Painful Periods — Treatment in Nagpur

Cramping on the first day or two that a painkiller settles, and that does not stop you doing what you would otherwise do, is within the normal range. Pain that makes you miss work, college or school, that painkillers do not control, or that has you lying down for days is not. The test is not how bad it feels on a scale — it is what it stops you doing.

Primary pain has no underlying disease. It comes from the chemicals the uterus releases to make it contract, it usually starts within a couple of years of your first period, and it often eases after the early twenties or after childbirth. Secondary pain is caused by something — endometriosis, adenomyosis, fibroids, an infection — and it usually begins later or changes in a woman who previously had manageable periods.

Prostaglandins, chemicals released by the lining of the uterus as a period begins. They make the muscle of the uterus contract to shed the lining, and the contractions briefly reduce blood flow to the muscle, which is what you feel as cramp. Women with more severe pain tend to produce more of them. That is why anti-inflammatory painkillers work better for period pain than ordinary painkillers do.

Anti-inflammatory painkillers such as mefenamic acid or ibuprofen work directly on the chemicals causing the cramp, so they are more effective than paracetamol for this particular pain. The timing matters more than most women are told: starting them as the pain begins, rather than waiting until it is severe, makes a real difference. Dose and suitability should be confirmed with your doctor, particularly if you have asthma or any stomach problem.

Yes, and it is a standard treatment for period pain rather than an off-label workaround. The combined pill thins the lining of the uterus and reduces the chemicals that cause the cramping. Progestins and a hormonal intrauterine system are used in the same way, particularly where bleeding is heavy as well as painful. Dr. Kunda prescribes all three and reviews which one suits you.

Pain that has become worse over recent years rather than better; pain outside your period; deep pain during intercourse; pain on opening your bowels or passing urine around your period; periods that have become heavy as well as painful; or pain alongside difficulty conceiving. Any of these makes an underlying cause more likely and is worth a consultation rather than another month of painkillers.

Often, yes, because it distinguishes primary pain from pain with a cause. An ultrasound can show fibroids, ovarian endometriomas, adenomyosis and other findings. It cannot show everything — superficial endometriosis is usually invisible on ultrasound — so a normal scan does not close the question if your symptoms are strongly suggestive. Ultrasound here is used only for medical assessment.

Common, but not something she has to accept. Period pain in teenagers is usually primary and responds well to anti-inflammatory painkillers taken correctly, sometimes with hormonal treatment. Missing school every month for years affects education and confidence and is reason enough to seek help. Dr. Kunda sees adolescents and a parent is welcome in the room.

Local heat has reasonable evidence behind it and is worth using — it is not merely comfort. Regular physical activity appears to help over time. Diet changes have weaker evidence, though staying well hydrated and limiting alcohol around your period does no harm. None of these replaces investigating pain that is severe or getting worse.

Primary period pain often does improve after childbirth, and it also tends to ease naturally through the twenties. But this is not a treatment plan, and secondary pain caused by endometriosis or adenomyosis usually returns once cycles resume. Waiting years for a pregnancy that may or may not happen is not a reasonable answer to pain you are having now.

When painkillers are no longer controlling it, when the pattern has changed, when the pain extends beyond your period, when you are missing days every month, or when you are trying to conceive and also have painful periods. Any one of those is enough.

The consultation is ₹500 and a follow-up visit is ₹500. A scan, if one is needed, is charged separately and in addition to the consultation. Charges can change at any time without prior notice — please confirm with clinic reception on 0712 6692706.