Is Your Throat Sore Just Before Your Period?

Here’s an interesting observation by more than a handful of my female patients: Their throats are sore for a few days just before their monthly periods. It doesn’t go on to a cold or other more severe symptoms. Just a transient sore throat. Then it goes away.

If you’ve been following my blogs, articles, and especially if you read my book, Sleep, Interrupted, there’s a simple explanation. During your monthly cycles, progesterone levels increase with ovulation, but drops when there’s no egg fertilization. One relatively unknown property of progesterone is that it’s an upper airway muscle dilator. It literally tenses your tongue muscles. When in deep sleep, your muscles (as well as your tongue and other throat muscles) tend to relax to various degrees depending on your sleep stage. If you have less progesterone on board, then it’s more likely to fall back, obstructing your breathing, leading to a temporary vacuum effect in the throat, suctioning up small amounts of normal stomach juices. All this causes a temporary deep sleep deficiency. If you eat a late meal, more of these juices will come up. But once progesterone levels begin to increase again, the tongue tenses, and sleep quality improves as well.

Sometimes, the inflammation in the throat increases to the point of significant deep sleep deprivation, leading to some of the more severe symptoms as pre-menstrual headaches, fatigue, irritability, and weight gain.

For you women out there, do you experience sore throats just before your periods? Please enter your responses in the comments box below.

One of the most common questions asked in the comments below is, "What can I do to help with this problem?" I answer this in my new podcast.



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868 thoughts on “Is Your Throat Sore Just Before Your Period?

  1. I get a cough for almost a week before my period with a runny nose, tiredness, and headaches. Then usually the day before/of I get a sore throat and sore glands in my neck. It goes away when my period starts. The cough is very annoying because of covid because obviously I get a bit freaked out at first before I realise what it is

  2. So what can be done about it? I was getting severely swollen tonsils before and during my period every month so years ago I had them taken out however, I still get sore throats (not as severe) headache, muscle aches etc. can anything balance out the hormone just during that time?

  3. So ever since I found this blog…I decided to start taking notes anytime I start getting these symptoms.

    For the past four months I’ve taken detailed notes that all correlate and start ONE WEEK EXACTLY before my period is due to begin, and it is mind blowing.

    This bubble in my throat…dry throat issue it happens exactly a week before my period is due and last into my period.

    It’s naggy and annoying. It doesn’t hurt when I swallow but the feeling is like something is slightly tied around my throat.

    Also it tends to make me more anxious and as a result I sometimes end up getting really bad panic attacks.

  4. Yes…all true. It’s amazing when I track my hormonal cycles just how much of my mood and physical symptoms are tied to my cycle! I get the same tightness in my throat, allergy type symptoms, increased anxiety,, itchy skin at times, but only during that week to 10 days before. Then after my period it all goes away.

  5. Pls what is the causes of sore throat after period and dry mouth,i always stay hydrated but is not working for it,and once i start the another period,the sore throat stop,once the period stop the sore throat start,the period is not flowing properly also

  6. Since February 2021 I get sick around the same time each month. My symptoms are sore throat, headache, fatigue, cramps and nauseous. Usually goes away after my period. I’m just really concerned all of my test come back negative so is this normal?

  7. I think this is one of the most significant information for me. And i’m glad reading your article. Looking more from you. Thanks

  8. I get a minor sore throat. Slight ear pain , fatigue and the start of body aches about 2 days before period starts. I always think im getting a cold then it just goes away.

  9. I hate the sore throat so much and sometimes I get a flu and feel really sick. I thought it was illness until they all disappear with aunty Flo. And the nausea gets really bad.

  10. Today I woke up to the right earache and sore throat on the right side. It’s nice to see all the comments because the period is just coming.

  11. I’m having my period right now with an extremely sore throat. This hasn’t happened before and it started the first day of my period.

  12. I feel this symptoms AFTER my period. I have dry mouth and slight sore throat. Does anyone here feels the same?

  13. Hey!!! I’m ada and I’m 10 years old my mom started her period at 9 but I have been haveing a dry throat,cramps, headaches,dizzyness,and light headed dose this mean I’m about to start also if so what can I do to stop my dizzyness and my dry throat

  14. Very interesting, I sometimes get sore throat and blocked nose recently I’ve noticed slight sore throat before period starts but get the sore throat and nose congestion bad as my period ends! Bizzare 🤔

  15. I feel like something bis stuck in my throat whenever I’m about to go on periods. I’m currently experiencing it right now and it’s during my period. Is it normal?

  16. Wow reading these comments have put me so at ease. I started noticing a pattern that I always felt I was getting a cold/flu when my period came but didn’t think much of it.I started my period Today and along came the aches, chills, sore throat and started panic googling because of course worried about covid. If this period is anything like the last my cold symptoms should be gone in a day or 2!

  17. I have PCOS and this month I noticed my throat is bit sore like a two days before my periods came. Imagine how scared I was with Covid going around. But I feel good. Just a soreness. This article helped ease my fears.

  18. I’m 44 and was just diagnosed with pelvic congestion syndrome. I am waiting for a laparascopy to see if I have endometriosis or what else could be causing the vein congestion. I have had low back pain for a year, bladder pain for 5 months abdominal pain for 3 months and irritated throat for 3 months that is worse before and during my period. All of my symptoms seem to be worse during my period. I thought it may be acid but now I am thinking its hormones. I wake up several times a night with dry throat behind sinuses. Dry eyes and nose also.