• Question: why do girls experience pain during mp

    Asked by javisflo to Jacquie, Esther, Henry, Byron, David on 6 Jul 2017. This question was also asked by 985ylwj1724, sublime, Belly.
    • Photo: Jacquie Oliwa

      Jacquie Oliwa answered on 6 Jul 2017:


      Hi there..
      When it comes to that time of the month, mild cramping, bloating, and irritability – although nuisances – are all to be expected. However, crippling cramps, heavy bleeding, serious fatigue and other symptoms that affect your quality of life are not. If your periods are causing you significant pain, consult your doctor, because menstrual pain can be a sign of a serious problem.
      Some of these include:
      i) Endometriosis
      ii) Adenomyosis
      iii) Fibroids
      iv) Pelvic inflammatory disease (caused by sexually transmitted infections)
      v) Uterine defects etc
      Cramping that can’t be explained by structural defect or a reproductive condition, also known as primary dysmenorrhea, occurs at some point in almost half of all menstruating women. This cramping is caused by increased or imbalanced levels of prostaglandins – hormone-like fatty acids that stimulate the uterus to contract. Changes in prostaglandin levels can cause more intense and frequent uterine contractions, leading to the compression of nearby blood vessels and cutting off oxygen to the uterine muscle, thus causing painful cramping and discomfort.

      I hope that answers your question?
      Kind regards,
      Jacquie

    • Photo: Esther Muthumbi

      Esther Muthumbi answered on 6 Jul 2017:


      Many women experience painful periods at some point in their lives. Pain can range from mild to severe. Physiologically its caused by contraction of the uterus which helps to expel the blood. That is the normal process, which is hormone controlled. Severe painful cramps are not normal and this should be investigated, especially if accompanied by heavy bleeding or fever.

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