Painful periods, medically known as dysmenorrhea, are one of the most common concerns among women of all ages. Many women in Velachery and across Chennai silently tolerate period pain, assuming it is a normal part of menstruation. But is it really normal to suffer every month?
At Nandhini Pearl Hospital, Velachery, we believe period pain should never be ignored—especially when it interferes with daily life. This blog explains what dysmenorrhea is, when it’s normal, when it’s not, and how it can be treated effectively.
What Is Dysmenorrhea?
Dysmenorrhea refers to painful menstrual cramps that occur before or during menstruation. The pain is usually felt in the lower abdomen, lower back, or thighs and may be accompanied by nausea, vomiting, headache, or fatigue.
Menstrual pain happens due to the release of chemicals called prostaglandins, which cause the uterus to contract and shed its lining.
Types of Dysmenorrhea
Understanding the type of pain helps determine whether it is normal or needs medical attention.
1. Primary Dysmenorrhea
This is the most common and usually normal type of period pain.
Characteristics:
- Starts 1–2 days before or on the first day of periods
- Pain lasts 1–3 days
- Begins during teenage years
- No underlying pelvic disease
Primary dysmenorrhea often improves with age, after childbirth, or with proper lifestyle management.
2. Secondary Dysmenorrhea
This type of period pain is caused by an underlying medical condition and should not be ignored.
Common causes include:
- Endometriosis
- Fibroids
- Adenomyosis
- Pelvic inflammatory disease (PID)
- Ovarian cysts
Characteristics:
- Pain starts earlier and lasts longer
- Pain worsens over time
- Occurs later in life
- Associated with heavy bleeding or irregular cycles
Is Period Pain Normal?
Mild to Moderate Pain – Yes, It Can Be Normal
If your period pain:
- Is mild to moderate
- Lasts 1–2 days
- Improves with rest or simple pain relief
- Does not affect work or daily activities
Then it is usually normal primary dysmenorrhea.
Severe Pain – Not Normal
You should consult a gynecologist if your pain:
- Is severe or unbearable
- Forces you to miss work or school
- Does not improve with medication
- Is associated with very heavy bleeding
- Comes with vomiting, fainting, or fever
At Nandhini Pearl Hospital, Velachery, we evaluate period pain thoroughly to identify the root cause.
Common Symptoms of Dysmenorrhea
- Cramping pain in lower abdomen
- Lower back pain
- Thigh pain
- Nausea or vomiting
- Diarrhea
- Headache
- Fatigue
- Mood changes
Causes of Painful Periods
Hormonal Imbalance
Excess prostaglandins cause stronger uterine contractions, leading to pain.
Endometriosis
Growth of uterine tissue outside the uterus causing severe pain and infertility.
Fibroids
Non-cancerous growths in the uterus that cause heavy and painful periods.
Pelvic Infections
Infections can lead to inflammation and pain during menstruation.
How Is Dysmenorrhea Diagnosed?
Your gynecologist may recommend:
- Detailed menstrual history
- Physical and pelvic examination
- Ultrasound scan
- Blood tests (if required)
Early diagnosis helps prevent complications and improves quality of life.
Treatment Options for Painful Periods
1. Lifestyle Changes
- Regular exercise
- Adequate sleep
- Stress management
- Balanced diet rich in iron and calcium
2. Home Remedies
- Hot water bag on the abdomen
- Warm baths
- Gentle yoga and stretching
3. Medications
- Pain relievers (NSAIDs)
- Hormonal medications if required
4. Treating the Underlying Cause
For secondary dysmenorrhea, treatment focuses on managing the root condition like endometriosis or fibroids.
At Nandhini Pearl Hospital, Velachery, treatment is personalized for each patient.
Can Painful Periods Affect Fertility?
Primary dysmenorrhea does not affect fertility.
However, conditions like endometriosis and fibroids, which cause secondary dysmenorrhea, may impact fertility if left untreated. Early medical evaluation is important.
When Should You See a Gynecologist?
Consult a doctor if:
- Pain suddenly worsens
- Periods become irregular or very heavy
- Pain persists after marriage or childbirth
- You are planning pregnancy
Women in Velachery and nearby areas can easily access expert care at Nandhini Pearl Hospital.
Why Choose Nandhini Pearl Hospital, Velachery?
- Experienced gynecologists
- Advanced diagnostic facilities
- Compassionate women-centered care
- Easy accessibility for Velachery residents
We focus on treating the cause, not just the pain.
Frequently Asked Questions (FAQs)
1. Are painful periods normal for all women?
No. Mild pain can be normal, but severe pain is not.
2. At what age do painful periods usually start?
Commonly during teenage years after the first few menstrual cycles.
3. Can painful periods be cured permanently?
Primary dysmenorrhea can be managed well; secondary dysmenorrhea depends on treating the cause.
4. Is period pain worse after marriage?
Pain should not worsen after marriage; worsening pain needs evaluation.
5. Can stress increase period pain?
Yes, stress can worsen menstrual cramps.
6. Is heavy bleeding with pain normal?
No. It may indicate fibroids or hormonal imbalance.
7. Can exercise reduce period pain?
Yes, regular physical activity helps reduce cramps.
8. Are painkillers safe for period pain?
Yes, when taken as prescribed by a doctor.
9. Does dysmenorrhea cause infertility?
Primary dysmenorrhea does not; secondary causes may.
10. When should I consult a gynecologist for period pain?
If pain affects daily life or worsens over time.