Painful Periods or Dysmenorrhea
The most common cause for Dysmenorrhea is Endometriosis, Adenomyosis or Pelvic Adhesions that can lead to Pelvic Inflammatory Disease. Treatment would depend upon the cause. Endometriosis can be treated by medication including hormonal contraceptive and also surgically by removal and/or burning through laparoscopy. Pelvic adhesions can be treated by removal of dense adhesions.
Understanding Painful Periods (Dysmenorrhea)
Painful periods, medically known as dysmenorrhea, are characterised by cramping and lower abdominal discomfort that may start just before or during menstruation and can persist for several days. While mild period pain is common, severe pain that interferes with daily life may indicate an underlying issue. Pain may radiate to the lower back or legs and can be accompanied by symptoms such as nausea, headaches or fatigue. Dysmenorrhea can be primary, caused by natural uterine contractions driven by prostaglandins, or secondary, resulting from gynaecological conditions like endometriosis, fibroids, adenomyosis or pelvic inflammatory disease.
Diagnosis and Treatment Options
A thorough evaluation by an experienced gynaecologist like Dr Amita Singla helps identify whether period pain is primary or linked to an underlying condition requiring treatment. Management can range from lifestyle and self-care measures, such as heat therapy, gentle exercise and NSAIDs, to hormonal treatments like combined contraceptives or intrauterine devices. For cases related to structural conditions like endometriosis or adhesions, surgical evaluation and laparoscopic treatment may be recommended when appropriate. Early consultation ensures tailored care that not only alleviates pain but also addresses the root cause effectively.
For further information about Painful Periods or Dysmenorrhoea, please contact Dr Singla’s office.