Painful-Periods

Natural treatments for pain-free periods

The most common menstrual complaints reported by women are painful periods. If you are one of these women, you’ve likely been told that the pain associated with your period is normal. Studies show that up to 93% of women of reproductive age have painful periods, and because it is so common, it is easily brushed off as normal. But just because something is common, doesn’t make it normal!

SO, WHAT IS NORMAL?

Mild cramping in the lower abdomen or lower back on the first day or two of your period is considered normal. However, it is not normal for the pain to be debilitating or to keep you from your normal daily activities.

In medicine, dysmenorrhea is the pain associated with menstruation. Dysmenorrhea can have a huge impact on women’s lives, leading to restriction of daily activities, lower academic performance in adolescents, poor quality of sleep, and mood disorders like anxiety and depression… And this should never be brushed off as normal!

WHY PAINFUL PERIODS?

Dysmenorrhea can be divided into two categories; primary dysmenorrhea and secondary dysmenorrhea. Secondary dysmenorrhea is menstrual pain caused by an underlying condition, like endometriosis or adenomyosis. If you suffer from dysmenorrhea it is important to work with your healthcare provider to identify the root of the issue to ensure you receive appropriate treatment.

If you’ve been diagnosed with endometriosis, see my previous post here.

Today, I want to focus on dysmenorrhea that can’t be explained by an underlying disease or condition (aka primary dysmenorrhea). Primary dysmenorrhea is caused by an over secretion of chemical messengers called prostaglandins. Prostaglandins are released at the end of every cycle to cause the uterine tissue to contract to release the uterine lining – so to bring on each period. Studies show that the more prostaglandins you have, the worse your cramps will be. Women with primary dysmenorrhea have higher levels of prostaglandins leading to more intense uterine contraction and therefore, more cramping and pain.

NSAIDS & ESTROGEN DOMINANCE

Conventionally, non-steroidal anti-inflammatories (NSAIDS), like ibuprofen, naproxen, and aspirin, are the recommended treatment for cramps. These work because they block prostaglandin production. However, NSAIDs also inhibit ovulation which can lead to hormonal imbalances that can exacerbate painful periods, and create new symptoms!

When ovulation doesn’t occur, progesterone levels remain low which produces an estrogen dominant state, meaning cramps, PMS, heavy bleeding, tender breasts, etc. So, instead of relying on NSAIDS, let’s discuss other ways to get to the bottom of painful periods.

NATURAL TREATMENTS FOR PAIN-FREE PERIODS

Here are a few simple strategies for helping to manage dysmenorrhea:

GINGER

  • Ginger has been shown to be equally effective as ibuprofen in treating pain due to its anti-inflammatory and anti-spasmodic properties
  • Ginger can be started 3 days before the onset of menses until 3 days into the period to increase its effectiveness

MAGNESIUM

  • Magnesium can be used throughout the month to prevent dysmenorrhea and at the onset of pain
  • Women in some trials of magnesium experienced a reduction in period pain and a lowering of prostaglandins in their blood
  • I have patients take magnesium every night and increase the dose right before their period starts
  • Magnesium can also help to regulate the bowels to help eliminate excess estrogen, but be careful not to overdo the magnesium, as it can lead to loose stools – if you get loose stools with magnesium supplements, choose a form over an oxide or citrate

FISH OIL

  • Fish oil is high in omega-3 fatty acids which are potent anti-inflammatories, and they work by altering prostaglandin production
  • At high doses (about 2g daily) Omega-3’s have been shown to reduce menstrual pain, and may even be superior to NSAIDS

MELATONIN

  • Melatonin is not only a sleep hormone, it is an antioxidant, anti-inflammatory and has analgesic properties, thereby reducing pain
  • When melatonin levels are high, prostaglandin production is inhibited which decreases the contractile force of the uterus and reduces cramping

ZINC

  • Zinc has been shown to prevent menstrual cramps when given daily for one to four days before the onset of bleeding. This may be due to its antioxidant and anti-inflammatory actions in the uterus
  • Zinc is also a key nutrient for a number of hormone receptors and proteins that contribute to healthy, balanced mood and immune function

DIETARY CHANGES

  • To reduce cramping, avoid inflammatory foods like: refined sugars, gluten, conventional dairy products, refined vegetable oils, processed grains, poor quality meats and processed meats (like cold cuts, hot dogs, cured meats, etc.), alcohol and caffeine.
  • Identify and remove food sensitivities – this can be done with an elimination diet or by having a blood test that identifies foods you may be reacting to
  • Consume foods high in omega-3 fatty acids that can help decrease prostaglandin production, like wild-caught fish like salmon, sardines, mackerel, etc
  • Ensure you are eating enough fiber – at least 30g daily – to help bind excess hormones and ensure proper elimination

EXERCISE

  • Regular aerobic exercise is a well-known treatment for decreasing painful periods
  • Exercise increases blood flow to the pelvis and stimulates the release of endorphins which have an analgesic effect, reducing the severity of menstrual cramps

ACUPUNCTURE

  • Acupuncture can significantly reduce dysmenorrhea. It works both physically and energetically, addressing the acute painful sensation, while also harmonizing the systems of the body to prevent dysmenorrhea
  • I recommend weekly acupuncture sessions for at least 2-3 cycles to see the full benefit

WAYS TO PREVENT DYSMENORRHEA

  • Practice stress reduction – women who report high levels of stress are twice as likely to experience painful periods
  • Weight management – those who are overweight have higher levels of inflammation
  • Avoid smoking – smokers have a higher risk of developing dysmenorrhea
  • Reduce alcohol consumption – excessive alcohol consumption is associated with higher levels of pain
  • Get regular exercise
  • Eat a balanced, whole foods diet – grab a copy of my FREE hormone balancing meal plan here

It is important to understand why you are experiencing menstrual pain and if there are no underlying disorders, there are many lifestyle, dietary and supplemental interventions that can help you ease period pain so that you don’t have to dread that time of the month! With any of the above treatments, give yourself at least three cycles to determine the benefit. If there are no substantial improvements in pain, it is time to determine if there is something else going on.

To pain-free periods,

Dr. Bronwyn

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WRITTEN BY:

Dr. Bronwyn is a naturopathic doctor in Toronto, Ontario with a clinical focus in Women's Health. She works with women transitioning off the oral contraceptive pill and those with specific fertility concerns, to reach a state of hormonal balance or in preparation for a healthy pregnancy. Dr. Bronwyn is passionate about empowering women to reclaim their hormonal health, to enable a full and vibrant life.

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