Menstrual Pain

Menstrual pain, also known as dysmenorrhea, is a common symptom experienced by many women during their menstrual cycle. It is characterized by cramping, sharp pains, or a dull ache in the lower abdomen, which can radiate to the lower back and thighs.

Types of Menstrual Pain

  • Primary dysmenorrhea: This type of menstrual pain is caused by uterine contractions and is usually experienced by women with regular menstrual cycles. It typically starts 1-2 days before menstruation and can last for several hours or days.
  • Secondary dysmenorrhea: This type of menstrual pain is caused by underlying medical conditions, such as endometriosis, uterine fibroids, or pelvic inflammatory disease. It can be more severe and persistent than primary dysmenorrhea.

Causes of Menstrual Pain

Menstrual pain is caused by the contraction of the uterus, which is stimulated by hormone-like substances called prostaglandins. These contractions can cause the blood vessels in the uterus to constrict, reducing blood flow and leading to pain.

Symptoms of Menstrual Pain

  • Cramping or sharp pains in the lower abdomen
  • Dull ache or pressure in the lower back and thighs
  • Nausea and vomiting
  • Diarrhea or constipation
  • Headaches
  • Fatigue

Treatment Options for Menstrual Pain

Treatment options for menstrual pain include:

  • Over-the-counter pain relievers: Such as ibuprofen or naproxen, which can help reduce prostaglandin production and alleviate pain.
  • Hormonal birth control: Which can help regulate menstrual cycles and reduce prostaglandin production.
  • Heat therapy: Applying heat to the lower abdomen can help relax the uterine muscles and reduce pain.
  • Relaxation techniques: Such as deep breathing, meditation, or yoga, which can help reduce stress and alleviate pain.
  • Prescription medications: Such as prescription-strength pain relievers or hormonal therapies, which may be prescribed by a healthcare provider for severe menstrual pain.

When to Seek Medical Attention

If you experience any of the following symptoms, seek medical attention:

  • Severe abdominal pain that does not improve with treatment
  • Heavy or prolonged menstrual bleeding
  • Fever over 101.5°F (38.6°C)
  • Vomiting or diarrhea that lasts for more than 2 days
  • Signs of infection, such as foul-smelling discharge or pelvic pain

Article last updated on: 6th June 2025.
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