Menstrual pain is probably one of the most annoying things about being a woman. The level of pain varies from woman to woman, with some having barely any pain and some having pain that interferes with their daily activities.
Sometimes this pain happens because of contractions in the womb, which is a muscle. If it contracts too strongly during your menstrual cycle, it can press against nearby blood vessels. This briefly cuts off the supply of oxygen to the uterus. It’s this lack of oxygen that causes pain and cramping. This is known as primary dysmenorrhea. These types of menstrual cramps usually become less painful as a woman ages and may stop entirely if the woman has a baby. Although this is not the case for many women.
Sometimes it is caused by a disorder in the woman’s reproductive organs such as endometriosis, adenomyosis, uterine fibroids, or infection. This is known as secondary dysmenorrhea.
If you have mild menstrual cramps, you can take over the counter pain relief tablets such as paracetamol. For patients who have history of ulcer it is important to avoid a certain group of drugs known as NSAIDS, this includes the local “alabukun”. For best relief, you must take these medications as soon as bleeding or cramping starts.
Heat can also help. Place a heating pad or hot water bottle on your lower back or tummy. Taking a warm bath may also provide some relief.
Some types of contraceptives can also help reduce menstrual pain.
If you have severe or unusual menstrual cramps, or cramping that lasts for more than 2 or 3 days, tell your doctor. Menstrual cramps, whatever the cause, can be treated, so it’s important to get checked.
This check may include your doctor asking about your symptoms and menstrual cycles. You’ll get a pelvic exam, in which your doctor will use a tool called a speculum to see into your vagina and cervix. The doctor may also perform a manual check and using fingers to check your uterus and ovaries for anything that doesn’t feel normal.
If it turns out that your cramps aren’t due to your period, you might need other tests to find the right treatment.
