This archive report was first published on 2 July 2020.
Period Pain: A Common Experience ¶
For many young women, period pain is a regular occurrence. In fact, up to 90% of women in this age group experience some form of period pain, which can range from mild to severe.
According to medical experts, period pain can be divided into two main types: primary and secondary dysmenorrhoea. Primary dysmenorrhoea occurs in women with normal pelvic anatomy and is caused by changes in hormone-like compounds called prostaglandins. Secondary dysmenorrhoea, on the other hand, is caused by underlying pelvic problems, such as endometriosis.
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, leading to severe symptoms, including period pain. However, painful periods alone are not a definitive indicator of endometriosis.
When Does Period Pain Start? ¶
Primary dysmenorrhoea usually starts within the first three years after the first period and tends to get less severe with age. In contrast, women with endometriosis may experience pain that starts with or soon after their first period, or their pain may worsen after the age of 18.
Managing Period Pain ¶
Non-steroidal anti-inflammatory drugs (NSAIDs) and the oral contraceptive pill are common treatments for primary dysmenorrhea. Heat and physical activities, such as yoga and stretching, can also help reduce symptoms. However, if period pain is severe and interferes with daily activities, it's essential to consult a doctor.
When to See a Doctor ¶
Women should consider speaking to their doctor if they experience:
- Regular non-cyclical pelvic pain, pain during sex, or pain related to their bladder or bowel motions
- Period pain that doesn't respond well to treatment and interferes with daily activities
- Sudden onset of severe period pain or a significant worsening after the age of 18
- Changes in their cycle, such as bleeding more than normal or at unusual times
- Symptoms that interfere with their ability to do normal things like go to school or work
- Pain or other symptoms, plus a family history of endometriosis
Early diagnosis and treatment can help manage symptoms and improve quality of life.
