Hi there and good morning. Thanks for your kind query. Period pain is a normal process in a woman. For many females, some pain during the period is normal and some of it is not.

But, you should report to your health care professional if you have any of those conditions:

• medications such as NSAIDs and self-care steps does not help
• the period pain interferes with your daily routine
• age is over 25 year old and you get this kind of severe cramps for the first time
• the cramps suddenly get worse
• develops a fever along with your period pain
• you still have the menstrual pain even when you are not getting your period

How is the cause of severe period pain is investigated?
To know the cause of the severe menstrual pain, your health care professional will ask you about your medical history and they will perform a pelvic exam. They can also do an ultrasound scan or other imaging test to look at the possible causes.

If your health care proffesional thinks you have secondary dysmenorrhea or period pain, they can suggest you to undergoes laparoscopic procedure. It is a surgery that that allows your health care doctor to look inside your body.

To answer your question with regards to the medical treatments, there are few options for you. If your menstrual pain is primary dysmenorrhea and you need medical management, your health care doctor can suggest using hormonal birth control. For example patch, pill, ring, or intra uterine device (IUD).

Another treatment option can be a prescription such as pain relievers. If you have secondary dysmenorrhea, your treatment options will depend upon the condition that is causing the problem. In some selected cases, you may need a surgery as stated above. .

Please click on this link (DoctorOnCall) to talk to us privately online and discuss further about your inquiries. Thank you.