{"componentChunkName":"component---src-components-article-page-article-page-gatsby-container-tsx","path":"/articles/cycle-a-z/top-menstrual-cycle-symptoms-clue-survey-results","result":{"data":{"articleNode":{"id":"6RcJAFGOIg8mIas8waEIw4","title":"Top menstrual cycle symptoms: Clue survey results","subtitle":null,"seoMetaTitle":"Top symptoms of menstrual cycle - Results of Survey of 4,000 Women","seoMetaDescription":"The science is quite clear: certain symptoms happen at the same times every cycle.","openGraphTitle":"Top symptoms of menstrual cycle - Results of Survey of 4,000 Women","openGraphDescription":"The science is quite clear: certain symptoms happen at the same times every cycle.","slug":"cycle-a-z/top-menstrual-cycle-symptoms-clue-survey-results","artCredits":" ","publishDate":"2016-05-11T00:00+01:00","updatedAt":"2021-01-05T13:33:36.725Z","createdAt":"2017-11-20T12:32:05.348Z","locale":"en","authors":[{"id":"64iY53ZT0W8oKomAIkQUm0","name":"Dr. Marija Vlajić Wheeler","headline":"Former Data Scientist","slug":"dr-marija-vlaji-wheeler","twitter":null,"locale":"en","profileImage":{"id":"2eEpwHcf4oQiqSGQaGEiaY","description":"portrait of marija","file":{"contentType":"image/jpeg","url":"//images.ctfassets.net/juauvlea4rbf/2eEpwHcf4oQiqSGQaGEiaY/f76b9b5aca4a76e77814b0d94af9670c/author-marija_2x-50.jpg"},"gatsbyImageData":{"images":{"sources":[{"srcSet":"https://images.ctfassets.net/juauvlea4rbf/2eEpwHcf4oQiqSGQaGEiaY/f76b9b5aca4a76e77814b0d94af9670c/author-marija_2x-50.jpg?w=300&h=300&q=50&fm=webp 300w,\nhttps://images.ctfassets.net/juauvlea4rbf/2eEpwHcf4oQiqSGQaGEiaY/f76b9b5aca4a76e77814b0d94af9670c/author-marija_2x-50.jpg?w=600&h=600&q=50&fm=webp 600w,\nhttps://images.ctfassets.net/juauvlea4rbf/2eEpwHcf4oQiqSGQaGEiaY/f76b9b5aca4a76e77814b0d94af9670c/author-marija_2x-50.jpg?w=1200&h=1200&q=50&fm=webp 1200w","sizes":"(min-width: 1200px) 1200px, 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Suan","headline":"Author","slug":"adeline-lee-chai-suan","twitter":null,"locale":"en","profileImage":{"id":"68f2AAbp5ewQuysUcA8CUg","description":"portrait of adeline in the clue office in","file":{"contentType":"image/png","url":"//images.ctfassets.net/juauvlea4rbf/68f2AAbp5ewQuysUcA8CUg/367d6f4142a91c4380bd5b7d5246d7d4/Adeline_Lee.png"},"gatsbyImageData":{"images":{"sources":[{"srcSet":"https://images.ctfassets.net/juauvlea4rbf/68f2AAbp5ewQuysUcA8CUg/367d6f4142a91c4380bd5b7d5246d7d4/Adeline_Lee.png?w=225&h=225&q=50&fm=webp 225w,\nhttps://images.ctfassets.net/juauvlea4rbf/68f2AAbp5ewQuysUcA8CUg/367d6f4142a91c4380bd5b7d5246d7d4/Adeline_Lee.png?w=450&h=450&q=50&fm=webp 450w,\nhttps://images.ctfassets.net/juauvlea4rbf/68f2AAbp5ewQuysUcA8CUg/367d6f4142a91c4380bd5b7d5246d7d4/Adeline_Lee.png?w=900&h=900&q=50&fm=webp 900w","sizes":"(min-width: 900px) 900px, 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percentages","file":{"contentType":"image/png","url":"//images.ctfassets.net/juauvlea4rbf/2DGoyBIcfKyEcwcIMOEics/08fb5bdd40a13804c0e2473947e8581b/Survey-Symptoms-of-the-Cycle_2x.png"},"gatsbyImageData":{"images":{"sources":[{"srcSet":"https://images.ctfassets.net/juauvlea4rbf/2DGoyBIcfKyEcwcIMOEics/08fb5bdd40a13804c0e2473947e8581b/Survey-Symptoms-of-the-Cycle_2x.png?w=240&h=120&q=50&fm=webp 240w,\nhttps://images.ctfassets.net/juauvlea4rbf/2DGoyBIcfKyEcwcIMOEics/08fb5bdd40a13804c0e2473947e8581b/Survey-Symptoms-of-the-Cycle_2x.png?w=480&h=240&q=50&fm=webp 480w,\nhttps://images.ctfassets.net/juauvlea4rbf/2DGoyBIcfKyEcwcIMOEics/08fb5bdd40a13804c0e2473947e8581b/Survey-Symptoms-of-the-Cycle_2x.png?w=960&h=480&q=50&fm=webp 960w,\nhttps://images.ctfassets.net/juauvlea4rbf/2DGoyBIcfKyEcwcIMOEics/08fb5bdd40a13804c0e2473947e8581b/Survey-Symptoms-of-the-Cycle_2x.png?w=1920&h=960&q=50&fm=webp 1920w","sizes":"(min-width: 960px) 960px, 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These symptoms can indicate the hormonal shifts and changes during the\ndifferent cycle phases (the premenstrual/menstrual, follicular, ovulatory and\nluteal phase). The more regular a cycle is, the easier it is to detect a\npattern. This does not usually apply to the 1 in 3 people with irregular cycles.