What should I do if the menstrual pain is very severe?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 27, 2025
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When the symptoms of dysmenorrhea are very severe in women, it is important to actively search for the causes of dysmenorrhea. For example, routine gynecological examinations are conducted along with some relevant ancillary tests. For instance, vaginal ultrasound, hysteroscopic examinations, and blood tests for CA125, etc., are used to understand the causes of dysmenorrhea. If it is primary dysmenorrhea, prostaglandin synthetase inhibitors can be taken orally during menstruation to relieve the symptoms of dysmenorrhea. Short-acting contraceptive pills can also be taken orally to inhibit ovulation and improve the symptoms of dysmenorrhea. For secondary dysmenorrhea, women often have organic lesions in the reproductive system. For example, those with submucosal uterine fibroids or endometrial polyps often require surgical treatment. (The use of medicines should be carried out under the guidance of a professional doctor.)

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Causes of irregular menstruation and dysmenorrhea

There are many causes of menstrual disorders and dysmenorrhea, so we must first consider changes caused by organic lesions, such as adenomyosis, which can cause increased menstrual flow, prolonged menstruation, and progressively worsening dysmenorrhea. There may even be pain during sexual intercourse, and abdominal pain may also occur occasionally. Apart from organic lesions, even after excluding organic conditions, some women may still experience menstrual disorders and dysmenorrhea. For example, adolescent girls often experience primary dysmenorrhea along with menstrual irregularities, which could lead to functional bleeding.

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How to quickly relieve menstrual pain?

If the symptoms of dysmenorrhea are severe, to quickly alleviate the pain, it is essential to keep warm strictly. You can use a hot water bottle to apply heat to the lower abdomen or soak your feet in warm water. Heat therapy generally quickly relieves the pain caused by the contraction of the uterine smooth muscle and spasms. If necessary, painkillers can be used for treatment, although painkillers have side effects, such as gastrointestinal damage. If you have noticeable symptoms of dysmenorrhea, you should have regular physical examinations to determine if it is related to pelvic inflammation. Some cases are due to conditions like adenomyosis or endometriosis, and targeted treatments can be performed.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What should I do if the menstrual pain is very severe?

If women experience severe dysmenorrhea, they should first undergo routine examinations to rule out organic lesions, which are the possibility of secondary dysmenorrhea. For example, we should initially conduct gynecological examinations, pelvic ultrasounds, or combine other auxiliary examinations such as pelvic CT and MRI scans to rule them out. Some women may suffer from conditions such as endometrial polyps, ovarian chocolate cysts, or uterine fibroids, leading to severe dysmenorrhea. The treatment methods vary depending on the different causes. For instance, if a woman has endometrial polyps, hysteroscopic electrosurgical resection of the polyps can be performed. If it has been ruled out that the woman has organic lesions of the reproductive system and the possibility of secondary dysmenorrhea, it is possible that she has primary dysmenorrhea. She can take non-steroidal anti-inflammatory drugs orally during menstruation to relieve the pain, or regularly take short-acting contraceptive pills to suppress ovulation and alleviate the symptoms of dysmenorrhea.

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Written by Jia Rui
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How to alleviate menstrual pain: little tips

For women with dysmenorrhea, it is recommended to maintain sufficient sleep and rest, apply a hot water bag on the abdomen or use heating pads for relief. During dysmenorrhea, drinking warm water, brown sugar water, or ginger sugar water can be helpful. Additionally, avoiding raw, cold, and spicy foods can alleviate the symptoms. Dysmenorrhea is a common gynecological disease characterized by pain in the lower abdomen, a sense of heaviness, backache, and other physical discomforts before and during menstruation, significantly affecting the patient's quality of life.

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How should people with cold-induced dysmenorrhea regulate their condition?

Patients experiencing cold-induced dysmenorrhea can firstly apply a warm towel to the lower abdomen, which can effectively help treat the pain caused by a cold uterus. They can also soak their feet in hot water every night to promote blood circulation and accelerate metabolism, which can effectively alleviate the symptoms of dysmenorrhea. It is also important to keep warm and avoid getting cold. Engaging in physical exercise can effectively add some heat as well as help expel the cold from the body and increase resistance. Drinking ginger soup, which has the effect of expelling cold, can also be beneficial.