctor is in a better position to identify the cause based on your symptoms and health history.

The possible causes of bleeding at this stage:

- Cervical changes – Once you conceive, your cervix remains in a high position and may become softer. As a result, you may experience light bleeding, particularly after having sex. If you are concerned, make an appointment to see your doctor.

- Implantation bleeding – This occurs when the fertilised egg attaches itself to the lining of the uterus, which is a normal process. This normally occurs in the first few weeks of pregnancy, usually around 12 – 15 days after conception, and rarely lasts more than 24 – 48 hours.

- Ectopic pregnancy – When a fertilised egg implants itself outside the uterus, it can lead to medical complications. Request an ultrasound immediately.

- Infection – Ask for a prescription to clear this up without harming you or the baby.

- Molar pregnancy – In this case, an abnormal mass of cells settles in the uterus and displaces the foetus. This is also known as gestational trophoblastic disease.

- Miscarriage – This happens in 10 to 20 percent of pregnancies as the foetus does not form in a normal way.

The last four causes often come with heavier bleeding and other symptoms, such as back or shoulder pain, fainting, fatigue, fever, severe cramps, unusual vaginal discharge or uncontrollable vomiting.

You may also experience bleeding from a haematoma between the uterine wall and the placenta.

If you experience any bleeding during the first three months of pregnancy, you should always speak to a doctor.

__Bleeding later in pregnancy__
If you experience bleeding after the first three months, you should seek emergency medical help immediately, regardless of how much blood you see. Always make a note of the colour, volume and consistency of the blood to help your doctor diagnose you more quickly.

*Disclaimer: This information aims to answer some of your questions or concerns. If you are worried about your health, talk to your family doctor or your gynecologist for professional medical advice.*

A144-T02-Other causes of bleeding during pregnancy

Other causes of bleeding during pregnancy

A145  - Cravings on your period

A145 Is It Normal to Have Cravings Before And During Period

As soon as you feel that your period is coming soon, you start feeling hungry. Are cravings before and during period normal? Click to find out!

A145 Is It Normal to Have Cravings Before And During Period | Always

Is It Normal to Have Cravings Before And During Period? | Always

The answer to this question depends when you have sex, as in how many days before your period.
If you have sex right before your period begins, the [odds of getting pregnant are much lower](https://americanpregnancy.org/can-i-get-pregnant-if/can-you-get-pregnant-on-your-period-9163 "Odds of getting pregnant are much lower"), since the egg is no longer viable.

You generally have a [six-day window each month](https://www.parents.com/getting-pregnant/ovulation/fertile-days/how-to-find-your-fertile-window-when-youre-trying-to/ "Six-day window each month") where conditions are ideal for you to conceive – five days before ovulation and the day of the egg’s release. Since you ovulate 12 to 16 days before your period begins, this is the prime time – between Days 11 and 21 of your cycle -- to get pregnant. Once released, your egg only survives 12 to 24 hours, so there is a small window of time for it to get fertilised. The beginning of menstruation typically indicates that did not happen. At the same time, your body gets a signal to hold off from releasing any additional eggs until the full cycle has occurred.
However, women with shorter cycles will ovulate earlier, so the odds of them conceiving within a week of their previous period is higher. Remember, sperm can live for three to five days after entering a woman, so if it encounters an egg during that window of time, it can begin a pregnancy.

*Disclaimer: This information aims to answer some of your questions or concerns. If you are worried about your health, talk to your family doctor or your gynecologist for professional medical advice.*

A142-T03-Can you get pregnant before your period?

Can you get pregnant before your period?

A149 Why Are You Tired Before Your Period? Causes and Remedies

Firstly, recognise that the cravings will come and build your resolve – and your stash of healthy alternatives. Commit to getting regular exercise by scheduling time with friends – meet them at the gym or for a walk to get away from your kitchen cupboards. Here are some tips to help you ride this out:

- Commit to eating lean protein to satisfy your hunger, stabilise your blood sugar levels and support your insulin production and resistance.
- Eat more complex carbohydrates, such as foods containing wholemeal flour, whole grains, brown rice, barley, beans and lentils, to fill you up and leave less room for junk food.
- Cut back on refined carbs, fat, salt and sugar. Eating even a small amount just makes you want to eat more and often leads to bingeing.
- Drink less caffeine and alcohol, which can also knock you off track.
- Eat more leafy green vegetables and dairy to boost your calcium intake and rebalance your serotonin levels. You can also talk to your doctor about your supplement needs.
- Take Vitamin B supplements, such as B6, thiamine and riboflavin, to alleviate symptoms. A Vitamin D dose will make you feel better, whether you get it via a pill, 15 minutes of sunlight, or a serving of mushrooms. Vitamin E has also been shown to reduce cravings. Again, your doctor can advise you on the best options for your health.


A145-T04-How can you stop period cravings?

How can you stop period cravings?

Can you get pregnant after your period?

Now is not the time to watch that Netflix series about the lonely woman who cannot find love and seeks solace in a bucket of ice cream. TV shows can also plant the seed that we need to soothe our emotions with unhealthy foods, but we need to stay away from such influences at this time of the month.

Drinking six to 10 glasses of water per day also helps to keep minerals flowing to where they are needed, so drink up!

*__Disclaimer__: This information aims to answer some of your questions or concerns. If you are worried about your health, talk to your family doctor or your gynecologist for professional medical advice.*

A145-Why do you get cravings on your period Description Content

She believes in offering her patients the full spectrum of treatments to help manage the peri-menopause and menopause. 

