"Talking to my patients and understanding their level of stress is the first step in identifying how stress may interfere with their normal menstrual cycle, PMS symptoms and, overall reproductive health,” explains Ross, who recommends making a telehealth appointment or visiting a health care provider if symptoms such as anxiety, depression, or irritability, continue after your period begins. “Don’t ever be afraid to see your health care provider for support and treatment options—especially during the COVID pandemic, you have to be your best health care advocate,” says Ross. To help her patients navigate their menstrual cycles, Shepherd recommends they keep a menstrual log, tracking things such as pain and cravings. "Menstrual logs are important to help track the changes and also being open to conversation with your doctor about the changes," says Shepherd. You can keep notes manually with a notebook, or use one of the many period-tracking apps such as Clue, Flo, or Period Tracker, to log your data.
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