PCOS-Related Period Pain: How to Manage it

pcos related period pain

Polycystic ovary syndrome (PCOS) is a common endocrine disorder that affects many women of reproductive age. One of the most frequent symptoms of PCOS is period pain, which can be severe and disruptive to daily life. However, there are many ways to manage and alleviate the discomfort caused by PCOS-related period pain. In this article, we’ll discuss the different ways in which you can manage this type of menstrual pain, from lifestyle changes to medical treatments.

Understanding PCOS and Period Pain

Before delving into the specifics of effective secondary menstrual pain management, it’s essential to understand the connection between PCOS and extreme period pain.

Polycystic ovary syndrome (PCOS) is a hormonal disorder that affects women of reproductive age. PCOS affects up to 10% of women worldwide. Women with PCOS have higher levels of androgens, which are male hormones that women also produce. This hormonal imbalance can cause a range of symptoms, including irregular,  painful periods, weight gain, acne, and excess hair growth, such as excess facial hair.

What is PCOS?

PCOS occurs when the ovaries produce too much testosterone, leading to an imbalance of hormones. This hormonal imbalance causes the formation of cysts in the ovaries (polycystic ovaries), which can interfere with the ovulation process and lead to irregular, painful periods.

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While the exact cause of PCOS is unknown, researchers believe that genetics and environmental factors may play a role. Women with a family history of PCOS are more likely to develop the condition, as are those who are overweight or obese.

How Does PCOS Affect Periods?

PCOS can cause irregular menstruation, with painful periods often being longer or shorter than the averagePeriod Cramps menstrual cycle. Additionally, some women with PCOS may experience heavier, painful periods, or lighter bleeding during their periods than they typically would.

Irregular periods can make it difficult for women with PCOS to conceive, as ovulation may not occur regularly. However, with the right treatment, many women with PCOS are able to get pregnant and have healthy babies.

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The Link Between PCOS and Period Pain

Persistent period pain is a common symptom of PCOS. The pain can be caused by the inflammation of the cysts in the ovaries, and can range from mild cramping to more severe pain and discomfort.

Women with PCOS may also experience pain during ovulation, which can occur when the cysts rupture and release fluid into the abdomen. This pain is often described as a sharp, stabbing sensation on one side of the abdomen.

Managing painful periods can be challenging for women with PCOS, as traditional relief methods may not be as effective. However, there is a range of treatments available, including over-the-counter pain medications, hormonal birth control, and lifestyle changes such as exercise and a healthy diet.

It’s important for women with PCOS to work closely with their healthcare provider to find the right treatment plan for their individual needs. With the right care and management, women with PCOS can lead healthy, fulfilling lives.

Lifestyle Changes to Manage PCOS-Related Pain

A few lifestyle changes can help you manage the pain associated with PCOS. These changes include:

Importance of a Balanced Diet

For women with PCOS, it’s essential to maintain a healthy, balanced diet. This includes consuming complex carbohydrates, lean proteins, and healthy fats. Additionally, reducing your intake of processed foods, added sugars, and refined flour can help reduce inflammation and improve hormonal balance.

It’s also important to note that consuming a diet rich in anti-inflammatory foods can help reduce pain levels. Foods such as fatty fish, nuts, and leafy greens are excellent sources of anti-inflammatory compounds that can help reduce pain and inflammation associated with PCOS.

Exercise and Its Benefits

Regular physical activity has been shown to reduce the symptoms of PCOS, including painful periods. Exercise can help regulate hormones, control weight gain, and alleviate stress. Women with PCOS should aim to engage in moderate physical activity for 30 minutes each day.

It’s important to note that finding an exercise routine that you enjoy can help you stick to it long term. Activities such as yoga, Pilates, and swimming can be excellent options for women with PCOS as they are low impact and can help reduce stress and hormone levels.

Stress Management Techniques

Stress can exacerbate the symptoms of PCOS, including painful periods. Effective stress management techniques, such as practicing mindfulness, regular exercise, and taking time for self-care can help reduce stress levels.

Other stress management techniques that can be helpful for women with PCOS include deep breathing exercises, meditation, and acupuncture. These techniques can help reduce stress levels, improve mood, and alleviate pain associated with PCOS.

Prioritizing Sleep

Getting enough sleep is crucial for women with PCOS. This is because poor sleep can disrupt hormonal balance and exacerbate pain during heavy, painful periods. Aim for seven to eight hours of sleep each night to improve your overall health and reduce period pain.

It’s also important to note that creating a relaxing sleep environment can help improve sleep quality. This can include keeping your bedroom cool, dark, and quiet, avoiding electronics before bed, and establishing a consistent sleep routine.

