Introduction

Painful periods, also called dysmenorrhea, are common but not normal. If your period pain is disrupting your life, it’s time to see a doctor. Here’s a straightforward guide to help you understand the causes, diagnosis, and treatment options.

What Causes Painful Periods?

During your period, your body releases chemicals called prostaglandins, which cause the uterus to contract and can lead to pain. While this is common, it shouldn’t be dismissed as “normal.” Painful periods could signal an underlying condition, like endometriosis.

When Should You See a Doctor?

If period pain is interfering with your ability to:

• Work or attend school

• Enjoy daily activities

• Sleep or function normally

You should consult an OBGYN. Pain should never disrupt your life to this extent.

How Are Painful Periods Diagnosed?

Your doctor will typically follow these steps:

1. Take Your Medical History

• When did the pain start?

• How severe is it?

• Have you tried any treatments?

• Is the pain associated with eating or other activities?

2. Physical Exam

• Abdominal and pelvic exams to reproduce and locate the pain.

3. Rule Out Other Issues

• Problems with the bowel or bladder may also cause similar pain.

4. Imaging (if needed)

• Ultrasounds or other imaging may be ordered if a mass or growth is suspected.

Treatment Options for Painful Periods

Conservative Management

• NSAIDs (e.g., ibuprofen): Start 2-3 days before your period to stay ahead of the pain.

• Lifestyle changes: Reduce inflammatory foods, stay active, and use heating pads.

Hormonal Therapy

• Birth control pills: Help suppress ovulation and reduce inflammation, particularly for endometriosis.

Surgical Options

• If conservative treatments don’t work, surgery may be needed to investigate or remove potential causes like cysts or masses. This is often done with a small camera through a minimally invasive procedure.

Encouragement and Next Steps

Painful periods are treatable, and you don’t need to suffer in silence. If your pain is affecting your quality of life, reach out to an OBGYN. There are many effective options available to help you feel better. Don’t feel embarrassed—help is just an appointment away!