Painful Menstrual Periods: risks, Treatments

Medically Reviewed by Dr Sravya, MBBS, MS 


Painful menstrual periods, also known as dysmenorrhea, can affect women of all ages and can vary in severity.  Dysmenorrhoea is classified into two types: primary and secondary.

Many women experience dysmenorrhea, also known as menstrual cramps, which are frequent and occasionally uncomfortable symptoms of the menstrual cycle. These cramps are triggered by uterine contractions, which help shed the lining that has built up over the month. While some women may experience mild discomfort, others may deal with more unbearable period pain that affects their everyday life and general well-being.

Painful menstrual periods

Various factors contribute to the intensity of menstrual cramps. One key factor is the production of specific chemicals called prostaglandins, which play a role in triggering uterine contractions. Women with higher amounts of prostaglandins frequently have more intense period cramps.Fortunately, there are ways to reduce the menstrual cramps and manage severe period pain. Here are some treatment options below. Let’s have a look!

Treatment of painful menstruation:

The treatment of painful menstruation includes the following:

1. Primary Dysmenorrhea:

This is the most common type of dysmenorrhea and is not caused by any underlying condition. Menstrual pain that is caused without any underlying medical conditions is known as primary dysmenorrhoea. Prostaglandins are hormone-like chemicals that are released during menstruation and drive the uterus to contract and shed its lining, and are responsible for its development. 

Treatment options include:

2. Secondary Dysmenorrhea:

Menstrual pain that occurs due to an underlying medical condition is known as secondary dysmenorrhea. Some severe period pain reasons include:

Treatment for secondary dysmenorrhea varies according to the underlying cause and they may include:

Medications: Analgesics NSAIDs can be prescribed to relieve pain and inflammation caused by periods.

Surgery: In severe cases of secondary dysmenorrhea, surgery may be necessary to remove endometriosis, fibroids, or cysts.

Hormone therapy: Hormonal therapies such as birth control pills or gonadotropin-releasing hormone agonists may be prescribed depending on the cause. 

Antibiotics: If the cause is an infection like PID, antibiotics will be prescribed to treat the underlying infection.

Women experiencing painful menstrual periods should seek medical attention right away to avoid further complications.

Risks of a painful menstrual period.

While painful menstrual periods, also known as dysmenorrhea, are quite common and usually not a cause for alarm, in some cases, they could indicate an underlying health issue. Here are some painful menstrual period risks:

When do I see a doctor?

If you have painful menstrual periods that are significantly impacting your daily life or if the pain is unusually severe, it is recommended that you see a doctor. Here are some scenarios when it is advisable to seek medical attention:


While it may not always be possible to completely prevent painful menstrual periods, changes in lifestyle and some techniques can lessen the severity of menstrual cramps. The following are some preventive measures that you can follow:

Make an appointment

Applications are processed by the call center operators on weekdays from 8:00am to 8:00pm.

    A note to our visitors

    This website has updated its privacy policy in compliance with changes to European Union data protection law, for all members globally. We’ve also updated our Privacy Policy to give you more information about your rights and responsibilities with respect to your privacy and personal information. Please read this to review the updates about which cookies we use and what information we collect on our site. By continuing to use this site, you are agreeing to our updated privacy policy.