Primary vs secondary pain
Primary period pain occurs without an underlying condition and is related to the normal menstrual process. Secondary pain is caused by a condition such as endometriosis, adenomyosis, or fibroids.
Symptoms worth noting
Pain that is getting worse, occurs outside your period, or comes with other symptoms is worth reviewing.
- Pain that stops you doing normal activities
- Pain during sex or when opening bowels
- Pain outside of your period
- Heavy bleeding alongside pain
Diagnosis: what to expect
A specialist may take a history, examine you, and arrange imaging such as ultrasound. In some cases, further assessment for endometriosis may be discussed.
Options
Options depend on the cause and can include pain management, hormonal approaches, or treatment of an underlying condition. These are decided together with a clinician.
When to see a specialist
If period pain is severe, worsening, or affecting your life, it's worth seeking review, particularly to check for conditions like endometriosis.
Frequently asked questions
Sources & further reading
This page is structured around information from reputable Australian health bodies:
Related articles
More plain-language reading from Dr Sivadas.
Period pain affecting your life?
Appointments are managed on the practice site.
Consulting locations
Parramatta
Monash IVF
Level 2, 1 Fennell Street
Parramatta NSW 2151
Bella Vista
Norwest Private Hospital
Suite 106, 11 Norbrik Drive
Bella Vista NSW 2153
Penrith
Somerset Specialist Centre
Level 3/38 Somerset St
Penrith NSW 2747