Painful Periods

Why Is My Period So Painful? Causes and Solutions


The medical term to describe painful period pain is dysmenorrhea, and for millions of women, they are turned upside down for a few days in a month.

For some people, it’s a vexing issue. Some sufferers experience pain that grows to the point where it becomes difficult to live an everyday life at the very least. This is most often seen for women who experience frequent periods.

“While periods tend to be uncomfortable, the pain should be manageable,” said Dr. Anne Martinelli. “If you’re experiencing excruciating menstrual cramps, despite using over-the-counter medications and other medications, it’s time to speak to us. Most of the time, severe menstrual cramps are caused by a different problem, and it’s vital to evaluate your specific situation to come up with the solution.”Why do some women experience difficult periods?

Cramping originates from the uterus, expanding and contracting to eliminate its liner.

Prostaglandins are hormones that trigger contractions of the uterus. The hormones that trigger uterine contractions are the ones that cause inflammation and pain to occur.

The greater your concentration of prostaglandins is, the more severe menstrual cramps you are likely to be.

Women can also experience nausea, headache, and diarrhea while going through their menstrual cycle. Prostaglandins are also responsible for these symptoms. Dysmenorrhea may occur at any time, even before the woman’s first period.

Specific individuals are more prone to issues with menstrual flow, including heavy menstrual periods and cramps than others. It is more likely that you experience painful cramps if you:

  • The puberty process began at the age of 11 or maybe earlier
  • You’ve had heavy periods (menorrhagia)
  • You’re not more than 30.
  • If you suffer from metrorrhagia, which is irregular menstrual bleeding.
  • There are females in the family that suffer from painful periods.

Smokers, are you?

“You must never be afraid to discuss with us your uncomfortable menstrual cycles. While discomfort from your period can be unpleasant, it should not be to the point that it hinders everyday things,” Dr. Martinelli stated. “Don’t attempt to work it out. Please call us.”Primary as well as Secondary Dysmenorrhea

There are two kinds of dysmenorrhoea: both primary and secondary.

Primary dysmenorrhea indicates no causes of menstrual discomfort outside of regular uterine contractions.

Secondary dysmenorrhea indicates that the discomfort is caused by a different issue, such as endometriosis. The best ways to ease the pain of painful periods

For many women, useful home remedies are enough to relieve cramps. It is possible to find relief from:

  • Utilizing over-the-counter painkillers like Motrin.
  • You can place the hot water bottle to your stomach
  • A hot bath is a great way to relax.
  • Beware of drinking the consumption of alcohol (alcohol can cause cramps to get more severe)
  • Find ways to lessen stress


The use of hormonal medicines, such as birth control pills

Patients may experience relief with treatments like acupuncture or herbal remedies. Many of these therapies aren’t fully understood. Therefore we should be cautious in evaluating them as a part of an overall treatment program.

Please let us know if you decide to use herbal remedies or engage in alternative therapies.

We respect your right to make your own decisions regarding your health and wellness, but it is crucial to be aware of the supplements you’re taking as it is likely that they could interfere with other medications you are taking.

If the pain of the period goes beyond the treatment options, we will think that the pain is excessive.

What Can Cause Excessively Painful Periods?

If you experience cramps that affect your capacity to function, it is crucial to speak with us. It could be a sign of an underlying reason for an illness or other issue.

A few ailments that trigger extreme pain include:


It happens when the uterine lining expands outside of the uterus. The lining is often found on fallopian tubes or ovaries in these situations. In some instances, the lining could form on the bladder or any other organs of the pelvis.

It can cause adhesions. In the end, organs become stuck together, which can cause pain.

There are a variety of non-surgical options for endometriosis that are available, and they include:

Contraceptives like vaginal rings and birth control pills.

Gonadotropin-releasing hormones (Gn-RH) – lower your estrogen level, and as a result, endometrial tissue shrinks. But, it is usually used in conjunction with a lower dose of estrogen to prevent the menopausal side effects caused by using GnRH.

Progestin therapy

Aromatase inhibitors- these reduce your estrogen levels

Uterine Fibroids

The tumors can affect 20 and 80 percent of women and cause infertility. The tumors are located in the uterus’s walls, and they’re almost always benign.


In this situation, the uterine tissue expands into the uterine wall.

Pelvic Inflammatory Disease

The cause of this infection is transmissible sexually.

Sometimes, it won’t cause any symptoms, but at other times, it can cause pelvic pain or abnormal bleeding, especially the following sex. Cervical Stenosis

The cervical opening is tiny that it blocks the menstrual flow. The increased pressure within the uterus leads to an excessive amount of pain.

