Are You Experiencing Painful Periods?
Women who experience painful cramps and lower abdominal discomfort with their monthly menstrual cycles may warrant further evaluation. These pains may involve bad cramps during your period, or even severe cramping before your period. Although it is normal to experience mild discomfort with your cycle, your symptoms should not prevent you from performing any of your normal daily activities.
Further, your bleeding should be manageable, and again, not interfering with daily activities. If you are having extremely heavy bleeding requiring frequent changes of your sanitary pad or tampon, or bothersome soiling of your clothing or bedsheets, you may warrant further evaluation.
After taking a detailed history and performing a physical exam, further work-up for painful periods often includes laboratory diagnostics to assess for anemia or thyroid dysfunction, and imaging to assess for structural abnormalities.
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