Natural Remedies to Treat Period Pain 

Period pain is a common issue that many women face during their menstrual cycle. Menstrual pain can be mild to severe and can interfere with daily activities. While over-the-counter pain relievers can provide relief, some women prefer to try natural remedies to avoid side effects. Natural remedies can be effective in alleviating the discomfort associated with PCOS-related period pain. Here are some natural remedies to try:

Heat Therapy

Using a heating pad or hot water bottle can help reduce period pain. Heat therapy can improve blood flow to the area, which can relieve pain and promote relaxation. You can also take a warm bath to relax your muscles and reduce cramping. Adding Epsom salt to your bathwater can also help ease muscle tension and decrease average blood loss.

Herbal Supplements

Some herbal supplements have been shown to provide relief for period pain. Chamomile tea contains anti-inflammatory compounds that can reduce inflammation and pain. Additionally, ginger and turmeric supplements have been shown to be effective in reducing period pain. These supplements can be taken in capsule form or added to your diet in the form of a tea or spice.

Essential Oils

Essential oils such as lavender and peppermint have analgesic properties and can be effective in reducing cramping pain too. Apply the essential oil onto your skin, or opt for using a diffuser to disperse the scent throughout the room. You can also mix the essential oil with a carrier oil, such as coconut oil, and massage it onto your lower abdomen to ease abdominal cramps.

Massage and Acupressure

Massaging the lower abdomen and using acupressure techniques can help reduce period pain. Apply gentle pressure to the specific points listed as the key pressure points for period pain relief. You can also try a full body massage to promote relaxation and reduce stress, which can exacerbate period pain.

It’s important to note that natural remedies may not work for everyone and it’s always best to consult with your healthcare provider before trying any new treatment. Additionally, maintaining a healthy diet and exercise routine can also help reduce PCOS pain and promote overall wellness.

Over-the-Counter Pain Relief Options

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder that affects women of reproductive age. One of the common symptoms of PCOS is period pain, which can range from mild discomfort to severe cramping. Over-the-counter pain relief medications can be effective in managing PCOS-related period pain. Here are some options to consider:

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs such as ibuprofen and naproxen sodium are effective in reducing inflammation and pain. These medications work by blocking the production of prostaglandins, a hormone that contributes to pain and inflammation. However, it is important to note that long-term use of NSAIDs can lead to side effects such as stomach ulcers and kidney damage. It is always advisable to consult with a healthcare provider before taking any medication.


Acetaminophen can help reduce pain and fever associated with PCOS-related period pain. Unlike NSAIDs, acetaminophen works by blocking the production of pain signals in the brain. It is generally considered safe when taken as directed, but it can cause liver damage if taken in excessive amounts or with alcohol.

Topical Pain Relief Creams and Patches

Corticosteroids Medication TrackerTopical pain relief creams and patches can be effective in reducing inflammation and pain. These products contain ingredients such as menthol or camphor and are applied directly to the skin. They can provide localized relief without the risk of side effects associated with oral medications. However, it is important to follow the instructions carefully and avoid applying them to broken or irritated skin.

In addition to over-the-counter medications, there are several lifestyle changes that can help manage PCOS-related period pain. Regular exercise, a healthy diet, and stress management techniques such as yoga and meditation can all contribute to reducing pain and inflammation. It is also important to stay hydrated and get enough sleep.

If over-the-counter medications and lifestyle changes do not provide adequate relief, it may be necessary to consult with a healthcare provider. They can recommend prescription medications or other treatments such as hormonal birth control or surgery.

Medical Treatments for PCOS and Period Pain

Polycystic Ovary Syndrome, commonly known as PCOS, is a hormonal disorder that affects women of reproductive age. One of the most common symptoms of PCOS is painful periods, which can be debilitating and interfere with daily life. While lifestyle changes and natural remedies can help manage PCOS-related period pain, some women may require medical treatments to alleviate their symptoms, which can be as simple as over the counter painkillers.

Hormonal Birth Control

Hormonal birth control pills are a popular choice for many women suffering with PCOS-related period pain. These medications work by inhibiting ovulation and regulating hormonal balance. By preventing ovulation, hormonal birth control pills can help regulate menstrual cycles, reduce heavy bleeding, and alleviate pain associated with PCOS-related period pain. However, it is important to note that hormonal birth control pills may not be suitable for all women and may have side effects.


Metformin is a medication commonly used to treat diabetes. However, it has also been shown to be effective in alleviating PCOS-related period pain by regulating insulin and hormonal balance. Metformin can help regulate menstrual cycles and reduce menstrual pain and menstrual cramps. It is important to note that metformin may have side effects, such as gastrointestinal discomfort.

Clomiphene Citrate

Clomiphene citrate is a medication that stimulates ovulation. It can be effective in regulating menstruation pain associated with PCOS-related period pain. However, clomiphene citrate may not be suitable for all women and may have side effects, such as hot flashes and mood swings.

Surgical Options

In some cases, surgery may be necessary to remove cysts that are causing pain and discomfort. Some procedures include laparoscopic ovarian drilling, which involves using a laser to destroy the ovarian tissue, or a cystectomy, which involves cutting and removing the cyst. Surgery is typically considered a last resort and is only recommended if other treatments have not been effective.

