Menstrual pain is a nuisance that many women have to endure. If you haven’t experienced it yourself, you certainly won’t understand how painful this pain is.

Menstruation is a problem for every woman. Menstrual pain is a nuisance for many women who have to endure it. If you haven’t experienced it yourself, you definitely won’t know how painful this pain is.
10 things you should know about “menstrual pain”
1. Is menstrual pain normal for women? Yes
Menstrual pain is common in 50-90% of women of reproductive age, mostly in young women. In general, menstrual pain tends to ease or decrease with age. If symptoms worsen with age, it may be due to an underlying disease. It is recommended to see a doctor.
2. What causes menstrual cramps?
Menstrual cramps are caused by substances called prostaglandins, which are substances involved in inflammation, blood flow, blood clotting, and childbirth. สมัครสมาชิก UFABET วันนี้ รับเครดิตฟรีทุกวัน Prostaglandins are released from the lining of the uterus along with menstruation.
3. What does menstrual cramps look like?
Menstrual cramps are pain caused by contractions of the uterus. They often have the following characteristics:
- Irregular pain
- Frequent pain, uterine contractions 4-5 times in 10 minutes.
- It usually starts with a slight pain and gradually becomes more severe.
- The pain is similar to the pain during childbirth, but may not be as severe.
4. What risk factors may make menstrual pain worse?
Smoking and stress.
5. How many types of menstrual pain are there?
In medicine, menstrual pain is divided into 2 types.
- Primary
- Pain only during menstruation
- The pain is usually short-lived and resolves on its own within 12 to 72 hours.
- It usually occurs when people are younger and the symptoms improve or subside with age.
- Secondary
- The pain may start before your period begins or may not go away after it ends.
- The pain tends to get worse with age or continues to get worse.
- Often there are other symptoms, such as irregular menstruation, pain at other times, nausea, vomiting, headache, or infertility.
- This type of pain often has some kind of pathology, such as endometriosis. It is recommended to see a doctor.
6. If you have menstrual pain, does it mean you have some kind of disease?
In the case of primary pain, there is usually no disease and you don’t need to do anything.
In the case of secondary pain, or pain that you’ve never had before and then starts to hurt when you’re older and the pain gets worse, be careful that there might be a hidden disease, such as:
- Endometriosis, also known as chocolate cysts, is a growth of the lining of the uterus that grows in the ovaries.
- Endometriosis, the lining of the uterus, grows in the uterine muscle.
- Uterine fibroids
- Pelvic inflammatory disease, etc.
7. When having menstrual pain, what kind of pain reliever should be taken? And if taken continuously for a long period of time, will there be any adverse effects?
Commonly used menstrual pain relievers are divided into:
- Drugs in the group containing paracetamol
- Relieves all kinds of pain, including menstrual pain.
- Helps reduce pain by about 50%.
- Very few side effects if not taken in excess.
- It is recommended to take 500 mg (1-2 tablets, depending on body weight) at a time, every 6 hours.
- There are many types of NSAIDs , but the one recommended for reducing menstrual pain is Mefenamic Acid.
- Mefenamic Acid group drugs
- It is recommended to start with 500 mg, then 250 mg every 6 hours.
- Take during menstruation, but not more than 3 days.
- A possible side effect during use of this medication is that it may irritate the stomach, so it should be taken after meals.
- COX-2 selective NSAIDs
- Can be used in patients with gastritis.
- The disadvantage is that it is expensive.
- Mefenamic Acid group drugs
8. Can Birth Control Pills Really Help Relieve Menstrual Cramps?
Hormonal birth control pills can help relieve menstrual cramps.
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- Combined hormones (estrogen and progesterone)
- For women who have painful periods (and don’t want to have children yet), the first choice of birth control pills is the combination pill.
- It comes in pill, vaginal ring and patch forms.
- Progesterone-only hormone pills
- There may be side effects of spotting.
- Available in injection form
- Combined hormones (estrogen and progesterone)
As for birth control implants or hormonal contraceptive rings, they are not yet recommended for use solely to relieve menstrual pain.
9. Is menstrual pain related to infertility?
Yes, menstrual pain is related to infertility, but not always. Women who have menstrual pain caused by endometriosis or pelvic inflammatory disease are more likely to have infertility than the general population.
10. What should you do if you have unusually severe menstrual pain? What types of treatment are available?
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- See a doctor to find out the cause to make sure there is no underlying disease.
- Diagnostic tests include a pelvic exam and a pelvic ultrasound.
A pelvic (or lower abdominal) ultrasound can be done through the abdomen, but a transvaginal ultrasound can provide a clearer image. However, it can also reveal certain lesions or adhesions in the abdominal cavity. - If an abnormal disease is detected, treatment is recommended. The treatment method depends on the disease, such as:
- Endometriosis of the ovaries (or chocolate cysts) should be treated surgically, or hormone therapy may be given if the cysts are small.
- Uterine fibroids should be surgically removed if they interfere with daily life or when medication has failed, etc.
- If no disease is found, you can take painkillers or hormones under the advice of a doctor.
However, if symptoms do not improve after taking medication, a laparoscopy should be performed to examine the lesions or adhesions in the abdominal cavity.