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What causes painful menstruation?

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Posted on Wed, 23 Jul 2014
Question: I have been having menstrual problems I am a 36 ya old woman. My period has been coming every two weeks and are so painful can't get up or walk upright?
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Answered by Dr. Bhagyashree.B (22 minutes later)
Brief Answer:
detailed answer below

Detailed Answer:
Dear member,
Thanks for writing to healthcare magic.
Painful periods can be due to a variety of reasons like fibroid uterus, adenomyosis or infection of uterus and ovaries.
Are the periods heavy? How long does the flow last? Do you have any discharge per vagina?
Did you have an ultrasound recently?
Please write back with details so that I can help better.
Thanks
Dr Bhagyashree


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bhagyashree.B (5 minutes later)
My period is very heavy I go through night time pads about every hour. Lasting 4 to 5 days. I have had cysts in the past. I have a clear/white discharge I thought I had a yeast infection but over the counter med didn't help discharge. Also I have gained 20 lbs in 2 months. I have had a tubal, plus I'm have not had set since nov. To painful. I had an ultra sound in XXXXXXX for a different issue.
doctor
Answered by Dr. Bhagyashree.B (1 hour later)
Brief Answer:
tab mefenamic acid and tranexamic acid for pain

Detailed Answer:
Dear member,
Thanks for writing back.
You can take the following medicine after discussing with your physician.
Tab mefenamic acid thrice a day and tab tranexamic acid thrice a day. Usually this drug is available as a combination in a single tablet. Taken during period
this should reduce your bleeding by significant amount and also reduce your pain.
Considering that you bleed heavily you should also take some iron supplements and multivitamins along with a iron rich diet.
Now to assess the reason for the painful period you will need a pelvic ultrasound better if done transvaginally. Usually heavy flow and pain during periods are due to uterus fibroids.
Besides any cause of pain like endomtriosis or ovarian cysts are diagnosed better.

Once diagnosed then you can be treated appropriately.
Also you mentioned that you have gained weight.
You should get a blood thyroid profile tests done.
Hope this was helpful.
Please write back with any queries .I will be glad to help.
Thanks
Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bhagyashree.B

OBGYN

Practicing since :2000

Answered : 788 Questions

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What causes painful menstruation?

Brief Answer: detailed answer below Detailed Answer: Dear member, Thanks for writing to healthcare magic. Painful periods can be due to a variety of reasons like fibroid uterus, adenomyosis or infection of uterus and ovaries. Are the periods heavy? How long does the flow last? Do you have any discharge per vagina? Did you have an ultrasound recently? Please write back with details so that I can help better. Thanks Dr Bhagyashree