Miss Anne Henderson 

Miss Anne Henderson Consultant Gynaecologist

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Anne is a highly experienced __Consultant Obstetrician and Gynaecologist__. She spent 17 years as a senior consultant at a major acute __NHS Trust__, following undergraduate studies at __Cambridge University__ and postgraduate medical training in the South East. She is __Owner and Director at The Amara Clinic in Tunbridge Wells__, which is her new clinical venture due to open in June 2021 after extensive refurbishment. Anne also practices at No 25 Harley Street in London and KIMS Hospital in Kent in addition to her extensive educational commitments at both regional and national level.

She is passionate about women’s health issues, particularly menopause and HRT, which is now a key health agenda following the publication of the __NICE Guidelines__. She feels there is a need to expand and improve the existing NHS service to ensure that all women are able to access high quality menopause care, regardless of postcode or income. She has extensive experience in this field having carried out 4 years’ postgraduate research into menopause and HRT, PMS and post-natal depression under Professor John Studd, who was the pre-eminent world expert in the field during his career. She then spent several decades in clinical practice during which she set up one of the largest NHS Menopause Clinics in the South East. She is a __British Menopause Society Accredited Specialist__, a recognition currently held by fewer than 200 practitioners in the UK, acknowledging the higher level of training, expertise and ongoing clinical workload within this group of specialists. 

Anne believes in offering her patients the full spectrum of treatments to help manage the peri-menopause and menopause, including complementary therapies such as herbal medicine. She has worked closely with a medical herbalist in Kent for the last 20 years: this collaboration has been highly successful and forms an integral part of Anne’s clinical practice and educational seminars. She believes that the role of complementary therapies, particularly herbal medicine, is greatly under-recognised by most healthcare practitioners. 

She is heavily involved in all aspects of education in her field and has organised numerous training and educational days for various public sector employers, including __Fire and Rescue and Police Services in Kent, Bedfordshire, Buckinghamshire and Cambridge__: these workshops have received high acclaim. The education programme was extended during 2019 to private sector employers including __Goldman Sachs and Unilever__. Highlights during 2019 include hosting the inaugural regional British Menopause Society Update Day in Kent in September, and keynote lectures to the National Police Menopause Action Group in April and the inaugural London Fire Brigade Menopause Seminar on World Menopause Day in October. After a delay due to COVID 19, a further British Society Update Day is due to be held in Kent in October 2021, reflecting the great success of the inaugural meeting. She also has an extensive educational track record teaching and training fellow gynaecologists, GPs and Practice Nurses throughout the South East over the last 22 years, which she continues to undertake on a regular basis. 
Anne is the __Medical Advisor to BRCA Kent__, one of the largest support groups for BRCA patients in the UK. Along with the BRCA Kent team, she runs bi-annual multi-disciplinary education and update study days for BRCA carriers and medical practitioners throughout Kent and the surrounding areas and provides ongoing support and education to the group. 

In addition to her clinical work, Anne has an extensive __medico-legal practice in both obstetrics and gynaecology__: her interest in this area developed as a result of her experience as NHS Consultant Lead for Obstetric Risk. She finds this a sobering, but valuable, aspect of her varied timetable and believes it is vital that ongoing training, education and support is offered to the next generation of doctors and midwives in her speciality with the aim of consistently improving the quality of care. In keeping with her interest in medico-legal matters, Anne regularly lectures to lawyers and barristers as part of their CPD update training and is involved in the highly acclaimed __7 Bedford Row Chambers annual “Skeleton Series”__ of educational seminars.
Anne has published widely in the medical literature including peer-reviewed journals such as the BMJ, The Lancet, and New England Journal of Medicine. Her articles have also featured in the mainstream media including __The Guardian, Daily Mail, The Times and Sunday Times and in various women’s magazines including Red, Women’s Journal, Good Housekeeping, Women’s Health, Glamour, Cosmopolitan and Refinery 29__. Throughout her career she has been involved in broadcast media as well, having appeared on LBC, Radio 4, This Morning, Radio Kent, and Channel 5 discussing menopause-related matters. Anne is also currently in discussion with Channel 4 regarding a documentary on transgender pregnancy in the UK which will hopefully be filmed and televised during 2022.

Anne has acted as brand ambassador and medical advisor to various companies, including __Bayer, Time Of The Month, TENA and Elastoplast__. She is a Consultant Advisor for the Health & Her website which provides a comprehensive range of complementary, lifestyle and medical advice for menopausal women. Currently her main media focus is the collaboration with __A Vogel__, the highly renowned Swiss healthcare company, which compliments her ongoing enthusiasm for herbal medicine.

Anne was commissioned by Dorling Kindersley to produce a comprehensive holistic guide to the menopause and her book, __“Natural Menopause”__, was published in March 2021 <a href="https://www.amazon.co.uk/Natural-Menopause-Remedies-Aromatherapy-Nutrition/dp/0241458528" aria-label="View Natural Menopause Remedies Aromatherapy Nutrition book on Amazon">https://www.amazon.co.uk/Natural-Menopause-Remedies-Aromatherapy-Nutrition/dp/0241458528</a>. This book represents a collaboration between hand-picked experts and provides extensive advice for peri-menopause,menopause and beyond including HRT, herbal medicine, nutrition, fitness and mental wellbeing.

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Each month, you know it’s coming – before you can even consult your calendar, you feel hungry for chocolate, carbs and salt, letting you know your period is on its way. Is it normal to get cravings on your period? Why do you crave certain foods on your period? Your body is crying out for certain comfort foods for both biological and psychological reasons, and sometimes even because of marketing. The most important thing you want to know is how to stop period cravings, to avoid taking in the estimated 500 additional calories per day.

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