What to know about severe period cramps

For many women, severe period cramps can be more than just uncomfortable—they can be debilitating.

Tuesday, April 15th 2025, 12:48 pm

By: Graham Dowers


For many women, severe period cramps can be more than just uncomfortable—they can be debilitating. In today's Daily Dose, Dr. Lacey Anderson addressed a viewer’s question about what to do when painful periods become too much to bear.

Managing Period Pain with Birth Control

Painful period cramps can be improved with birth control pills, which can regulate periods, decrease the flow and the duration of periods, and help with cramping.

For those seeking more options beyond the pill, Dr. Anderson noted several alternatives, including birth control shots, intrauterine devices (IUDs), implantable devices, as well as birth control patches or rings. There is even a new over-the-counter birth control pill available for those without access to a doctor.

When to See a Specialist

However, when standard treatments aren’t enough, Dr. Anderson recommends consulting with an OBGYN. Severe cramps could potentially be caused by a condition called endometriosis, which is more common in people with very heavy bleeding during periods. In some cases, doctors may suggest exploratory surgery to confirm the diagnosis.

Recognizing Emergency Symptoms

Dr. Anderson also emphasized the importance of knowing when pain signals something more serious. If you’re having severe pain that feels much worse than normal cramping, that can be a reason to be seen urgently in the ER. Conditions such as ectopic pregnancy, miscarriage, appendicitis, ovarian cysts, and intestinal infections can mimic or intensify period-related discomfort.

Know When to Ask for Help

For women unsure of what’s normal, Dr. Anderson’s advice is simple: don’t ignore persistent or worsening symptoms. “Good luck and take care,” she said, inviting

Viewers can submit their health questions to Daily Dose by calling the hotline at 841-9999 or emailing dailydose@news9.net.

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