Period Pain That’s Not Normal: When to See Your Gynaecologist

Period pain is something almost every woman experiences, but when it starts to disrupt your life — missing school, skipping work, sleepless nights, or relying on strong painkillers — it’s time to stop brushing it off as “normal.”

While mild cramps are common, severe or persistent menstrual pain could indicate an underlying health issue that needs attention.

When Period Pain Becomes a Red Flag

If your cramps:

• Last for several days and don’t improve with basic remedies,

• Are accompanied by heavy bleeding or clots,

• Cause nausea, fatigue, or back pain, or

• Make you depend on painkillers every month,

…it’s time to consult your gynaecologist.

Possible Underlying Causes

1. Endometriosis:A condition where uterine lining tissue grows outside the uterus, causing severe pain, heavy periods, and sometimes infertility.

2. Fibroids:Noncancerous growths in the uterus that can lead to painful, heavy, or prolonged menstruation.

3. PCOS (Polycystic Ovary Syndrome):Hormonal imbalance that can cause irregular cycles, ovarian cysts, and painful periods.

Ignoring these conditions can delay diagnosis and treatment, prolonging unnecessary pain and affecting fertility later.

How You Can Manage Better

• Track your pain patterns and period flow each month.

• Maintain a balanced diet and regular exercise to reduce inflammation.

• Use a heating pad for temporary relief — but don’t rely solely on home remedies.

• Visit your doctor for an evaluation and tailored treatment plan.

Remember

• Period pain that stops you from living your life is not “normal.”

• You deserve relief, not endurance.

• Early consultation can save you years of discomfort.

• Your body’s signals are worth listening to — and acting on.

Written by Dr. Sandya M R – Consultant Obstetrician & Gynaecologist