Mild cramps around the beginning of a period are common. Pain that makes you miss school or work, becomes worse over time, lasts beyond the period, or does not respond to usual measures is worth discussing with a doctor. Pain should not be dismissed simply because it happens every month.
Why do periods hurt?
The uterus contracts to shed its lining. These contractions are linked to substances called prostaglandins and can cause cramps in the lower abdomen or back. This is often called primary dysmenorrhoea. Pain can also have an underlying cause, such as endometriosis, fibroids, adenomyosis or another pelvic condition. A clinician considers the pattern before deciding what to investigate.
What can you note before your visit?
Record when the pain begins, where you feel it, how many days it lasts and whether it is getting worse. Mention pain between periods, pain when passing urine or stool, heavy bleeding, fever, vomiting or new pain during sex. Tell the doctor which medicine you have tried and whether it helped. Never take more of a pain medicine than its label or your clinician advises.
Heat, rest and gentle movement may help some people. Medicines such as anti-inflammatory pain relievers are not suitable for everyone, including some people with ulcers, kidney problems, asthma or certain allergies. Ask a clinician or pharmacist before using them if you have another condition or take regular medicines.
When is it urgent?
Sudden severe pelvic pain, fainting, fever, persistent vomiting, or pain with a possible pregnancy needs urgent assessment. For recurring pain that interferes with life, an appointment in Indrapuri can help establish whether further tests or gynaecology referral are needed.