A new question is answered every 9 seconds

Getting severe stomach pain at the time of Menstrual cycle

Resolved Question:

Each Menstrual cycle I am having severe stomach pain as well as backbone pain,the pain decreases slowly after 3/4 days.But this happens every month same way..Please let me know the reason and guide me for the treatment.

Category: Sexologist

Ask Your Own Question

Category: Family Physician-GP
Dr. John Monheit is online now

Expert:  Dr. John Monheit replied 4 Days.

Thank you for consulting with Doctor spring. I understand that you are suffering from stomach cramps and back ache before your period every month. Painfull cramping pain accompanying menstruation is called Dysmenorrhea. Dysmenorrhea is divided into two types for ease of understanding the cause for this common condition:

1. Primary dysmenorrhea

In this the cause for the pain is believed to be due to a biochemical imbalance occurring at the time of the period. There is no associated pathology in the reproductive organs. Nearly 50% of women in the age grout between 18 and 25 suffer form primary dysmenorrhea. Only 5-15% of these women suffer form the more incapacitating form which interferes with daily activities. It is said that primary dysmenorrhea occurs only in ovulatory cycles i.e. cycles in which the ovum has been released. It usually starts a few years after puberty and continues into late teens and early 20s.

It is most intense on the first day of the period and lessens with menstrual flow. It lessens with passage of time and resolves after childbirth.

2. Secondary dysmenorrhea.

In this the pain is due to the presence of some pelvic pathology i.e. adenomyosis, fibroids, PID etc

Dysmenorrhea can also be described as

1. Spasmodic dysmenorrhea

Presents as cramping pains on the first and second day of the menstrual cycle. This is also by far the most type.

2. Congestive dysmenorrhea:

It includes onset of lower abdominal and pelvic pain a few days before the start of the period. The pain resolves slowly with the onset of bleeding. This points to a possible diagnosis of PID or endometriosis or uterine fibroids.

From your question it is most likely that you suffer form the more common form of dysmenorrhea i.e. primary dysmenorrhea. I would suggest that you visit your Doctor and just rule out anything serious.

Medical measures for primary dysmenorrhea include:

1. Analgesics like Ibuprofen or Paracetamol

2. Mefenamic acid also provides quick relief in 80 to 90% of cases

3. Progesterone containing IUCD can be tried if contraception is also desired.
4. Oral Combined Contraceptive Pills suppress ovulation and hence anovulatory cycles become painless.

5. There are claims that Vitamin E two days before and 3 days during the period reduces dysmenorrhea.

I hope this information was of use to you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.

Specialists from
UK, US, Ind,
Aus & NZ

48000+ consults
in 2015

98.1% Satisfied

100% Satisfaction

How it works

  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News


Make informed and better medical decisions.

Close x

Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.