Can Menstrual Suppressants Help Alleviate Severe Period Pain? - Obstetrics and Gynecology

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Menstrual suppressants


Due to severe menstrual pain, I have to receive pain injections and take painkillers each time, but eventually, they become less effective.
I experience recurrent cramping and nausea during my period, which greatly impacts my life.
After researching, I found that there are menstrual suppressants that can potentially adjust menstruation to once a year, but I couldn't find any actual experiences shared domestically.
I would like to ask if this is truly a viable option.
I sincerely hope to receive an answer! Thank you!

Miss Sung, 20~29 year old female. Ask Date: 2019/03/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Due to severe menstrual pain, I have to take painkillers and receive injections every time, but over time, they have become less effective.
I experience recurrent cramping and nausea during my period, which greatly affects my daily life.
After researching, I found that there are menstrual suppressants that can adjust menstruation to once a year, but I couldn't find any actual experiences shared domestically.
I would like to know if this is truly a viable option.

Answer: Taking a 21-day combination oral contraceptive continuously for four months can reduce menstruation to about three times a year, but it may cause irregular bleeding as a side effect.

Reply Date: 2019/03/03

More Info


Menstrual suppressants, also known as hormonal contraceptives, can indeed help alleviate severe period pain, also known as dysmenorrhea. These medications work by regulating or suppressing the menstrual cycle, which can lead to a reduction in the severity and frequency of menstrual cramps. The most common types of menstrual suppressants include birth control pills, hormonal IUDs (intrauterine devices), and other hormonal therapies such as the contraceptive patch or the vaginal ring.

The mechanism by which these suppressants alleviate pain is primarily through the reduction of prostaglandin levels. Prostaglandins are hormone-like substances that are produced in the lining of the uterus and are responsible for the contractions of the uterine muscles during menstruation. High levels of prostaglandins can lead to more intense cramps and pain. By using hormonal contraceptives, the production of these prostaglandins is decreased, which can result in less painful periods.

In addition to reducing pain, menstrual suppressants can also help manage other symptoms associated with severe menstrual cycles, such as nausea, vomiting, and fatigue. For women who experience debilitating symptoms that interfere with daily life, these medications can provide significant relief and improve overall quality of life.

However, it is essential to consult with a healthcare provider before starting any form of hormonal contraceptive. They can assess your medical history, discuss potential side effects, and determine the most appropriate option for your specific situation. Common side effects of hormonal contraceptives may include nausea, breast tenderness, mood changes, and breakthrough bleeding. In some cases, women may experience more severe side effects, such as blood clots, especially if they have other risk factors.

In your case, since you have been relying on painkillers and injections for relief, it may be beneficial to explore the option of menstrual suppressants with your healthcare provider. They can provide guidance on the different types available and help you weigh the benefits against any potential risks.

It's also worth noting that menstrual suppressants are not the only option for managing severe period pain. Other treatments may include nonsteroidal anti-inflammatory drugs (NSAIDs), lifestyle changes, physical therapy, and alternative therapies such as acupuncture. Each of these options has its own set of benefits and considerations, and a healthcare provider can help you develop a comprehensive treatment plan tailored to your needs.

In summary, menstrual suppressants can be an effective way to alleviate severe period pain by regulating hormonal levels and reducing the production of pain-causing substances. If you are considering this option, it is crucial to have an open discussion with your healthcare provider to ensure that you choose the best approach for your health and lifestyle.

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