Chapter III:
Symptoms Related to
Your Cycle

Your Menstrual Cycle and How You Feel

Women can experience both physical and emotional symptoms throughout their menstrual cycle.
In addition to knowing about the phases of the menstrual cycle, and the hormones involved in the changes that your body goes through each month, it’s important to understand the variety of symptoms you may experience.11. Starr, p. 300A, 307A; 18. Speroff, p. 531-532; 25. Stoll, p. 957A; 26. Lucky, p. 424A

These physical and emotional symptoms that occur during the menstrual cycle can impact each woman differently. They can range from a minor inconvenience to a major disruption. Some women may find that their symptoms are severe enough to keep them from their daily activities.46. Dean, p. 652 Table 2, 3; 16. ACOG. Committee on Gynecologic Practice, p. 80

A number of symptoms can be associated with the menstrual cycle. Generally, these symptoms fall into one of two categories: physical or emotional.14. ACOG Practice Bulletin, PMS p. 2




Physical Symptoms

Some of the common physical symptoms associated with the menstrual cycle include:

  • Breast tenderness 14. ACOG Practice Bulletin, PMS p. 2
  • Bloating 14. ACOG Practice Bulletin, PMS p. 2
  • Headache 14. ACOG Practice Bulletin, PMS p. 2
  • Swelling of the extremities 14. ACOG Practice Bulletin, PMS p. 2
  • Cramps18. Speroff



Emotional Symptoms

Some of the emotional symptoms associated with the menstrual cycle include:

  • Depression 14. ACOG Practice Bulletin, PMS p. 2
  • Angry outbursts 14. ACOG Practice Bulletin, PMS p. 2
  • Irritability 14. ACOG Practice Bulletin, PMS p. 2
  • Anxiety 14. ACOG Practice Bulletin, PMS p. 2
  • Confusion 14. ACOG Practice Bulletin, PMS p. 2
  • Social withdrawal 14. ACOG Practice Bulletin, PMS p. 2
  • Mood changes 18. Speroff, p. 531-532A

You may find that your cycle affects your body throughout the month in more ways than just your period. Use the cycle calendar to help chart your symptoms month to month.

Are you experiencing any of the above symptoms? If you’re unsure, start by charting your symptoms with the cycle calendar. You may find that your menstrual cycle affects your body throughout the month in more ways than just your period. Once you’ve charted the way you feel, take action by finding out how you can manage your cycle or share your results with your health care professional during your next visit.

Learn more about symptoms that can be related to your cycle:

PMS - Premenstrual Syndrome
PMDD – Premenstrual Dysphoric Disorder