You are suffering from moderate to severe dysmenorrhea (painful periods) and you would certainly need to exclude underlying causes for this, and get treatment including pain relief management. Please book in with a gynae specialist doctor for full consult and investigations soon.
It is very good of you to pay attention to details of your menstrual pattern and the new symptoms. If the issues are persistent, it is worthwhile to see a gynae specialist doctor to investigate the possible underlying causes and treat accordingly. If this is just once off issue, it may be just slight hiccough with our body hormonal system and altered biological clock.
It seems like your recurrent Candidiasis infection is affecting your daily life. I would highly recommend that you see a gynaecologist for thorough consult and investigations for the underlying cause of the recurrent infection, exclude other infection, or other medical problems. Prevention is better than cure, and perhaps there may be simple measures that can be recommended for you to prevent further episodes.
Marginal zinc deficiency and suboptimal zinc status have been recognized in many groups of the population in both less developed and industrialized countries. Although the cause in some cases may be inadequate dietary intake of zinc, inhibitors of zinc absorption are most likely the most common causative factor. Phytate, which is present in staple foods like cereals, corn and rice, has a strong negative effect on zinc absorption from composite meals. Inositol hexaphosphates and pentaphosphates are the phytate forms that exert these negative effects, whereas the lower phosphates have no or little effect on zinc absorption. The removal or reduction of phytate by enzyme (phytase) treatment, precipitation methods, germination, fermentation or plant breeding/genetic engineering markedly improves zinc absorption. Iron can have a negative effect on zinc absorption, if given together in a supplement, whereas no effect is observed when the same amounts are present in a meal as fortificants. Cadmium, which is increasing in the environment, also inhibits zinc absorption. The amount of protein in a meal has a positive effect on zinc absorption, but individual proteins may act differently; e.g., casein has a modest inhibitory effect of zinc absorption compared with other protein sources. Amino acids, such as histidine and methionine, and other low-molecular-weight ions, such as EDTA and organic acids (e.g., citrate), are known to have a positive effect on zinc absorption and have been used for zinc supplements. Knowledge about dietary factors that inhibit zinc absorption and about ways to overcome or remove these factors is essential when designing strategies to improve the zinc nutrition of vulnerable groups.
3. In general, if you belong to an average-risk lady preparing to conceive, perhaps start folic acid 400-600mcg daily soon (you won’t know when you will conceive), and maintain well-balanced meals and healthy lifestyle
Last but not the least, all the best for conception and pregnancy!
Best regards,
Dr Ong Yeu Theng Charas Specialist in Obstetrics & Gynaecology
For your simple ovarian cyst, your gynaecologist has given you appropriate advice- be reassured!
For the shortened menstrual cycles length to 24 days, it can still be normal if the pattern is relatively regular with duration of bleeding is within 7 days, no excessive flow, or intermenstrual bleeding etc. If in doubt, please check with a gynaecologist.
王予婷醫生(女)