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Period Pain and Period Cramps

What to do about period pain and period cramps?

Many women experience painful periods once a month. Usually, the pain subsides over the course of the period but you can take pain medication if the discomfort keeps you from going about your day.

How To Deal With Period Pain?

A painful menstrual cycle is incredibly common. Painful periods can affect women of all ages.

Period symptoms can include cramping, back pain, headaches and an irritable mood.

But what is a period exactly? What kind of period pain medication is the most effective? And is Panadol good for period pain?

It’s important to know that, although it’s an annoyance, period pain is a natural occurrence in many women. Even so, period pain can disrupt your day-to-day life, so it’s good to understand how to manage this pain.

Below you can read about what causes the condition, and how to relieve period pain.

Woman with period cramps

What are the top three symptoms of period pain?

Painful periods can be an unpleasant fact of life for those of child-bearing age, though some women say they disappear after having children, while others don't get them at all. Everyone is different.

These are top 3 symptoms of periods:

1. Period cramps
2. Lower back pain and/or headaches
3. Nausea and general feeling of being unwell

What other symptoms can I expect during menstruation?

Menstruation symptoms vary among women.

Apart from period pain you may also experience these symptoms:

  • Depressed mood
  • Back pain
  • Headaches
  • Gastrointestional issues like bloating

What are menstrual cramps?

Menstrual/ Period cramps are often described as a throbbing or cramping sort of pain in the lower abdomen. Most cramping occurs before you start to bleed, but it can continue for a few days thereafter.

During a period, the muscles of the uterus tighten and relax to help the tissue lining that has built up in the past the month detach and flow out of the body.  You might not notice these contractions or might feel only mild discomfort. Or you might feel them as painful cramps.

The main symptoms of menstrual cramps include:

  • Throbbing or cramp-like pain in the abdomen
  • Dull aches
  • Pain that radiates into the back (backache)

The pain usually lasts 48 to 78 hours.

Though the pain is annoying and can disrupt your normal day-to-day activities. With a bit of self-care and pain medication, most women are able to deal with it well. 

What is premenstrual syndrome?

Premenstrual syndrome is a combination of physical and emotional symptoms that may affect the majority of women up to a week before they get their period.

Menstrual pain is not the same as premenstrual syndrome, but the two often go hand-in-hand. Premenstrual syndrome can start as early as one week before you get your period. Some 90% of women report having symptoms. 

Woman with termometar

There is no test for premenstrual syndrome, but when you notice any combination of the following up to a week before your period, it’s likely that what you’re experiencing is premenstrual syndrome:

  • Tender or swollen breasts
  • Diarrhoea
  • Constipation
  • Bloating
  • Irritability

The condition is also marked by a variety of mental signs:

  • Fatigue
  • Tiredness
  • Sleep problems
  • Anxiety
  • Depression
  • Mood swings
  • Reduced interest in sex
  • Food cravings
Woman with back pain

What causes period pain?

The causes of painful period differ depending on the type of period pain. There are two kinds: primary and secondary period pain.

What is a period?

Each month, your womb (uterus) builds up a layer of its inner lining in preparation for hosting a baby. If you’re not pregnant, your body breaks down and replaces this lining of tissue and blood every 28 days or so. This timing can vary from person to person. This is what's known as ‘a period’ (or menstruation) and is a normal part of your menstrual cycle.

The uterus contractions (or squeezing) that help remove the layer can cause period cramps for one or more days. It's thought that some women produce more prostaglandins, the contraction-triggering chemicals in your body, making the womb squeeze harder, which in turn increases the pain.

You may experience cramping pain in your lower abdomen, but also in the lower back or thighs.

While this is an experience many women share, if you notice particularly heavy bleeding, very severe cramps, or pain between periods, consult a healthcare professional.

There are two types of period pain:

Primary period pain

Primary period pain is the most common kind of pain that is not caused by another condition. It’s when the muscles in the uterus contract. These contractions cause menstrual cramps.

Secondary period pain

Secondary period pain doesn’t usually start until much later in life and is caused by conditions like endometriosis or uterine fibroids. Endometriosis affects the lining of a woman’s uterus. It can leave you with very painful cramps during menstruation.

Other symptoms includes pain during or after sex and bleeding or spotting between periods.

Can you have period pain without a period?

If you notice cramping and pain around the pelvis but without getting your period it could be a sign of another condition. Among the most common reasons for period pain without bleeding are:

1. Irritable bowel syndrome, which can result in stomach pain and bloating or constipation.

2. Crohn’s disease can irritate your digestive tract and lead to changes in your bowel movement. 

3. Ovulation sometimes causes cramps around two weeks after your period. These cramps are uncomfortable but often harmless.

4. Ovarian cysts can cause severe pain that extends toward the back and thighs. 

5. Pelvic inflammatory disease is a bacterial infection that is spread through sexual intercourse. 

6. Cystitis is a bladder infection and this may also cause cramping and pain around the pelvis.

7. Appendicitis is a medical emergency. It produces pain around the belly button that radiates toward the sides of the stomach. Cramps are usually severe. 

8. Pregnancy and miscarriage could also cause cramping.

You should call a doctor if you get cramps that are very severe, aren’t linked to your period, or that don’t go away after a few days.

How to reduce period pain

Although there is no cure for painful periods, there are plenty of strategies to help make you feel more comfortable—from menstrual pain tablets to hot water bottles. Find out how to help stop the pain quickly.

Period pain can disrupt your day-to-day activities and depending on severity some women even have to take a day off from work. In most cases, the pain should stop after 3 days.

To relieve cramping, you can take an over-the-counter period pain medication like Panadol Extra Film-Coated Tablets. Panadol Extra Tablets provide powerful pain relief. The tablets contain two active ingredients; paracetamol 500 mg and caffeine. Paracetamol is a pain reliever and caffeine acts to further amplify the pain-relieving effect of paracetamol.

Alternatively, you can opt for other pain relievers such as ibuprofen or naproxen which help reduce inflammation. 

You can also try different home treatment strategies to feel more comfortable during your menstrual cycle. 

1. Use a hot water bottle or heating pad on your pelvis or back

2. Take a warm bath

3. Massage your abdomen

4. Adopt lifestyle changes such as regular exercise to boost your immune system and wellbeing

5. Practice yoga and mindfulness to relax

6. Eat a balanced nutritious diet to support your immune system

7. Avoid consuming too much alcohol, caffeine or sugar

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