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The level of activity that triggers PEM, as well as the symptoms, vary from person to person, and within individuals over time. [6] Due to this variability, affected people may be unable to predict what will trigger it. [4] This variable, relapsing-remitting pattern can cause one's abilities to fluctuate from one day to the next. [1]
The difference between tolerable and pathological stress seems to depend on a complex interaction between stress factors, and the affected persons mental resources and protective factors. [8] A prolonged period of elevated stress can lead to exhaustion, sleep disorders and a decline in cognitive abilities. [9]
Period fatigue isn't always a sign of something serious, but if your efforts to treat it with things like diet changes or pain management don’t provide relief, it may be time to see a doctor.
Dysmenorrhea, also known as period pain, painful periods or menstrual cramps, is pain during menstruation. [ 4 ] [ 5 ] [ 2 ] Its usual onset occurs around the time that menstruation begins. [ 1 ] Symptoms typically last less than three days. [ 1 ]
However, the problem arises when there is a persistent threat. First-time exposure to a stressor will trigger an acute stress response in the body; however, repeated and continuous exposure causes the stressor to become chronic. [4] McEwen and Stellar (1993) argued there is a "hidden cost of chronic stress to the body over long time periods". [8]
Fluid builup in the lower legs, feet and hands—also known as pedal edema— occurs because the heart’s ability to pump blood is too weak, which causes the blood to settle and accumulate in tissue.
An online anonymous self-report study found that 80% of respondents always experienced the symptom cluster involving fatigue, insomnia, irritation, and concentration difficulties. [8] The symptoms usually begin within 30 minutes of orgasm, [5] and can last for several days, sometimes up to a week. [4]
[3] [2]: 12 Rest provides limited relief from fatigue. Particularly in the initial period of illness, this fatigue is described as "flu-like". Individuals may feel "physically drained" and unable to start or finish activities. They may also feel restless while fatigued, describing their experience as "wired but tired".