Severe Period Pain? It Could Be More Than Cramps

Severe menstrual pain that interferes with daily activities should not be dismissed as normal, according to health coach Luke Coutinho. He highlights that such pain could be a symptom of secondary dysmenorrhea, a condition often caused by underlying medical issues rather than just prostaglandins. Warning signs include debilitating cramps, missed work or school, and monthly reliance on medication.

Endometriosis, a condition where uterine lining-like tissue grows outside the uterus, affects about 10% of women of reproductive age and is a significant cause of secondary dysmenorrhea. In India, an estimated 42 million women may have this disorder, which remains underdiagnosed due to pain being normalized. Uterine fibroids are also prevalent, affecting 20-40% of Indian women.

Factors like pollution, processed foods, sedentary lifestyles, and stress may contribute to conditions like fibroids and endometriosis, even in younger individuals. Exposure to pesticides and endocrine disruptors in plastics and cosmetics are also under scrutiny for their role in inflammation and increasing risks. Long-term use of painkillers like ibuprofen is discouraged due to potential health issues and the risk of masking serious conditions.

Early detection through medical consultation and non-invasive screenings like ultrasounds is crucial. Prompt treatment can prevent complications such as scar tissue, anemia, and fertility problems. Coutinho emphasizes believing and supporting women experiencing such pain, rather than advising them to endure it.