Overview
Period pain is very common. It is often mild, but severe or worsening pain can be a sign of an underlying condition that needs treatment.
Symptoms
- Cramping pain in the lower abdomen
- Pain spreading to the back and thighs
- Nausea, headache or diarrhoea
- Pain starting just before or at the start of a period
Causes and risk factors
Primary dysmenorrhoea is caused by natural chemicals that make the womb contract. Secondary dysmenorrhoea is caused by conditions such as endometriosis, fibroids, adenomyosis or pelvic infection.
Diagnosis
A gynaecologist takes a history and may do an examination and pelvic ultrasound.
Treatment
Treatment includes anti-inflammatory painkillers, heat, exercise and hormonal contraception. Underlying conditions are treated directly.
When to see a doctor
See a doctor if period pain is severe, affects daily life, gets worse over time or comes with heavy bleeding or pain during sex.
This information is for general education and does not replace advice from a qualified doctor. For a medical emergency, call +92-51-8446666 or go to the nearest emergency department.