\nSymptoms in an irregular cycle usually happen at inconsistent times. Some\nsymptoms may be totally normal, while others may indicate a medical condition.\n\n**Over 4,000 people responded within the first week. Here are the results:**\n\n### **50% experience acne**\n\nAcne *(acne vulgaris*) is one of the most frequently reported skin ailments\nconnected to your cycle (1). Period-related hormonal breakouts, known as\ncatamenial acne, occur in the perimenstrual phase (the 10 days before and during\nyour period). Progesterone leads to an overproduction of sebum (the skin’s oily\nsecretion), which contributes to catamenial acne. Acne can also be closely\nconnected to certain lifestyle factors (2). Some people see a reduction in acne\nbreakouts when they take hormonal birth control. Acne is common during\nadolescence (3), and in people with polycystic ovary syndrome (PCOS)(4).\n\n### **49% experience headache, dizziness, or lightheadedness**\n\nHeadaches are a common symptom of the premenstrual phase (5). They may be caused\nby prostaglandins, which are hormone-like substances that help the uterus\ncontract, to shed the uterine lining (6).\n\nMigraines are influenced by the menstrual cycle, and may be a symptom of the\npremenstrual phase for some people (7). Migraines are intense headaches that can\nbe accompanied by pulsating pain, sensitivity to light and noise, nausea and/or\nvomiting. Some people experience migraine *auras*, which are feelings, smells or\nlights felt shortly before a migraine itself. Some people also report that their\nmigraines change throughout their reproductive lifespan. This means a migraine\nmight feel different in relation to someone’s first period, oral contraceptive\nuse, pregnancy and/or menopause. Changing estrogen levels are believed to cause\nthese changes. Taking extra estrogen (as hormonal birth control or hormonal\nreplacement therapy) may make migraines worse (8).\n\nSudden hormonal changes experienced right before the period, as well as during\nthe ovulatory phase, can cause lightheadedness and/or dizziness (9). Anemia (a\nlow red blood cell count) can also cause dizziness and headaches (10).\n\n### **40% experience fatigue**\n\nFatigue is frequently brought up in the context of the menstrual cycle and is a\ncommonly reported symptom of PMS (11). Fatigue is also frequently reported\nduring adolescence, pregnancy, the postpartum period and menopause (12–15). Long\nterm exhaustion can be a sign of a medical condition like endometriosis, a\nthyroid disorder or less commonly, polycystic ovary syndrome (PCOS) (16,17).\nAnemia and diabetes can also cause fatigue (10, 18).\n\n### **39% experience cold hands and feet**\n\nCold hands and feet is the most common sign of an underactive thyroid gland\n(19). It can also be caused by anemia (10).\n\n### **37% experience backache and/or leg pains**\n\nCramps are a common pain symptom in the days before and during menstruation.\nPainful cramping is also sometimes felt in the lower back and thighs (20). Lower\nback pain, as well as leg pain, is often experienced during pregnancy (21) and\nin people with endometriosis (22).\n\n### **35% experience chronic pelvic pain**\n\nChronic pelvic pain (CPP) is a common complaint people bring to their healthcare\nproviders. This symptom is most commonly caused by endometriosis, fibroids and\npolyps (23).\n\n### **26% experience diarrhea and/or nausea**\n\nSome people experience nausea as a premenstrual symptom. Nausea is also common\nduring early pregnancy. Overeating, food allergies, food poisoning, indigestion,\nstomach flu and anxiety may also cause nausea. Some people report nausea as a\nside effect of certain medications and oral contraceptives (24).