Painful Periods (Dysmenorrhea): Causes and Modern Treatments

Menstrual cramps are common, but severe pain that interferes with work, school, or daily activities is not normal and should be evaluated. Many treatable gynecologic conditions can cause significant menstrual pain.

At Complete Healthcare in Richland, WA, evaluation focuses on identifying underlying causes and offering targeted treatments that improve quality of life.

Common causes of painful periods

• Primary dysmenorrhea (uterine prostaglandin activity)

• Endometriosis

• Fibroids

• Adenomyosis

• Ovarian cysts

• Pelvic infection

Diagnosis may involve pelvic examination, ultrasound, or additional testing depending on symptoms.

Treatment approaches

Treatment is tailored to symptom severity and reproductive goals:

• Anti-inflammatory medications

• Hormonal contraceptives

• Hormonal IUD therapy

• Endometriosis management

• Minimally invasive surgical treatment when necessary

Early management prevents progression of conditions such as endometriosis and reduces long-term complications.

When to seek care

Evaluation is recommended if:

• Pain worsens over time

• Pain prevents normal activity

• Over-the-counter medications are ineffective

• Pain occurs outside menstrual cycles

Effective treatment can dramatically improve daily functioning and long-term reproductive health.

Call 509-392-6700 to schedule your consultation today.

Richard Lorenzo, D.O.

Kortney Jones, ARNP

 Women’s Health and Wellness Care in Richland, WA