Scary symptoms during menstruation

Patient : Don't think this is menopause, but symptoms occur when I am on my period. I am 46 and these symptoms happened 2 years ago for 3 months in a row, while on the pill. I have been off the pill since then, they went away and they have started again this week. It is scary and feels as though I am having a heart attack, but I know I am not. I get nauseous, lightheaded and dizzy, mild chest discomfort, and this last time, forgetfulness. Lasts off and on for a couple of days and then goes away.
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