Concern over unusual PMS symptoms

Patient

Q: Hello,
I'm 37, with three children and a fairly regular menstrual cycle (it can vary by 1-3 days). I always experience the same PMS symptoms, starting 2 days before my period and lasting thru the first day of bleeding. This month symptoms began two weeks before my expected period, have been stronger than usual, and include symptoms I don't normally experience. These symptoms include: cramping, fatigue, breast tenderness, nausea, bloating and heartburn. Cramps, fatigue, breast tenderness and slight bloating are normal, but not for two weeks. The differences are the nausea and heartburn, and the severity of the bloating and breast tenderness. Clothing I normally wear during PMS days is too tight this month, and my breasts are painful, not just tender, and have a feeling like milk letting down. My period is due this week, and we're not trying to conceive (tho a pregnancy isn't impossible); are these changes in symptoms reason for concern? I planned to wait until after my period to seek a doctor, but my husband is getting worried that something is actually wrong. Also, there has been no change in diet, stress, medication, etc, and a home pregnancy test was negative (tho I tested in the evening, and don't expect my period for another few days). Thank you for your help.

Symptoms:  Unusual PMS symptoms
Doctor

A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

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