It is important to know that first periods are often painful without any particular cause. However, once menstruation is well established, the main causes are: polycystic ovaries, torsion of an ovarian cyst, adenomyosis and endometriosis, a displaced IUD, premenstrual syndrome or an infection of the tubes (salpingitis) or endometrium.
SIGNS AND SYMPTOMS
First, it is necessary to distinguish between primary and secondary dysmenorrhea. It is a primary dysmenorrhea if the periods have always been painful. If it has been painful for some time only, then it is called secondary dysmenorrhea.
Also note whether your periods are regular or irregular and whether they are light or very heavy.
Then, you need to identify when the pain appears (before your period arrives, during the first few days, for the duration or towards the end of your period), where it is located, the type of pain (dull or violent) and its intensity (are you able to get up? To go to work? … ).
Finally, the presence of several concomitant signs can be observed: pain in the breasts, acne, fever, pain during sexual intercourse.
The treatment obviously depends on the cause of your pain.
In general, take Paracetamol for the pain and Spasfon for the contractions they cause. Stay in bed and put a hot water bottle on your stomach.
Homeopathy can also be useful. If the pain still does not diminish, anti-inflammatory drugs can be considered, if you have no contraindications.
WHEN SHOULD YOU CONSULT?
As soon as the pain repeats itself, as soon as it is intense and does not diminish with the first treatment, you should go see your doctor. He will ask you several questions and prescribe a pelvic ultrasound to determine the cause(s) of your pain.
HOW TO PREVENT PAINFUL PERIODS?
Taking birth control pills helps to put the ovaries at rest and can make the pain disappear.
WHAT NOT TO DO
If the pain is due to a cyst of the ovary, you should avoid sudden movements and sport to prevent the risk of twisting.
If the pain is due to a poorly inserted IUD, you must use condoms during intercourse.
WHAT YOU NEED TO KNOW
If your period is very painful for the first time and you may be pregnant, it is important that you take a pregnancy test and consult as it may be an extrauterine pregnancy or a spontaneous miscarriage.
Doctor Yves Assous,