Painful Periods: When Is Period Pain a Sign of a Concern?
Updated: Oct 16
Mild to moderate cramps are common, and many women have them for a day or two around the start of their period. But pain that keeps you away from work, college, or daily life is not something you simply have to put up with.
Usual period cramps
● Start just before or with the period
● Ease within 2 to 3 days
● Respond to a hot water bag or a regular painkiller
● Have been similar for years
Pain that needs a check
● Pain that is getting worse over time
● Pain that does not improve with usual painkillers
● Pain before the period starts, or lasting through the entire cycle
● Pain with intercourse, or with passing urine or stools during periods
● Very heavy bleeding along with pain
● Difficulty conceiving
● New pain after the age of 25 when you didn't have it earlier
What could be causing it
● Endometriosis, often missed for years
● Adenomyosis
● Fibroids
● Pelvic infection
● Ovarian cysts
Many women hear "it's normal" for years before the cause is found. An ultrasound is usually the first step, and in some cases, laparoscopy helps with both diagnosis and
treatment.
FAQs
Will painful periods affect my fertility?Not always, but conditions like endometriosis can. Early diagnosis helps.
Can painkillers be taken every month?
Yes, but not the regular painkillers. Period pain is best treated with antispasmodic medicines, which relax the uterine cramps and can be taken every cycle without other side effects. Do not tolerate this pain. Consult your gynaecologist, who will recommend the right medicine for you.
Occasional use is fine. If you need them every cycle, find out why.
If you've been told your pain is normal and it still doesn't feel normal to you, trust that. It deserves a proper look, not another painkiller. Dr. Sonal Kotdawala will listen, examine, and tell you what is causing it, and what can be done. Kotdawala Hospitals, Bhulabhai Park and Paldi, Ahmedabad. Book a consultation →
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