Common, but not normal
“Period pain is normal, it has always been like this.” Many women have heard that since their teens. So they spend years planning life around the calendar: missing school or work, curling up with a hot-water bottle, taking tablets and waiting for it to pass.
Some discomfort at the start of a period is common. But pain that stops you living your life should not be dismissed. Severe dysmenorrhoea deserves to be assessed — both to rule out causes such as endometriosis and to find ways of easing it.
What may be at the root
- Strong uterine contractions. During your period, the uterus releases substances (prostaglandins) that make it contract. When there are many, pain increases.
- Endometriosis or adenomyosis. Pain that worsens over the years, or comes with pain during sex or when opening your bowels, should be investigated by your gynaecologist.
- Tension in the pelvic floor and abdomen. Repeated pain makes the body brace; tense muscles end up adding pain to pain.
- Mobility of the pelvis and organs. The position and mobility of the uterus, bowel and pelvis can influence how you experience your period.
- Bowels, stress and sleep. Constipation, tiredness and built-up stress make the body more sensitive to pain.
How we can help
In the consultation we look at your cycle as a whole: the pain, the flow, your bowels, sleep, stress and any tests you have had. If there are signs that suggest endometriosis or another cause, we will guide you back to your gynaecologist — our work complements medical care.
Acupuncture is often sought for period pain and many women report relief. Visceral osteopathy aims to improve the mobility of the uterus, bowel and pelvis. Pelvic physiotherapy helps release muscle tension and teaches strategies for the hardest days.
What you can do now
- Local warmth. A hot-water bottle on your lower tummy or lower back helps the muscles relax.
- Gentle movement. Walking, stretching or rocking your pelvis on a birthing ball may ease pain more than keeping still.
- Track your cycle. Noting pain intensity, flow and symptoms helps you — and your doctor — see patterns.
If this sounds like you, get in touch. Period pain does not have to run your life.