What Makes a Cycle “Painful”?
Normal periods allow you to function without heavy reliance on painkillers or prolonged rest. Signs your cycle may be too painful include:
- Severe cramps requiring multiple doses of ibuprofen or other pain relievers
- Missed work, school, or daily activities
- Hours spent on heating pads or resting due to pain
Potential contributors to painful cycles include:
- Systemic inflammation (autoimmune conditions, gut inflammation, leaky gut)
- Endometriosis or scar tissue on/around the uterus
- Adenomyosis (inflammation within the uterine walls)
- Endometritis (uterine infection)
- Cervical inflammation
- Vaginal dysbiosis or infection
How Painful Cycles Are Evaluated
A comprehensive workup helps uncover the root cause of your discomfort:
- Labs: ANA, ESR, CRP to screen for inflammation or autoimmune conditions
- Gut health testing: Detects leaky gut or bacterial overgrowth
- Imaging: Ultrasound or MRI identifies adenomyosis, cysts, or swelling
- Procedures: Biopsy, laparoscopy, or vaginal swabs check for endometriosis, infections, and bacterial imbalances
Proper evaluation is especially important if previous treatments have not resolved symptoms.
Treatment and Management Strategies
Lifestyle & Nutrition
- Anti-inflammatory diet: low sugar, high magnesium, leafy greens, and protein
- Regular movement to improve blood flow and reduce cramping
Supplements
- Omega-3 fatty acids
- Curcumin (turmeric)
- Magnesium
Medical Interventions
- Surgery for endometriosis or scar tissue
- Antibiotics and probiotics for endometritis or vaginal infections
- Long-term inflammation management for adenomyosis
Key Takeaways
- Severe period pain is not normal—you should be able to function on your cycle.
- Causes can range from inflammation and infections to endometriosis or adenomyosis.
- Comprehensive testing and evaluation are essential to identify treatable issues.
- A combination of lifestyle, diet, supplements, and medical care can significantly reduce discomfort.
Next Steps
If you struggle with painful periods, Dr. Sarah and the team at Vera Health and Fertility can provide a full evaluation and develop a personalized plan to reduce pain and improve reproductive health.