Hello, I am a 42 yo female diagnosed with endometriosis, PCOS and endometriomas. I suffer numerous symptoms from all of these and find it difficult to know what is caused by which issue. My main concern is that 3 years ago, 2 months after my 5th pregnancy loss (18 weeks)(no children), I began waking at 2:00 am shivering cold, drenched in sweat with fever, extremely nauseated and an immediate and urgent need to vomit. I also feel very light headed and out of sorts. After I vomit 2-3 times I change the soaked bedding and go back to sleep. I then experience complete and total exhaustion and zero energy or drive for the next two days. This all occurs during ovulation, 8-11 days before I get my period. Periods are irregular, sometimes just thick chocolatey appearance with no bright red blood and only lasts for 1-2 days. I then swell up once bleeding has stopped. My upper and lower abdomen feel heavy and full and I need to go up a size in clothes until ovulation begins again and the above symptoms star over and the swelling/bloating goes away. I also have changed bowel habits (lost bowel control twice in a year) and urinary frequency and urgency go waaaay up also a pressure feeling on bladder all the time and I am not emptying my bladder completely. The pelvic pain can get so bad I end up in ER for pain meds and I accept that is endo, but all the other symptoms concern me...should I go to a doctor when I wake with fever, chills and vomiting? Could this be from ruptured endometrioma a each month? As the symptoms go away and come back each month this is not indicative of ovarian cancer correct? The symptoms would persist if that was the case with no break in symptoms? My doc suggested hysterectomy but is that necessary, and what would that do to alleviate symptoms? Thank you for your time and insight!!!
Hi! If you were my patient, I would encourage you to consider a hysterectomy. It sounds like you have very severe PMS and also perimenopause. A hysterectomy would very likely alleviate most of the pain, and you could use hormone replacement therapy to stop the PMS symptoms. I think you should also be evaluated for gastritis, as most people don't have nausea na vomiting associated with PMS. Good luck! Dr B
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.