Is Pelvic Pain Normal during Period?

Charlotte Miller

Updated on:

A period happens when the uterus sheds its coating one time each month. Pelvic pain, cramping, and distress during feminine periods are typical. However, the pain that makes you miss work or school is not usual.

The painful monthly cycle is called dysmenorrhea, categorized as primary and secondary. 

Primary dysmenorrhea transpires in individuals who experience cramps previously and during the monthly cycle. However, if you have had regular periods all your life but it becomes painful further down the road, it might be secondary dysmenorrhea. Usually, a condition influencing the uterus or other pelvic organs, like endometriosis or uterine fibroids, may cause this.

Causes of Pain during Periods

Distinguishing the reason for painful periods is not always easy. Some individuals are naturally at a higher risk of painful periods than others. 

Some dangers include:

  • Being 20 or less
  • Family history of excruciating periods
  • Smoking
  • Heavy bleeding with every cycle
  • Irregular periods
  • Hitting puberty before the age of 11

A prostaglandin hormone triggers muscle contractions that shed the coating in your uterus, causing pain and aggravation. The degree of prostaglandin rises just before the monthly cycle starts.

Painful feminine periods can likewise be the consequence of a medical condition, for instance:

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Premenstrual Condition (PMS)

PMS is a typical condition induced by hormonal changes in the body, occurring 1 to about fourteen days before the cycle starts. Side effects regularly disappear subsequently as the flow begins.


It is a painful condition wherein cells from the uterus coating start to grow in different body parts, generally on the fallopian cylinders, ovaries, or tissue covering the pelvis.


Fibroids are noncancerous cells that can come down on the uterus or cause unusual cycles and excessive pain. However, they usually do not generate side effects.

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Pelvic Inflammatory Disease (PID)

PID is a uterus disease, fallopian cylinders, or ovaries frequently induced by physically sent microbes that irritate the regenerative organs and cause pain.


It is an uncommon condition where the uterine coating develops into the solid mass of the uterus, causing aggravation, strain, and pain. It can likewise cause longer or heavier periods.

Cervical Stenosis

Cervical stenosis is an intriguing condition wherein the cervix is so little or limited that it slows the flow, causing an increment of strain inside the uterus that results in pelvic pain.

Home Treatments

At-home medicines can help alleviate painful periods. The following remedies can help:

  • Heating pad your pelvic region or back
  • Rubbing the abdomen
  • Warm bath
  • Regular workouts
  • Eating healthy
  • Relaxing or meditating
  • Taking anti-inflammatory medications a few days before your cycle starts
  • Taking essential vitamins, including:
    • vitamin B-6
    • vitamin B-1
    • vitamin E
    • omega-3 unsaturated fats
    • calcium
    • magnesium
  • Keeping the legs raised 
  • Taking less salt, liquor, caffeine, and sugar that promote bloating

When to Call a Doctor?

If menstrual pain disrupts your capacity to perform basic errands every month, it might be an ideal opportunity to speak with a gynecologist.

Chat with your doctor about your side effects and if you undergo any of the following:

  • Constant pain after installing an IUD
  • At least three painful cycles
  • Discharging blood clots
  • Cramps and diarrhea 
  • Sudden cramps or pelvic pain when not having a period

If you experience any of the following, seek immediate medical help:

  • Fever
  • Serious pelvic pain
  • Sudden pain or cramps, particularly when pregnant
  • Smelly vaginal discharge

Medical/Clinical Treatment

If at-home therapy does not alleviate your feminine aggravation, clinical treatment choices are adopted. Treatment will rely upon the seriousness and fundamental reason for your pain. In the event that PID or sexually transmitted infections (STIs) are causing you irritation, your primary care physician will recommend anti-microbials to clear the disease.

Your primary care physician may likewise recommend meds that include:

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

You can track these medications over the counter or get original effectiveness NSAIDs from your doctor.

Other Pain Killers

It incorporates over-the-counter choices like acetaminophen (Tylenol) or more potent pain relievers. 


Antidepressants are now and again prescribed to assist with reducing some mood swings related to PMS.

Likewise, your primary care physician may recommend that you take contraceptives to ease the pain. It is accessible as a pill, patch, vaginal ring, injection, or IUD. This hormonal birth control prevents menstrual cramps by stopping the ovulation process. 

Medical procedures can treat endometriosis or uterine fibroids, and these are opted if different medicines have not been fruitful. The medical process eliminates any endometriosis, uterine fibroids, or growths.

In rare cases, a hysterectomy which is the careful removal of the uterus opts if different medicines have not worked and pain is unbearable. However, it destroys the chances of having a baby. This option is usually utilized on the off chance that somebody does not want to have a baby or is toward the finish of their childbearing years.

It is always better to consult professionals for any health issues. Book an appointment with the best Gynecologist in Islamabad through Marham for more information.