Your sexual health and fertility are some of the most personal but vital things in life. It’s not surprising that they have a big impact on your emotions.

It can feel lonely, but if you’re going through emotional difficulties, you’re not alone. Several million people around the world experience problems with their fertility that affects their physical and mental health.

How does your reproductive health affect your mental health?

The rise and fall of certain hormone levels during your menstrual cycle or period, affect how you think and feel mentally and physically.

You’ve probably heard of premenstrual syndrome (PMS), for many this causes mild mood swings or irritability.

What you may not know is that about five to eight per cent of people with periods have severe PMS or premenstrual dysphoric disorder (PMDD). This causes severe mood changes, feelings of hopelessness and even suicidal thoughts. If you’re living with PMDD this will have a huge impact on your quality of life.

There are treatments and support available – tracking your mood and cycle is a good first step. The charity has additional advice.