Period pain consultations

Period pain that is more severe than mild discomfort can be a sign of:

• Primary dysmenorrhoea, caused by muscular uterine contractions
• Secondary dysmenorrhoea, due to an underlying condition such as endometriosis, fibroids, adenomyosis or pelvic inflammatory disease
• Hormonal imbalances or structural issues

If period pain is:

• Affecting your quality of life
• Increasing over time
• Accompanied by heavy bleeding, nausea, pain during intercourse, or fertility concerns, a consultation can help clarify the cause and guide effective management

Before your appointment

You may be asked to keep a menstrual symptom diary to record:

• Pain severity
• Duration of symptoms
• Associated symptoms (nausea, headaches, bowel or bladder changes)
• Use of pain relief

This information helps your clinician understand your symptom pattern.

During the consultation

Your specialist will:

• Take full a medical and menstrual history
• Discuss your symptoms in detail
• Perform a physical or pelvic examination if appropriate
• Advise on imaging or tests needed (e.g. – Ultrasound)

After the consultation

You will receive a personalised support which may include:

• Pain management techniques
• Hormonal treatments
• Referral for further imaging or additional treatment such as surgery options.

At our hospital we provide comprehensive assessment, ultrasound and advanced gynaecological imaging, individual treatment plans, minimal invasive surgery options when needed, medical treatment and overall compassionate and confidential care

Common causes reviewed during consultation include:

• Primary dysmenorrhoea – no underlying pathology but painful cramps
• Endometriosis – growth of endometrial tissue outside the uterus
• Fibroids – benign muscular tumours in the uterus
• Adenomyosis – endometrial tissue within the uterine muscle
• Pelvic inflammatory disease (PID)
• Other reproductive or hormonal conditions

Each condition is discussed sensitively, and diagnostic options are explained clearly so you understand the next steps