Daily PMS Symptoms for Months: Seeking Guidance
I’m a 30-year-old female, not engaging in smoking or drinking, currently using the depo shot, and I’m six months postpartum following a smooth delivery with no issues. Since the arrival of my baby in February, I’ve been struggling with what feels like persistent PMS symptoms on a daily basis. At six weeks post-delivery, we decided to try the depo shot to alleviate these issues, but it hasn’t helped. Every single day, I experience neck pain along with a nagging headache that radiates from the base of my skull. Bright lights are painful for my eyes, and I frequently deal with discomfort in my right eye, almost as if it’s going to burst. My appetite seems insatiable, I have recurring uterine cramps, and after the initial postpartum bleeding subsided around eight weeks, I’ve been lightly spotting ever since. The bleeding intensifies during intimate moments with my husband. Additionally, I oscillate between bouts of diarrhea and days where my stools consist mostly of mucus. Other symptoms include severe mood fluctuations, hot flashes, overwhelming fatigue, difficulty either falling asleep or remaining asleep, and widespread body soreness. Having had a second child now, I don’t recall facing these issues after my first. Although I did endure a significant episode of bacterial vaginosis during the first three months postpartum this time around, it was only diagnosed after I insisted that my doctor run tests. He initially dismissed my concerns by suggesting I discuss my past trauma with a therapist, claiming my bleeding would eventually subside, and that taking Motrin four times a day would resolve it by thinning the uterine lining. Returning to a doctor who uses my history of childhood assault against me as a justification for not performing necessary diagnostics is not an option. I am experiencing considerable pain and struggling to function in my daily life. Despite my baby sleeping better, I'm barely getting one to two hours of sleep at a time. I want to be fully present for my children and husband, yet I’m constantly feeling unwell. I’d appreciate any advice on what I should explore next. I am open to seeing a new physician, but I would like to have a clearer understanding of potential issues before facing more medical bills only to be told that therapy is the solution (though I am already attending therapy and I feel my mental health is stable, aside from the impact of feeling physically unwell).
Answers (1)
8/28/2025, 1:54:01 AM
OpenHealth AI
I’m sorry to hear that you’ve been experiencing such persistent and distressing symptoms since your postpartum period. It’s important to address these concerns with the seriousness they deserve. Your symptoms suggest several potential issues, but they warrant thorough evaluation rather than assumptions or dismissals. Let’s break down your situation.
Main Points:
- Persistent Symptoms: You’ve been experiencing continuous PMS-like symptoms, along with pain, gastrointestinal issues, and mood fluctuations.
- Impact on Quality of Life: Your symptoms are affecting your daily activities and overall well-being, especially as a new mother.
- Need for Clear Direction: You're seeking actionable advice before pursuing further medical consultations.
Explanation:
Given the range of symptoms you’re experiencing, they could be interrelated or possibly point to postpartum complications or other underlying conditions. Common postpartum issues may include hormonal imbalances, thyroid dysfunction, or persistence of conditions like endometriosis or pelvic floor dysfunction. The ongoing spotting could also imply concerns with uterine health that deserve attention.
Headaches and neck pain can be linked to tension or migraine issues, which may relate to the hormonal changes after childbirth or could be independent. The digestive symptoms could suggest conditions like irritable bowel syndrome (IBS) or other gastrointestinal issues, which can sometimes be exacerbated by stress or hormonal changes.
Next Steps:
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Track Your Symptoms: Keep a detailed diary of your symptoms for at least a week. Note when symptoms occur, their intensity, and any potential triggers (eating, stress levels, etc.). This information can help new providers understand your condition better.
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Explore a New Healthcare Provider: Given your past experiences, it may be beneficial to seek a second opinion from a new healthcare provider who specializes in women’s health or postpartum care. Look for someone who has good ratings regarding patient empathy and thoroughness. Be prepared to ask for specific tests (like hormone levels, thyroid function, or imaging studies) to rule out any underlying conditions.
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Consider Lifestyle Adjustments:
- Nutrition: Focus on a balanced diet. Eating smaller, more frequent meals may help with appetite and stabilize mood. Try to include foods high in omega-3 fatty acids (like fish, walnuts, and flaxseeds) which support brain health and may help with mood swings.
- Hydration: Ensure you’re drinking plenty of water, especially during bouts of diarrhea.
- Gentle Exercise: Incorporate light activity or stretching to ease tension and promote better sleep. Consider postpartum yoga if it’s accessible to you.
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Prioritize Rest: If possible, try to rest when your baby sleeps, and consider asking for support from family or friends to take care of your children for short periods to help you recuperate.
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Mental Health: Since you’re already attending therapy, continue that support, but also ensure you communicate the physical symptoms affecting your mental well-being with your therapist.
Final Thoughts:
Your health is paramount, and you deserve to feel better and be present for your loved ones. Gaining a better understanding of your symptoms through tracking and open discussions with a new provider can lead to a more tailored treatment plan. If your symptoms persist or worsen, especially with regards to severe pain, bleeding, or significant mood changes, seek immediate attention. I'm here to support you during this process. Take it one step at a time, and reach out with any updates or further questions.
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