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What you should know about period pain or dysmenorrhoea

Period pain, also known as dysmenorrhoea, is caused by the muscular contractions of the uterus as it sheds its lining during menstruation. These contractions are triggered by the release of prostaglandins, which are chemicals in the body that make the uterine muscles tighten. Higher levels of prostaglandins are associated with more severe menstrual cramps.

While some discomfort during periods is normal, severe pain that interferes with daily activities is not. This could be a sign of an underlying condition such as endometriosis, fibroids, or pelvic inflammatory disease. If you experience severe pain, it’s important to consult with a healthcare provider.

Period pain can be relieved with over-the-counter pain relievers such as ibuprofen or paracetamol. Mefenamic acid, a prescription NSAID, is often preferred for more severe pain. Additionally, applying heat to the lower abdomen, exercising, and practicing relaxation techniques can help alleviate discomfort.

Mefenamic acid is a nonsteroidal anti-inflammatory drug (NSAID) that is particularly effective for treating period pain. It works by reducing the production of prostaglandins, which decreases the intensity of uterine contractions and reduces pain. It is often prescribed for short-term use during menstruation.

Yes, certain lifestyle changes can help manage period pain. Regular exercise, a healthy diet, staying hydrated, and practicing stress-relief techniques like yoga or meditation can reduce the severity of menstrual cramps. Avoiding caffeine, alcohol, and smoking can also help.

You should seek medical attention if your period pain is severe, lasts longer than usual, or if you experience other symptoms such as heavy bleeding, irregular periods, or pain that occurs at times other than during menstruation. These could be signs of an underlying condition that requires treatment.

For women with persistent period pain, long-term treatments may include hormonal contraceptives like the birth control pill, which can help regulate periods and reduce pain. In some cases, a healthcare provider may recommend a hormonal IUD, which can also lessen period pain and bleeding.

Yes, diet can influence period pain. A diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids can help reduce inflammation and ease menstrual cramps. Reducing intake of processed foods, sugar, and caffeine may also help minimize discomfort during menstruation.

Additional information

What is Period Pain?

Period pain, or dysmenorrhea, is the cramping and discomfort many women feel before and during their menstrual cycle. While some experience only mild symptoms, others may have intense, sharp spasms or a persistent, dull ache. This pain typically begins with menstruation and lasts for about 48 to 72 hours. Although common, severe period pain can interfere with everyday activities and may require effective management.

What Causes Period Pain?

Period pain mainly results from the muscular contractions of the uterus. During menstruation, these contractions become stronger to help shed the uterine lining. This process can temporarily restrict blood flow by compressing nearby blood vessels, leading to the release of pain-inducing chemicals. Increased prostaglandin production further intensifies uterine contractions, causing more pain.

In some cases, period pain may be linked to conditions known as secondary dysmenorrhea, which include:

  • Endometriosis: Where tissue similar to the uterine lining grows outside the uterus.
  • Pelvic Inflammatory Disease (PID): A bacterial infection causing inflammation in the reproductive organs.
  • Intrauterine Devices (IUDs): Certain IUDs, especially those containing copper, may increase discomfort.
  • Fibroids: Non-cancerous growths in the uterus that can lead to heavier, more painful periods.

What Are the Symptoms of Period Pain?

Common symptoms include:

  • Cramping in the lower abdomen
  • Pain that can radiate to the lower back and thighs
  • Nausea and vomiting
  • Diarrhea or loose stools
  • Headaches and dizziness
  • Fatigue and a general feeling of unwellness

These symptoms generally start one to two days before your period and continue through the early days of menstruation.

How to Treat Period Pain

There are several ways to manage period pain:

  • Over-the-Counter Pain Relievers:
    Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin reduce prostaglandin production, easing cramps.

  • Hormonal Contraceptives:
    Birth control pills, patches, or IUDs can regulate or lighten periods, often reducing pain severity.

  • Heat Therapy:
    Applying a heating pad or hot water bottle on your lower abdomen can relax uterine muscles.

  • Lifestyle Changes:
    Regular exercise, a healthy diet, and stress reduction techniques such as yoga or meditation can lessen period pain over time.

  • Alternative Treatments:
    Some find relief with acupuncture, dietary supplements like magnesium or omega-3 fatty acids, or herbal remedies like ginger or chamomile tea.

Why is Mefenamic Acid Preferred for Period Pain?

Mefenamic acid is often chosen for its effectiveness in relieving menstrual pain by:

  • Targeting Pain:
    It reduces prostaglandin production, directly addressing the cause of cramps.

  • Anti-Inflammatory Benefits:
    As an NSAID, it decreases inflammation alongside pain.

  • Reducing Heavy Bleeding:
    It can also help lessen heavy menstrual bleeding.

  • Short-Term Use:
    It is typically taken for a few days during menstruation, which minimizes long-term side effects.

  • Proven Efficacy:
    Its long history of use in treating period pain makes it a trusted option for many women.

How to Prevent Period Pain

Although you can’t stop your period from occurring naturally, you can manage the discomfort by:

  • Maintaining a healthy lifestyle with regular exercise and a balanced diet
  • Avoiding caffeine and alcohol, which can worsen cramps
  • Practicing stress management techniques such as deep breathing or meditation
  • Considering hormonal contraceptives if your pain is severe and persistent

When to Seek Medical Attention

It’s important to consult a healthcare professional if:

  • Your period pain is so severe that it disrupts daily activities
  • Over-the-counter medications do not provide relief
  • You experience sudden or unusually severe pain
  • You have symptoms suggesting an underlying condition such as endometriosis or fibroids
  • Your period pain starts later in life or suddenly worsens

Buy Period Pain Treatments Online from Courierpharmacy

At courierpharmacy.co.uk, we offer a range of effective treatments for period pain, all prescribed by UK-registered professionals. Whether you need NSAIDs like mefenamic acid, hormonal contraceptives, or other relief options, our online pharmacy provides fast, discreet delivery directly to your door. Simply complete our brief online consultation form to determine the best treatment for you, and take control of your menstrual health today with courierpharmacy.

Written By
Shazlee Ahsan
BSc Pharmacy, Independent Prescriber, PgDip Endocrinology, MSc Endocrinology, PgDip Infectious Diseases

Superintendant Pharmacist, Independent Prescriber


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August 21, 2024
August 21, 2026

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