The Truth About Period Pain – What’s Normal vs. Not?
For many women, period pain is an expected—almost inevitable—part of life. But just because it’s common doesn’t mean it’s normal. Too often, debilitating pain is brushed off as something to “push through” when, in reality, it may be a sign of an underlying condition that deserves medical attention.
So, how do you know when period pain is typical and when it’s a red flag? Let’s break it down.
What’s Considered Normal?
Mild to moderate cramping during menstruation is common and usually caused by the natural contraction of the uterus as it sheds its lining. Typical period pain:
Begins a day or two before your period and lasts 1-3 days
Feels like mild discomfort in the lower abdomen
Improves with over-the-counter pain medication (like ibuprofen) or heating pads
Does not disrupt daily life
If your period pain fits this description, it’s likely within the range of normal menstrual discomfort.
When Period Pain May Be a Sign of a Bigger Issue
If your period pain is severe, long-lasting, or interfering with your ability to function, it may be a symptom of an underlying condition.
Pain that is NOT normal:
Pain that begins more than a few days before your period and lasts throughout your cycle
Intense cramping that does not improve with pain medication or heating pads
Pain that spreads beyond the lower abdomen—such as to the back, legs, or rectum
Nausea, vomiting, dizziness, or fatigue accompanying your period pain
Significant bloating, painful bowel movements, painful urination, or pain during intercourse
These symptoms can be indicative of endometriosis, adenomyosis, fibroids, or pelvic inflammatory disease—all conditions that require medical evaluation and treatment.
Conditions That Can Cause Severe Period Pain
If your period pain is beyond the norm, here are some possible culprits:
Endometriosis – A condition where tissue similar to the uterine lining grows outside the uterus, causing chronic pelvic pain, heavy periods, and fertility issues.
Adenomyosis – When the uterine lining grows into the muscle wall of the uterus, leading to painful and heavy periods.
Fibroids – Noncancerous growths in the uterus that can cause cramping, pressure, and heavy bleeding.
Pelvic Inflammatory Disease (PID) – An infection of the reproductive organs that can cause severe pain and long-term complications if left untreated.
When to See a Doctor
You should seek medical advice if:
Your period pain is severe and disruptive to daily life
You experience irregular, heavy, or prolonged bleeding
Pain is accompanied by nausea, bowel changes, or pain during sex
Your symptoms are worsening over time
Pain is not normal when it impacts your quality of life. You deserve to be heard, validated, and treated with care.
How We Can Help
At Dr. Spring-Robinson’s practice, we specialize in diagnosing and treating complex gynecologic conditions that cause severe period pain. Whether it’s endometriosis, adenomyosis, or another issue, we offer compassionate, expert care to help you find real relief.
If you’re struggling with painful periods, don’t wait—schedule an appointment today to explore your options and take control of your health.
Call (858) 868-7109 to schedule a visit
