When should I see a doctor for my period pain?

You should schedule an evaluation if your period pain is severe enough to interfere with your work, school, or daily activities, or if your cramps suddenly become more intense or last longer than usual.

What causes secondary dysmenorrhea?

Common causes include endometriosis, pelvic inflammatory disease (PID), uterine fibroids, and sometimes stress or infection. We will perform a complete evaluation to determine the specific cause of your pain.

Can I treat dysmenorrhea without hormones?

Yes. Many women find relief through non-hormonal medications (NSAIDs), lifestyle changes, and heat therapy. We will work with you to find a treatment plan that aligns with your preferences and health goals.

Does period pain get better with age?

Primary dysmenorrhea often becomes less painful as a woman gets older, and many women find that their cramps improve significantly after having children.

Dysmenorrhea & Painful Periods

Understanding Primary and Secondary Dysmenorrhea

Menstrual pain is classified into two categories. Identifying which type you are experiencing is the first step toward finding effective relief.

Primary Dysmenorrhea: This is the most common form of painful periods. It refers to cramping that is not caused by another medical condition. The pain is usually felt in the lower abdomen or back and begins shortly before or at the start of the period.
Secondary Dysmenorrhea: This type of pain is caused by a disorder in the reproductive organs, such as endometriosis or uterine fibroids. The pain often begins earlier in the menstrual cycle and lasts longer than common menstrual cramps.
The Evaluation: We begin with a thorough discussion of your symptoms and menstrual history. Your provider may perform a pelvic exam to check for physical abnormalities in the reproductive organs.
Diagnostic Testing: If secondary dysmenorrhea is suspected, we may recommend an ultrasound or other imaging tests to look for underlying issues like fibroids or cysts.

A woman sits on a couch grimacing in pain, holding her head and clutching a pillow to her stomach.

Recognizing the Signs of Dysmenorrhea

Beyond lower abdominal cramping, painful periods can involve a variety of physical symptoms. Common indicators include:

Aching pain in the abdomen that may be severe.
A feeling of pressure in the abdomen.
Pain in the hips, lower back, and inner thighs.
Nausea and vomiting.
Diarrhea or loose stools.
Headaches and dizziness.

Comprehensive Care for the Concerns That Matter Most

Our providers offer a full range of gynecologic services — from routine preventive care to evaluation and treatment of specific health concerns. Click any item below to learn more.

A woman holding her lower abdomen with both hands, representing pelvic pain or discomfort.

Strategies for Pain Relief

Treatment for dysmenorrhea depends on the severity of the pain and the underlying cause. We offer a range of solutions to help manage your discomfort.

Lifestyle and Home Care:

Exercise: Regular physical activity can help reduce menstrual pain for many women.
Heat Therapy: Using a heating pad or taking a warm bath can soothe abdominal cramps.
Dietary Adjustments: Getting enough sleep and reducing intake of caffeine, alcohol, salt, and sugar can help minimize discomfort.

Medical Treatments:

NSAIDs: Over-the-counter pain relievers like ibuprofen or naproxen are often effective at reducing cramping.
Hormonal Contraception: Birth control pills, patches, or hormonal IUDs can regulate the cycle and significantly reduce menstrual pain.
Surgery: If an underlying condition like endometriosis or fibroids is causing the pain, surgical intervention may be recommended to address the source.

Frequently Asked Questions

Meet the Providers Who Care for You

Our entire OB/GYN team is here for your gynecologic care, at every location.

Andres Ayuso, MD

Obstetrician & Gynecologist

David Hyler, MD

Board-Certified OB/GYN

Jason Phillips, MD

Board-Certified OBGYN

Dysmenorrhea