Painful Periods

Q. I am suffering with particularly painful periods. Is there anything that may help? A. Cox, Portsmouth



Dr Guy Staight replies: Painful periods, often known as dysmenorrhoea, are a common problem which affect many women. The pain is usually crampy and is felt in the lower abdomen often radiating to the thighs. The pain usually starts 24 hours before the onset of menstruation and may continue through the first two to three days of the period. In severe cases, vomiting and diarrhoea may accompany the pain. I usually recommend the following possibilities:

Taking the oral contraceptive pill - this regulates the cycle and may well help enormously with pain relief.

Mefenamic Acid - this is a very effective pain-relieving medication which can be taken just before and during the first two to three days of the period which reduces blood loss and cramping.

Tranexamic Acid - this is a medication which reduces the degree of bleeding from the womb.

You should discuss these medications with your own GP, who can suggest the most suitable medication in view of your medical history.