Painful Periods – When Menstrual Cramps Are Normal & When You Should Seek Medical Help

Many women believe that painful periods are normal and something to “tolerate”. As a gynecologist, I strongly disagree. Severe or worsening menstrual pain is not normal and should always be evaluated.

Understanding Menstrual Pain

Mild cramping during periods is common due to uterine contractions. However, pain that interferes with daily activities, causes nausea, vomiting, fainting, or worsens over time is abnormal.

Types of Menstrual Pain

Primary dysmenorrhea usually starts in adolescence and is due to hormonal prostaglandins. Secondary dysmenorrhea occurs due to underlying gynecological conditions and often worsens with age.

Common Causes of Severe Period Pain

• Endometriosis

• Uterine fibroids

• Adenomyosis

• Pelvic inflammatory disease

• Hormonal imbalance

These conditions often go undiagnosed for years because women normalize pain.

When Should You See a Gynecologist?

Seek medical help if:

• Pain requires regular painkillers

• Periods affect work or daily routine

• Pain increases every year

• Bleeding is excessively heavy

• Pain is associated with infertility

Diagnosis & Treatment

Evaluation includes pelvic examination, ultrasound, and sometimes advanced imaging. Treatment depends on the cause and may involve medication, hormonal therapy, or lifestyle modifications.

Lifestyle Support

Regular exercise, adequate sleep, stress reduction, and dietary changes help reduce inflammation and pain.

Final Message

Periods should not control your life. If menstrual pain limits your daily activities, consult a gynecologist. Early diagnosis leads to effective treatment and improved quality of life.