What Causes Painful Menstrual Periods and How Do I Treat Them?


 Painful menstruation is also termed dysmenorrhea, which is one of the most common problems in women.

In most women, dysmenorrhea occurs during puberty.

It usually occurs within 4-5 years which is the initial phase of puberty. As women grow older, painful periods become less common. 

In case of having extreme menstrual pain which is out of your control,

it is best to visit your doctor. And few conditions are listed below which may be the reason for painful menstruation. 

  • Endometriosis 
  • Adenomyosis 
  • Uterine fibroids 
  • Copper T coil 
  • Defects in the uterine (Structural abnormalities that can lead to dysmenorrhea and infertility)


Dysmenorrhea usually refers to dull, throbbing, spasmodic pain in the lower abdomen just above the pelvis.  

 Other symptoms include 

  • Lower back and thigh pain 
  • Nausea and vomiting 
  • Excessive Sweat 
  • Fainting and dizziness 
  • Diarrhea 
  • Eczema  
  • Inflated stomach
  • Headache

Cause of primary painful discharge 

Women who have dysmenorrhea tend to build prostaglandin, which causes intensive contraction of the uterus more than normal. The reason for enhanced prostaglandin is unknown. 

 Treatment of dysmenorrhea

Women with dysmenorrhea require a thorough health diagnosis to ensure that it is not caused by specific reproductive disorders such as endometriosis and myxomatosis.  

Few treatments are listed below

  • Paracetamol
  • Drugs that interfere with prostaglandins such as ibuprofen 
  • regular physical activity
  • Relaxation technique 

Some of the causes of secondary dysmenorrhea are as follows.  


The cells that the uterus can be retracted into other areas of the pelvis, but bring severe pain at times.  

 Treatment of endometriosis 

  • Hormonal therapy 
  • Surgery  
  • MRI and ultrasound-MRI 
  • Arterial Embolization 


The presence of endometrial cells grown to the muscle layer of the uterine is difficult to treat.

 Treatment of adenomyosis 

 Adenomyosis is not very easy to treat. Suppressing endometrial cells may be effective in stabilizing menstrual pain

or painful sexual intercourse. The most common treatment is a levonorgestrel-releasing intrauterine device.

Currently, the only treatment for adenomyosis is hysterectomy. This is a surgical excision of the entire uterus and cervix.

ways to relieve menstrual cramps

  • Exercise – Exercising on most days of the week will make you feel better. Aerobic exercises such as walking, jogging, cycling, and swimming help produce chemicals that block pain. 
  • Add Heat-You can soothe your stomach by taking a warm bath or putting a warm compress or hot water bottle.
  • Sleep – It’s important to get enough sleep before and during your period. Resting well can help you deal with the illness. 
  • Relaxation – Meditation and yoga practice can also help manage pain.

Home remedy for painful periods

Few treatments relieve painful menstrual bleeding. Here’s what to try at home:

  • Use a heating pad on the pelvic area or back 
  • Massage your stomach 
  • Take a warm bath 
  • Regular physical activity 
  • Eat a light and nutritious meal 
  • Relaxation technique and yoga practice 
  • Take anti-inflammatory drugs such as ibuprofen a few days before your period 

 Try to consume the following supplements

  • Vitamin B6 
  • Vitamin B1 
  • Vitamin E 
  • Omega 3 fatty acids

The right time to seek medical help for menstrual cramps

 For most women, a small amount of pain during menstruation is normal. However, you will need to contact your doctor if: 

  • NSAIDs and self-care don’t help, and pain hinders your life 
  • When your cramps get worse all of a sudden. 
  • You are 25 years old or older and have the first severe seizures 
  • When you experience fever along with menstrual pain 
  • When you feel pain but won’t get your period. 

ways to diagnose the cause of severe menstrual cramps 

 To diagnose severe menstrual cramps, your doctor will ask you about your medical history and perform a pelvic examination.

Possibly your doctor would also suggest an ultrasound. If your doctor thinks you have secondary dysmenorrhea

you may need to have a laparoscopy.

It is an operation that allows your doctor to see inside your body. 

What is the cure for severe menstrual cramps?

If menstrual pain is primary dysmenorrhea and requires treatment, your doctor may suggest the use of hormonal contraceptives such as B. Pills, patches, rings or coils. Another treatment option may be prescription analgesics. In some cases, surgery may be required.


  • Usually from which age the period pain starts? 

Soon after the girl is getting her first period. In many cases, the pain becomes less once they get mature and realize what is happening to them whereas the rest have painful periods most of the time.

  • Is it important to consult the doctor when I have period pain?

Yes, once you feel that the pain is unbearable you have to consult your doctor and he may suggest you a few tests to identify the cause of the pain.

  • What is endometriosis?

Endometriosis is the most common medical disease that causes pain during menstrual time. The tissues are split and will bleed in response to changes in hormones. 

  • What test will be done to find out about period pain?

Your doctor will check your medical history, including symptoms and the menstrual cycle. They may recommend a pelvic examination or an ultrasound scan. 

If menstrual pain appears to be caused by a medical condition, the doctor may also suggest laparoscopy. This is an operation that examines the pelvic area.

  • How do treat painful periods?

When you have no control over your pain easy way to get over the pain is by consuming pills (pain relievers) that will work on your menstrual cramps. If you still have pain, you have to talk with your doctor.

  • Is there any home remedy to manage period pain?

Yes, you can follow these simple tips to manage your period cramps 

  • Try having a heating pad so that you can massage it where you feel heavy pain it will help you to relax to some extent.
  • Have enough sleep
  • Few exercises can make you feel better like swimming, jogging, etc.
  • Is Severe pain normal during periods?

There is not one but several factors that may be a reason for your pain and the symptoms you experience, many of which are perfectly normal in most cases. However, persistent pain and heavy menstruation can be a sign of problems such as uterine fibroids and endometriosis.

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