Heavy period pain relief: what can help

Strong cramps happen when the uterus contracts, while heavy bleeding can reflect changes in the uterine lining, hormones or the shape of the uterus. Adenomyosis and uterine fibroids can cause both pain and heavy flow. Endometrial polyps, endometrial hyperplasia, polycystic ovary syndrome and perimenopause may also change bleeding patterns. Heavy blood loss can contribute to iron deficiency anaemia, especially when tiredness, breathlessness or dizziness develop.

A heating pad or warm bath may relax pelvic muscles. Rest, gentle movement and fluids can make a difficult day more manageable. Ask a pharmacist or clinician which anti-inflammatory pain medicine is suitable for you; some medicines are not appropriate with pregnancy, stomach ulcers, kidney disease, blood thinners or certain allergies. Keep a record of bleeding, clots, pain, missed activities and medicines used. A clinician may discuss options that reduce bleeding or regulate cycles after considering your health, pregnancy plans and the likely cause.

Arrange a medical review if pain is new, worsening, repeatedly disrupts daily life or continues despite self-care. Seek urgent help for bleeding that rapidly soaks products, faintness, severe weakness, chest discomfort, trouble breathing, sudden severe pelvic pain or possible pregnancy with bleeding. Do not drive yourself if you feel faint. Bring your bleeding record and a list of medicines to the appointment.

Could fibroids, adenomyosis, a lining problem or another condition explain my symptoms? Which pain medicines are safe with my health history? Should I have blood tests for anaemia, and what treatments fit my pregnancy plans?