Menstrual Pain: Understanding What’s Normal and When to Seek Help
Menstrual pain is a common experience for many individuals who menstruate, but distinguishing between typical discomfort and symptoms that may indicate a deeper issue is essential. At the Muscle and Joint Clinic, we aim to provide insights into the causes of menstrual pain, types of dysmenorrhea, and treatment options to help manage symptoms effectively.
Menstrual pain, or dysmenorrhea, occurs due to the release of prostaglandins—chemicals that stimulate uterine contractions to shed the uterine lining. Prostaglandin levels typically peak before menstruation and decrease once bleeding starts, reducing pain levels for most individuals. However, these contractions can sometimes be intense, causing discomfort in the lower abdomen and other areas such as the lower back and thighs.
Dysmenorrhea is one of the most prevalent gynecological concerns, affecting over half of individuals who menstruate. While mild pain lasting one to two days is common, severe discomfort can significantly impact daily activities, particularly for those with risk factors such as early menstruation (before age 12), irregular or heavy periods, or low body weight.
Types of Menstrual Pain
1. Primary Dysmenorrhea
Primary dysmenorrhea refers to lower abdominal pain during menstruation that is not linked to underlying medical conditions. This type typically begins one to two days before the period starts and subsides shortly after bleeding begins. Common among adolescents and young adults, primary dysmenorrhea may also include symptoms such as nausea, fatigue, headaches, and dizziness.
2. Secondary Dysmenorrhea
Secondary dysmenorrhea is associated with underlying pathologies such as endometriosis, uterine fibroids, or pelvic inflammatory disease. This form of menstrual pain may begin earlier in the cycle, last longer, and be more intense than primary dysmenorrhea. It may also involve additional symptoms, such as:
•Dyspareunia (pain during intercourse)
•Intermenstrual bleeding (bleeding between periods)
•Menorrhagia (heavy bleeding)
•Post-coital bleeding (bleeding after intercourse)
Secondary dysmenorrhea can develop at any age and may require medical evaluation for proper diagnosis and management.
Managing Menstrual Pain
Fortunately, there are various treatment options for managing menstrual pain, ranging from lifestyle modifications to medical interventions.
Pharmacological Treatments
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are commonly used to alleviate menstrual pain. These medications can reduce the intensity of pain when taken one to two days before the onset of symptoms. It is important to consult with a healthcare provider to determine if these medications are appropriate for you.
Non-Pharmacological Approaches
Non-medication-based methods are also effective for managing symptoms, including:
• Heat Therapy: Applying heat to the lower abdomen or back can relax muscles and alleviate pain.
• Regular Exercise: An active lifestyle helps release endorphins, which act as natural pain relievers.
• Balanced Diet: Consuming a diet rich in vitamins and minerals may reduce the severity of dysmenorrhea.
• Transcutaneous Electrical Nerve Stimulation (TENS): TENS devices can provide relief by sending low-level electrical impulses to the pain site.
• Physiotherapy: Techniques such as deep breathing, mindfulness, and targeted muscle release can help manage pain and improve pelvic health.
When to Seek Professional Help
While mild menstrual pain is normal, severe or persistent symptoms may warrant a visit to a healthcare provider. Conditions such as endometriosis, fibroids, or pelvic inflammatory disease can often mimic the symptoms of dysmenorrhea and require specialized care.
At the Muscle and Joint Clinic, we offer physiotherapy and other services tailored to your individual needs. Our team is dedicated to helping you manage symptoms and regain control of your daily life.
Take the First Step
If menstrual pain is interfering with your quality of life, reach out to our team. We provide comprehensive assessments and personalized care plans to help you feel your best. Book a consultation today to start your journey toward better pelvic health.
American College of Obstetricians and Gynecologists (ACOG). (2023). Dysmenorrhea: Painful periods. Retrieved from ACOG Resources.
World Health Organization (WHO). (2022). Reproductive health and dysmenorrhea. Geneva: WHO Press.
For more resources on managing pelvic health, visit us at the Muscle and Joint Clinic!
Disclaimer
The information provided in this blog is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or treatment options.
While the Muscle and Joint Clinic strives to provide accurate and up-to-date information, we make no guarantees regarding the completeness, accuracy, or reliability of the content. Reliance on any information provided in this blog is at your own risk.
If you are experiencing severe or persistent symptoms, we encourage you to consult a medical professional promptly. The Muscle and Joint Clinic is not responsible for any actions taken based on the content of this blog.