How to Deal with Heavy and Painful Periods
Heavy and painful periods can disrupt your daily life, drain your energy, and signal underlying conditions like fibroids, endometriosis, or hormonal imbalance. But the good news is—there are effective ways to manage them.
What Causes Heavy and Painful Periods?
- Menorrhagia: Heavy bleeding lasting more than 7 days or soaking through pads hourly. It can lead to anaemia, weakness, and fatigue.
- Dysmenorrhoea: Severe menstrual cramps caused by excess prostaglandins triggering uterine contractions.
- Underlying conditions: Fibroids, endometriosis, adenomyosis, PCOS, or thyroid issues can intensify pain and flow.
First-Line Treatments
- NSAIDs: Medications like ibuprofen and mefenamic acid reduce prostaglandins, easing cramps and reducing blood flow by up to 40%.
- Hormonal therapies: Birth control pills, hormonal IUDs, patches, or GnRH agonists regulate periods and reduce symptoms.
- Tranexamic acid: A non-hormonal option that reduces menstrual bleeding by improving blood clotting.
Natural Remedies and Supplements
- Magnesium: 310–320 mg/day may ease cramps and reduce PMS symptoms by relaxing uterine muscles.
- Heat therapy: Using a heating pad or hot water bottle on your lower abdomen helps reduce pain intensity.
- Gentle exercise: Yoga, walking, or stretching releases endorphins that counteract pain.
- Self-acupressure: Techniques like massaging pressure points can reduce pain duration and intensity.
How Mental Health Influences Period Pain
Depression, stress, and anxiety increase sensitivity to pain. Studies show women with depression are 51% more likely to experience severe menstrual pain. Managing mental health can directly improve period symptoms.
When to See a Doctor
- Bleeding lasts more than 7 days or causes anaemia symptoms like fatigue and dizziness
- Cramps are severe and unresponsive to over-the-counter medication
- There are signs of fibroids, endometriosis, or adenomyosis—like painful sex, pelvic pressure, or clots
- You feel emotionally or physically overwhelmed by your periods
Real-Life Example
Sarah, 29, struggled with 9-day-long periods and intense cramps. After being diagnosed with fibroids, she switched to a hormonal IUD and began magnesium supplements. Within 6 months, her periods reduced to 5 days with minimal pain.
Home Management Tips
- Track your symptoms using a period diary or app
- Try herbal teas like chamomile or ginger for anti-inflammatory effects
- Use a pelvic floor relaxation routine during your period
- Avoid caffeine and salty foods which can worsen bloating and cramps
FAQs
1. Are heavy periods normal after 30?
No. If your flow changes suddenly or worsens over time, consult a gynaecologist for evaluation.
2. Can fibroids cause painful periods?
Yes. Fibroids can increase bleeding and cramping by distorting the uterus and triggering more contractions.
3. Is it safe to take ibuprofen every month?
Generally yes, if taken as directed. Long-term high use can affect the stomach or kidneys, so talk to your doctor.
4. How can I tell if I’m anaemic?
Signs include fatigue, pale skin, headaches, cold hands/feet. Ask for a blood test if you suspect it.
5. Do hormonal IUDs stop periods?
In many women, they lighten or stop periods altogether—especially useful for treating heavy menstrual bleeding.
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Final Thought
Heavy and painful periods aren't just “part of being a woman.” They can signal deeper issues—but they’re treatable. Whether through medication, lifestyle change, or specialist help, relief is possible. Don’t suffer in silence—get the care you deserve.