We Offer Care and Treatment for Painful and Heavy Periods

The menstrual cycle of your body is for a reason. It is a sign of health in the reproductive department.

We want to know if you experience heavy menstrual flow, irregular bleeding, and other issues. We suggest you speak with us about your period to help get relief. Contact us for more details.

What’s the Difference Between PMS and PMDD?

Most women are aware of the signs of PMS and its associated discomfort, bloating, and tender and sensitive breasts. But, it is estimated that 3-5% of menstrual women suffer from PMDD (premenstrual dysphoric disorders). Women with a background of issues like depression and Postpartum depression are at greater chance of developing.

What is Premenstrual Dysphoric Disorder (PMDD)?

This is a debilitating condition that is often thought to be an extreme form of PMS. Although there are many similarities between PMS and PMDD, There are some significant differences, and knowing these distinctions is essential to receive the most effective and timely treatment.

PMDD can cause emotional symptoms, including:

  • Extreme anxiety
  • Hopelessness
  • An extensive moodiness
  • Sadness that is marked
  • Irritability
  • Anger

PMDD includes having one of the above and the other PMS manifestations at the very minimum. (Mayo Clinic).

“Some women might think they’re just suffering from the worst symptoms of PMS, but there are more serious reasons behind it. Our clinic has successfully helped patients suffering from PMDD, and women must understand that there are options available to them, and don’t have to suffer the pain and stress that this condition can cause.”

– Dr. Joshua Hardison

What is the Difference Between PMS and PMDD?

The significant distinction between PMS or PMDD is that PMDD has more extreme symptoms that can be characterized by severe mood swings, hopelessness, and sometimes, even severe depression. Women suffering from PMDD do not just suffer from extreme manifestations of PMS symptoms. They also exhibit significant emotional and behavioral issues, making it hard to live everyday lives.

What Causes PMDD?

It’s unknown the precise reason for PMDD, but scientists believe that hormone changes associated with menstruation could contribute to mood disorders. Certain people affected by these hormonal changes may decrease serotonin, which is a chemical found in the brain that can affect mood. Furthermore, PMDD tends to run through families, which suggests that there could be an element of genetics.

How Can I Tell If I Have PMS or PMDD??

Consider these questions:

Are my menstrual cycles so severe that it is affecting my everyday life?

  • Do I suffer from depression that is severe enough to make it difficult to perform daily activities?
  • Do I seem to be more argumentative than average?
  • Am I so angry that it creates a lot of conflict with my family, friends, or even my spouse?
  • Do these symptoms get worse if I drink caffeine or alcohol?
  • When you have answered “yes” to these questions, it’s crucial to set up an appointment to talk with us to assist you in finding answers and also provide the top-quality treatment you’re seeking.

How is PMDD Treated?

Suppose we decide to diagnose you as suffering from PMDD. In that case, It is essential to confirm that these signs are due to hormone fluctuations that occur during the period and not due to an underlying illness like depression. We’ll also examine the severity of the symptoms aren’t due to other problems like endometriosis or fibroids.

If you’ve been diagnosed with PMDD, There are many treatments available, including:

They are reducing emotional symptoms by taking antidepressants. The class of antidepressants known as selective serotonin Reuptake Inhibitors (SSRIs) efficiently manages PMDD symptoms. The most common SSRIs are Zoloft as well as Prozac.

  • Utilizing birth control pills
  • Limiting caffeine
  • Refrain from drinking the consumption of alcohol
  • Participating in stress management techniques
  • Getting regular exercise
  • Yoga and meditation are excellent practices to practice.

Although herbal remedies can be beneficial, we’d like to offer some cautionary tales. The FDA doesn’t control herbal remedies. Furthermore, they can interfere with other medications that you are already taking. Before starting any herbal treatment, you should consult us.

PMDD Can Dramatically Affect Your Quality of Life

PMDD sist you. We’ve helped hundreds of patients of all ages and at any stage in their life. We’ve helped them discover solutions specifically designed to meet their specific health requirements. Contact us today to make an appointment.

Over the past 40 years, Chapel Hill OBGYN has been serving patients throughout the Triangle region by sharing the joy of miniature marvels and helping them face difficulties. Our board-certified doctors and nurse-midwives certified by the American Nurses Association provide the experiences and the ease of private practice and the most up-to-date facilities found in larger organizations. To make an appointment, call us today to learn more.


Thirteen methods to end menstrual cramps. Painful Periods.

Previous article

Painful Sex in Women (Dyspareunia)

Next article


Leave a reply

Your email address will not be published.

Popular Posts

Login/Sign up