\n\nDiarrhea is the most common gastrointestinal symptom reported before and during\nthe period (25). High levels of contraction-causing substances called\nprostaglandins are thought to be the cause of diarrhea before and during the\nperiod (26).\n\n### **22% experience constipation**\n\nConstipation is a common and painful condition. Diet, stress and physical\nactivity affect bowel movements and can contribute to constipation. Some people\nreport constipation before and during the period (27, 11). Constipation is\ncommon during pregnancy, and can also be caused by conditions like endometriosis\nor thyroid disorder (28, 29).\n\n### **18% experience painful bowel movements**\n\nA recent study showed that more than 70% of individuals experience at least one\ngastrointestinal (GI) symptom before and during the period (11). The most common\ncause of painful bowel movements throughout the menstrual cycle is\nendometriosis. Polycystic ovary syndrome (PCOS) might make painful bowel\nmovements worse around the time of the period (30, 31).\n\n### **18% experience brittle nails and/or hair loss**\n\nBrittle nails can be caused by dehydration, nutritional deficiencies (minerals\nand amino acids), certain medications or injuries to the base of the nail.\nEnvironmental factors (climate) can also cause nails to be dehydrated and\nbrittle (32). Hair loss is almost always caused by a hormonal imbalance, but can\nalso stem from harsh chemical hair treatments (33).\n\nIndividuals suffering from polycystic ovary syndrome (PCOS) often experience\nhair loss (androgenic alopecia) (34). Thyroid disorders can also cause brittle\nnails and hair loss (alopecia) (35).\n\n### **17% experience pale skin**\n\nHeavy menstrual bleeding, anemia and hypothyroidism can all cause pale skin\n(10,34).\n\n### **15% experience fast heartbeat and/or shortness of breath**\n\nAnemia can cause shortness of breath (10). Thyroid disorders, and the\nmedications that manage them, might cause a rapid heartbeat and shortness of\nbreath (34).\n\n### **13% experience watery, bloody or foul smelling vaginal discharge**\n\nWatery, bloody or foul smelling vaginal discharge can be due to many things like\ncertain medications, infections or allergies (36, 37). This discharge can vary\nin texture (e.g. chunky, foamy), smell (e.g. foul, fishy) or color (e.g. green).\n\nDischarge that is bloody or accompanied by a fever and/or abdominal pain may be\na sign of a sexually transmitted infection or urinary tract infection, and\nshould be treated as an emergency (38).\n\n### **13% experience frequent urination and/or difficulty urinating**\n\nThe most common causes of frequent urination and/or difficulty urinating are\nbladder infections, sexually transmitted infections, endometriosis and diabetes\n(39, 40).\n\n### **13% experience excessive hair growth**\n\nIndividuals suffering from polycystic ovary syndrome (PCOS) often experience\ndermatological problems such as excessive hair growth (hirsutism) on the face,\nback and belly (4).\n\n### **12% experience chest pain**\n\nThe most common causes of chest pain are muscular or joint problems, but chest\npain may also be caused by anemia and endometriosis (10, 41, 42).\n\n### **10% experience pain and/or bleeding during or after sexual intercourse**\n\nPain and/or bleeding during or after sex (not related to menstruation) occurs in\n0.7% to 9% of menstruating people. These symptoms may be mechanical damage to\nthe cervix or by conditions such as polyps, fibroids and endometriosis (43).\n\n### 42% struggle with weight\n\nAs you grow and age, your body weight will change. It may also change through\nperiods of increased or decreased physical activity, illness or pregnancy.\nWeight changes might be noticed during adolescence or menopause. Conditions such\nas PCOS, diabetes and thyroid disorders have a strong impact on weight\nfluctuations (44–46).