Living with fibromyalgia can be tough, and for many women, dealing with painful periods on top of that can make it even harder.
In this guide, we’ll break down why fibromyalgia affects your menstrual cycle, why pain can feel worse during certain times of the month, and some helpful tips to make those tough days a little more manageable.
How Fibromyalgia Affects Your Menstrual Cycle
What is Fibromyalgia?
Fibromyalgia is a chronic condition that causes widespread pain, fatigue, and sleep issues.
Around 4 million adults in the U.S. are affected, with women accounting for most cases.
Many women with fibromyalgia notice that their symptoms are influenced by their menstrual cycle, often getting worse during certain phases.
Why Fibromyalgia Pain Gets Worse During Your Period
Hormones Play a Role
Since fibromyalgia affects mostly women, researchers think that hormones may have something to do with it.
Estrogen, the hormone that fluctuates throughout the menstrual cycle, also helps regulate pain perception and mood
Period Pain Meets Fibromyalgia Pain
Studies have shown that during the luteal phase (just before your period starts) or menopause, estrogen levels drop, increasing sensitivity to pain.
For women with fibromyalgia, this can intensify their usual pain, which is often described as widespread, chronic aching, burning, or throbbing throughout the muscles, tendons, and ligaments.
This pain tends to concentrate in areas like the neck, shoulders, back, hips, and legs and is often accompanied by tenderness, where even light pressure can cause discomfort.
With these symptoms as their baseline, hormonal shifts can make period cramps feel sharper and last longer, leading to heightened discomfort, fatigue, and mood swings during this time.
How to Manage Fibromyalgia Symptoms During Your Period
If you’re living with fibromyalgia and struggling with painful periods, there are ways to find relief.
Here are a few practical tips that can make a difference:
1. Keep Track of Your Symptoms
Tracking your cycle can help you identify patterns and prepare for days when your fibromyalgia pain might be at its worst.
This can help you plan your activities and get enough rest.
2. Consider Gentle Exercise
Light, low-impact exercise, like stretching, yoga, or a short walk, can ease tension and help with pain.
Though it may be tempting to skip movement when you’re uncomfortable, gentle activity can actually help reduce pain.
3. Prioritize Restful Sleep
Many people with fibromyalgia struggle with sleep, but it's especially important during your period.
Aim to wind down early, create a calming bedtime routine, and keep your room cool and dark. Restorative sleep can make a big difference in how you feel overall.
4. Use Heating Pads
Heat therapy can relieve cramps and fibromyalgia pain.
Applying a warm compress or heating pad to your lower abdomen or back can help soothe muscles and provide comfort.
5. Stay Hydrated and Watch Your Diet
Staying hydrated and eating anti-inflammatory foods like leafy greens, nuts, and fish may help ease symptoms.
Avoid excessive caffeine and sugar, as they can contribute to irritability and inflammation.
FAQ About Fibromyalgia and Periods
How Does Fibromyalgia Affect Menstruation?
Fibromyalgia can make menstrual pain worse and may even cause irregular cycles.
Hormone fluctuations during the cycle can make fibromyalgia symptoms, especially pain and mood swings, more intense.
Does Fibromyalgia Make PMS Symptoms Worse?
Yes, many women with fibromyalgia report more intense PMS symptoms, including irritability, cramps, and fatigue, particularly in the luteal phase when hormone levels are low.
What Natural Remedies Can Help With Fibromyalgia Pain During Periods?
Gentle exercise, heat therapy, a good sleep routine, hydration, and a balanced diet are all natural ways to manage symptoms.
Stress-reducing activities like yoga or meditation may also help.