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Ask a doctor on the topic of Gynecology

How can I alleviate my menstrual pain?

Dear Doctor,

My name is Emilia Neumann and I have been suffering from severe menstrual pain for years, which makes my life difficult every month. I am 25 years old and have already tried various pain medications, but unfortunately they have not provided me with the desired relief. The pain usually occurs shortly before the start of my period and then accompanies me for the first two to three days. It is so intense that I can hardly move and cannot go to work.

I regularly exercise, eat healthily, and try to avoid stress, but I still feel like the pain is getting worse. I am worried that there may be a more serious cause for my symptoms and wonder if I may have a hormonal imbalance or endometriosis.

I would like to know from you what options are available to relieve my menstrual pain. Are there specific medications that are more effective than conventional painkillers? Or are there perhaps alternative therapies or treatment methods that could help me? I would like to be able to lead a normal life again without constantly being affected by the pain.

Thank you in advance for your help and advice.

Best regards,
Emilia Neumann

Sandra Siebert

Dear Emilia Neumann,

I understand how burdensome and restrictive strong menstrual pain can be, and I am sorry to hear that you have been struggling with it for so long. It is good that you have already tried different pain medications, even if they have not provided the desired relief. It is important that you investigate the cause of your pain in order to find the appropriate treatment.

If the pain occurs just before the start of your period and is particularly intense during the first two to three days, this could indicate primary dysmenorrhea (menstrual cramps). These pains are caused by the contraction of the uterus and can vary from mild to severe discomfort. It is also possible that you have a hormonal disorder or endometriosis, as you suspected. Endometriosis is a condition in which tissue that normally lines the uterus grows outside of it and can cause severe pain.

It is important that you see a gynecologist who will thoroughly examine you and investigate possible causes of your symptoms. Various tests, such as an ultrasound examination or a gynecological endoscopy, can be performed. Depending on the diagnosis, an appropriate treatment can be recommended.

There are various ways to alleviate menstrual pain. In addition to conventional pain medications such as ibuprofen or paracetamol, which have anti-inflammatory and pain-relieving effects, there are also specific medications that can be used to target menstrual pain, such as antispasmodics or hormonal contraceptives.

Furthermore, there are alternative therapies that can help alleviate menstrual pain. These include acupuncture, homeopathy, relaxation techniques, or physiotherapeutic measures. It is important that you discuss these options with your doctor to find the treatment that is right for you.

I strongly recommend that you make an appointment with a gynecologist to have your symptoms evaluated and receive individual treatment recommendations. It is important that you do not continue to suffer from the pain and that you get the support and help you need to lead a normal and pain-free life.

I wish you all the best and hope that you soon find the right treatment for your menstrual pain.

Sincerely,

Sandra Siebert

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Sandra Siebert