\n\n![clue-health-survey-results@2x](//images.contentful.com/juauvlea4rbf/ZovzNglVyCaIu2EyWiu4Q/1d383efb7247de08f118b018874b66bd/clue-health-survey-results_2x.png)\n\n### 10% have a diagnosed condition\n\n![clue-health-survey-results 1@2x](//images.contentful.com/juauvlea4rbf/1QH6LR8n48o0I4Gy6miyMG/ffb7bfb6c02e5a04aeec0c33b5990fd0/clue-health-survey-results_1_2x.png)\n\n#### The most common symptoms of PCOS are:\n\nAcne, excessive hair growth, weight gain and irregular cycles\n\n#### The most common symptoms of thyroid disorders are:\n\nChronic pelvic pain, cold hands and feet and sudden weight changes\n\n#### The most common symptoms of endometriosis are:\n\nChronic pelvic pain, fatigue and painful bowel movements\n\n#### The most common symptoms of diabetes are:\n\nHeadache, lightheadedness and dizziness, acne and weight gain\n\n### 35% use hormonal contraception to regulate their cycle\n\n![clue-health-survey-results2@2x](//images.contentful.com/juauvlea4rbf/5ng4UyvBXGiYEeOSS8ys2i/70c2eb344f62acc7bbf5e97eb814f302/clue-health-survey-results2_2x.png)\n\nHormonal birth control (HBC) will help you manage many of the symptoms you\nexperience because of your condition. Hormones in your HBC will help maintain\nthe levels and ratios of hormones necessary for regular menstrual cycle\nfunction.\n\n> **Many of these symptoms can indicate an irregular cycle if they happen often or\n> without an obvious pattern. What causes irregular cycles?**\n\nIrregular cycles occur for many different reasons. The most common cause is\nsimply transitioning through a different life stage: adolescence (when the first\nperiod happens) or pre-menopause (time when periods cease around age 45–55).\n\nSome of the other causes include:\n\n* Stress\n* Excessive/extreme sports\n* Poor diet\n* Hormonal birth control or copper IUD \n* Miscarriage \n* Breastfeeding\n* Polycystic ovary syndrome (PCOS)\n* Endometriosis\n* Uterine polyps\n* Fibroids\n* Problems with blood clothing (also called haemophilia)\n\nThe best way to determine the cause of your symptoms or irregularity is to talk\nto your healthcare provider. Tell them about your cycle (period and average\ncycle length) and symptoms. How debilitating are your symptoms? Do they affect\nyour daily routine? Your healthcare provider might need to run a couple of\nadditional tests to help with determining the root causes of your irregular\ncycles and symptoms.\n"},"bodyRichText":null,"references":{"references":"1.  Hermanns-Le T, Hermanns JF, Lesuisse M, Pierard GE. Cyclic catamenial\ndermatoses. Biomed Res Int. 2013;2013:156459.\n1.  Reynolds JJ. The effect of hydrocortisone on the growth of chick bone rudiments\nin chemically defined medium. Exp Cell Res. 1966;41(1):174–89.\n1.  Olutunmbi Y, Paley K, English JC, 3rd. Adolescent female acne: etiology and\nmanagement. J Pediatr Adolesc Gynecol. 2008;21(4):171–6.\n1.  Chuan SS, Chang RJ. Polycystic ovary syndrome and acne. Skin Therapy Lett.\n2010;15(10):1–4.\n1.  Taylor DCS. Taking Back the Month: A Personalized Solution for Managing PMS and\nEnhancing Your Health, Chapter 1: The Puzzle of PMS. : New York, NY. The Berkley\nPublishing Group 2002.\n1.  Mannix LK. Menstrual-related pain conditions: dysmenorrhea and migraine. J\nWomens Health (Larchmt). 2008;17(5):879–91.\n1.  Pavlovic JM, Stewart WF, Bruce CA, Gorman JA, Sun H, Buse DC, et al. Burden of\nmigraine related to menses: results from the AMPP study. J Headache Pain.\n2015;16:24.\n1.  Sacco S, Ricci S, Degan D, Carolei A. Migraine in women: the role of hormones\nand their impact on vascular diseases. J Headache Pain. 2012;13(3):177–89.\n1.  Seemungal BM, Gresty MA, Bronstein AM. The endocrine system, vertigo and\nbalance. Curr Opin Neurol. 2001;14(1):27–34.\n1.  PubMed Health. Iron-Deficiency Anemia: Symptoms\n1.  Bernstein MT, Graff LA, Avery L, Palatnick C, Parnerowski K, Targownik LE.\nGastrointestinal symptoms before and during menses in healthy women. BMC Womens\nHealth. 2014;14:14.\n1.  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Clinical Methods: The History, Physical, and Laboratory\nExaminations. 3rd edition. 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