Senior doctor shares why you should never ignore these types of period pain

Some period pain can point to something more serious (Picture Credit: Pexels)

Period pain is common — but not all period-related discomfort should be shrugged off as “normal.” In the case of severe or life-altering cramps, they could potentially be a symptom of another problem. Knowing what the usual menstrual pain feels like can also help you make more educated decisions about your own reproductive health if and when symptoms feel unusual to you.

Menstrual pain is a common occurrence in most women’s healthy monthly cycle and more often than not, it’s relatively mild to moderate. Guidelines are already available for lifestyle measures and treatments to ease these all-too-common cramps, which often do well with rest, warmth or over-the-counter relief. Since period pain is so common, it’s easy to believe that any amount of pain — no matter how severe — is just one more routine symptom we’re expected to put up with.

But not all menstrual pain is supposed to be ignored. However, if cramps are uncharacteristically intense, consistent or start to hinder your life, they're the body's way of saying something more is going on. Things like endometriosis, PCOS, adenomyosis or infections might show up as symptoms that look similar to regular period pain but worse — it may be more intense, last longer, and come with additional signs (heavy bleeding, fatigue or pelvic pressure) accompanying it.

Referred to as dysmenorrhea, most women are able to distinguish between normal menstrual discomfort and symptoms that require further evaluation, says Dr Aruna Kalra, Director, Obstetrics & Gynecology, CK Birla Hospital, Gurugram."Identifying the underlying conditions early would allow us to better manage those, providing patients with more comfort,," says Kalra.

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1. Mild cramping that improves with rest is normal

It is quite normal to experience some dull pain during the period, especially within the first day or two. That discomfort is just your uterus gently squeezing because of natural chemicals called prostaglandins. If this pain is mild, feels better when you rest, apply heat, or take a common painkiller, and doesn't stop you from doing your usual daily activities, you don't need to worry.

2. Pain that disrupts activities can be a warning

If your period pain is so severe it makes you have to miss out-you have to skip work, stay home from school, or cancel social plans-that's a sign your body needs attention. Pain that's intense enough to get in the way of life as normal is often a key indicator of underlying problems such as endometriosis or adenomyosis. Don't push through it.

3. Cramps accompanied by heavy bleeding require attention

When intense cramps come with very heavy bleeding, it's a reason to see a doctor. Heavy means you're soaking through a pad or tampon every hour or two, you're passing large blood clots, or you're bleeding for more than seven days. These can signal conditions such as uterine fibroids, hormonal imbalances, thyroid issues, or bleeding disorders, and constant heavy flow should always be checked by a gynecologist.

4. Sharp or one-sided pain can be abnormal

Usually, cramps just seem to feel like a general ache across your lower tummy or back. If you have a sudden sharp pain, especially if it's one-sided and gets worse very quickly, then it could be something serious such as an ovarian cyst, PID, or even an ectopic pregnancy-if you've missed a period. Such pains deserve immediate medical attention.

5. Pain that starts years after regular periods isn't normal

If you have always had easy, manageable periods and suddenly start having severe, debilitating pain in your 20s or 30s, this change is significant. Late-onset, worsening pain is a common symptom of conditions like endometriosis or pelvic infections, and you shouldn't just assume it's normal cramping. Menstrual pain shouldn't steadily get worse as you get older.

6. Pain associated with bowel or urinary symptoms may suggest the presence of endometriosis

If your menstrual cramps occur with other symptoms related to bowel movements, such as painful urination, blood in the stool, visible bloating, or constipation associated with one's cycle, something may be more seriously wrong. These symptoms often get dismissed as minor digestion issues, but they can be an important clue for a disorder like deep endometriosis.

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7. Don’t normalise pain

Too many women learn that dealing with extreme period pain is just something they must endure. That isn't true, extreme pain isn't normal. If your symptoms persist or worsen over time, seek medical attention, which may include an ultrasound or hormonal testing. Early, correct diagnosis could very well provide options for treatments that will make huge improvements to your quality of life. Always listen to your body; what feels 'regular' for you might not actually be 'normal', let alone healthy.

FAQs on period pain:

1. What causes period pain?

It’s mainly due to uterine contractions as the body sheds the lining during menstruation.

2. Is period pain normal?

Mild to moderate cramps are common, but severe pain may indicate an underlying issue.

3. How long does period pain usually last?

It often occurs in the first 1–3 days of the menstrual cycle.

4. What helps reduce period pain?

Heat pads, gentle exercise, hydration, over-the-counter pain relievers, and rest.

5. When should I see a doctor for period pain?

If pain is severe, interferes with daily activities, or is accompanied by heavy bleeding or other unusual symptoms.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.