As the question asks, I am looking for productivity advice directly or indirectly related to one's menstrual cycle.
Motivation: This may seem like a gross or weirdly personal question but I think it's actually quite important. For example, for the first four hours of my period, I am unable to do anything besides lie down, be in pain, and (sometimes) vomit for about 4 hours. Not accounting for all of the other ways my period negatively affects me, this is already 4 hours * 12 = 48 hours = 2 full days lost per year. That being said, there can be menstruation related hormonal fluctuations which positively influence productivity. During ovulation, I can sometimes reach almost manic levels of mental and social energy and (I'm less sure about this) I require a bit less sleep to function.
What the question is asking: This is a very open-ended and personal question so I am expecting similarly open-ended and personal answers. For example, stuff I'm interested in:
- Generally speaking, how does your menstrual cycle affect your productivity?
- What effects has the pill had? Which kind of pill?
- Have you experimented with varying your cycle length? (I had a 3 month cycle some number of years ago, and enjoyed the decreased frequency and intensity of my periods.)
- Have you noticed fluctuations in energy level caused by your menstrual cycle? Any way to make the high energy phases longer and the low energy phases shorter? Do phases of high energy correspond to a certain hormone which I could get through the pill?
- Are there dietary changes that mitigate the bad effects of menstruation / enhance the good effects? (For example, is it "helpful" to give in to cravings?)
- Are there sleep schedule choices that can be made which synergize with your menstrual cycle?
- Are there points in your cycle where you are best at detail-oriented work / creative work / socializing / writing / anything else relevant?
It's possible that your answers to many of these questions are "my menstrual cycle is irrelevant here because other inputs have way stronger effects". Insofar as your menstrual cycle has a sizeable effect on any of these points (or other points I haven't mentioned), I would be really interested in hearing your thoughts.
I think your symptoms are substantially worse than average. I've only spoken to or heard of one other person with symptoms that bad -- Julia Wise, actually, who has written about it on her blog. https://thewholesky.wordpress.com/2016/12/23/you-dont-need-to-have-a-period/
Mine are also probably worse than average, but not as bad as you describe. I'm usually unable to work or do much other than read or some other low-key activity because of pain, for about half a day to a full day at a time. I've never experienced vomiting due to pain.
I got an IUD ~7 years ago that basically made the problem go away completely. I've had a couple instances of extremely severe pain with the IUD that were so bad I went to the ER, but since it mostly deleted my menstrual cycle and there were only a few bad days in many years, I feel it was a good deal on net.
I would +1 all the commenters here saying you should investigate more birth control options that could mitigate the severity -- and probably try to find better doctors, if you can. I think it's a common experience for period pain to be dismissed as unimportant or not worth spending effort to fix, but that's utter bullshit.
I've gotten a lot of mental mileage out of thinking of it as "This is a minor physical disability that I have," and try to think how I would want to work around it if it were a Real DisabilityTM. For example, I used to feel guilt about taking time off work because I was in so much pain that I couldn't concentrate, because "periods are normal, if I can't work during this normal thing, then that means I'm a bad employee." Instead, I changed my thinking around it to be more like "This is a disability I have, and so my employer can accommodate it. If it's a problem for them that I have to take off half a day here and there, we can discuss it and negotiate it, but I'm not actually able to work right now, so there's no point staying here and pretending."
That sounds like a really useful idea.
For example, perhaps it would help to quantify one's quality of life over a period to identify patterns.
And maybe there are certain metrics that should lead to certain actions (like the idea of a normal range in routine blood tests).