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Menstrual Symptoms: Seeking Causes and Solutions

Published on, 03 July, 2023. Answered by Dr. Marcos L. Drlje and Verified by Dr.Galen Team
Patient Question

Hello Doctor,


During the first few days of my period, I experience diarrhea, pain, nausea, and sweating. I am in my mid-30s and have had three children. For the past few years, I consistently have at least one day in the early stages of my period where I suffer from diarrhea, nausea, sweating, panic, and pain. These symptoms come in waves, starting with an urge to use the bathroom and then hitting me all at once. Once I pass a bowel movement, the symptoms subside. This cycle repeats every hour for 3-5 hours. My doctors suspect that I may have endometriosis, although I have not undergone a laparoscopy, and I do have resolving cysts. I cannot take birth control due to adverse reactions. I am seeking information about potential causes and solutions for my condition.

Answered by Dr. Marcos L. Drlje


Thank you for reaching out to Dr. Galen. Please find the below response to your query.


Your condition is a gynecological conflict. First of all, those symptoms are related to endometriosis. However, they could also be related to intra-abdominal adhesions.

Question: Did you have c-sections for any of the children?

If the answer is NO, the most likely cause would be endometriosis.

If it is YES, synechiae would be the cause, which may require a laparoscopy. 



About Dr. Marcos L. Drlje

Dr. Marcos L. Drlje

Obstetrician and Gynecologist

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