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Suggest Treatment For Cramps During Periods
I am 41 years old and am experiencing extreme cramps for 24hrs during my period. I've had 2 ultrasounds done in the past 2 months. There are some fibroids but none are large enough to be removed. Two of the fibroids were in the lining of the uterus wall. They saw a cyst on one of the ovaries which is why I went back for a second ultrasound. The cyst had reduced in size so no follow up is needed. I was prescribed Naproxen Sodium 550 mg to relieve the pain but it doesn't help at all. The cramps feel like contractions. Very painful, I can not do anything but lay in bed with a heating pad. It is really interfering with my daily life. I am the mother of 2 young boys. What other tests or medication could be helpful?
Fri, 17 Apr 2020
Hi,
From the findings that you have reported, there is a possibility that by being close to the uterine cavity, the fibroids may trigger cramp like activity in uterine walls, causing pain like it happens during periods.
Pain appears to be the main symptom affecting you. Is the pain happening only during periods or anytime during the month. I would suggest that you change the pain medication and see if an alternative pain medicine suits you.
Usually fibroids shrink and go away once a woman attains menopause because it needs female hormone - oestrogen to maintain its growth.
There is still another 10 years or more when this may happen in your case, so in the interim we should have a plan on how to manage the fibroids so that they at least do not grow in size or number.
I would suggest having a complete work up of blood tests that make sure that there is no sign of inflammation. Using Mirena is an option you could consider as it gives control over periods, birth control and may reduce pain.
Sometimes however there might be increased perception of pain initially after insertion. It will be a case of trying and seeing if it works for you over 3-6 months while taking pain medications as required.
If these conservative approaches do not work, then surgical options can be discussed.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Sabina Hussain
From the findings that you have reported, there is a possibility that by being close to the uterine cavity, the fibroids may trigger cramp like activity in uterine walls, causing pain like it happens during periods.
Pain appears to be the main symptom affecting you. Is the pain happening only during periods or anytime during the month. I would suggest that you change the pain medication and see if an alternative pain medicine suits you.
Usually fibroids shrink and go away once a woman attains menopause because it needs female hormone - oestrogen to maintain its growth.
There is still another 10 years or more when this may happen in your case, so in the interim we should have a plan on how to manage the fibroids so that they at least do not grow in size or number.
I would suggest having a complete work up of blood tests that make sure that there is no sign of inflammation. Using Mirena is an option you could consider as it gives control over periods, birth control and may reduce pain.
Sometimes however there might be increased perception of pain initially after insertion. It will be a case of trying and seeing if it works for you over 3-6 months while taking pain medications as required.
If these conservative approaches do not work, then surgical options can be discussed.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Sabina Hussain
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