It is important to talk to your doctor about the best treatment options for you and to discuss the potential risks and benefits of each treatment. With the right treatment plan, women with PCOS-related or persistent and severe period pain, can manage their symptoms and improve their quality of life.

Coping with Emotional Aspects of PCOS-Related Pain

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. One of the most common symptoms of PCOS is severe period pain, which can be debilitating and affect a woman’s quality of life. PCOS-related pain can take a toll on your emotional wellbeing, causing anxiety, depression, and frustration. Here are some ways to manage the emotional aspects of period cramps:

Seeking Support from Friends and Family

Living with PCOS-related pain can be isolating, but talking with friends and family members can help you manage the emotional burden. They may not fully understand what you’re going through, but they can offer a listening ear and a shoulder to lean on. They may also be able to offer insight or resources for managing the pain and can be a source of comfort.

It’s important to remember that you don’t have to go through this alone. Lean on your loved ones for support, and don’t be afraid to ask for help when you need it.

Joining a Support Group

Joining a support group can provide a sense of community and belonging with other women affected by PCOS-related pain. Support groups can provide additional resources for managing the pain and offer a safe space to share your feelings. You can find support groups online or in-person, and they can be a great way to connect with others who understand what you’re going through.

Being part of a support group can help you feel less alone and more empowered to manage your pain. You can share your experiences, learn from others, and gain new insights into how to cope with the emotional aspects of PCOS-related pain.

Working with a Mental Health Professional

Living with chronic pain can be emotionally draining, and it’s not uncommon to experience anxiety, depression, or other mental health issues as a result. Working with a mental health professional can provide you with strategies for managing the emotional aspects of PCOS-related pelvic pain.

A therapist can help address the anxiety and depression that often accompany chronic pain. They can teach you coping skills and relaxation techniques to help you manage your symptoms. They can also help you work through any negative thoughts or emotions that may be contributing to your pain.

Remember, managing the emotional aspects of PCOS-related pain is just as important as managing the physical symptoms. By seeking support from friends and family, joining a support group, and working with a mental health professional, you can better cope with the challenges of living with PCOS-related pain.

When to Consult a Healthcare Professional

In some cases, PCOS-related period pain may require medical attention. Here are some indications to be aware of:

  • Intense Pain: If you experience intense pain during your periods that affect your ability to complete daily activities, then you should consult a healthcare professional.
  • Accompanying Symptoms: If your pain is accompanied by other symptoms such as severe bleeding, fever, or vomiting, you should seek medical attention promptly. Also, fertility problems could be a concern to you.
  • Chronic Pain: If you experience chronic PCOS-related pain, it is important to seek medical attention to manage your symptoms and prevent further complications.

It is important to note that every woman’s experience with PCOS is unique, and what may be considered normal for one person may not be for another. If you are unsure whether your pain requires medical attention, it is always best to consult with a healthcare professional.

Finding a PCOS Specialist

If you struggle with chronic PCOS-related pain, finding a healthcare professional who specializes in treating PCOS can be helpful. PCOS specialists have the expertise and experience to provide an accurate diagnosis, using a pelvic ultrasound, offer you effective treatment options, and regularly monitor your progress.

When searching for a healthcare professional, consider asking for recommendations from friends or family members who have PCOS. You can also consult with your primary care physician or use online resources to find a specialist in your area.

It is important to find a healthcare professional who you feel comfortable with and who you can trust to provide you with the best possible care.

Preparing for Your Doctor’s Appointment

Before seeing your doctor, consider preparing a list of symptoms, questions, and concerns that you mayHeavy Bleeding have regarding your pain. This can help ensure that you get the most out of your appointment and receive appropriate treatment for your condition.

Some questions you may want to consider asking your healthcare professional include:

  • What is causing my PCOS-related pain?
  • What treatment options are available to manage my symptoms?
  • What are the potential side effects of these treatments?
  • How long will it take for me to see improvement in my symptoms?
  • What lifestyle changes can I make to help manage my PCOS?

By being prepared and asking questions, you can work with your healthcare professional to develop a treatment plan that is tailored to your unique needs and goals.

Using the CareClinic App to Help with PCOS

People with PCOS diagnosed may find the CareClinic App beneficial. The app can act as your personal health journal, where you can track your symptoms. Whether you experience pelvic abnormalities from pelvic inflammatory disease, irregular period, endometriosis fibroids, secondary dysmenorrhea, dermal patches, or diabetes you can write down these symptoms as they occur and the app will create charts to visualize this information. This information will also be handy next time you visit your doctor.

Furthermore, you can also track all your medications on the app, whether you are using an intrauterine contraceptive device, oral contraceptives, hormone-like substances, or other medications. We know how difficult keeping track of your health is, and we want to help you achieve your goals, whether it be fixing hormone imbalance, achieving a normal range of lipid levels, or just being able to engage in everyday activities.

PCOS-related period pain can be challenging, but there are many effective ways to both manage period pain and alleviate the discomfort that it causes. By adopting lifestyle changes, natural remedies, over-the-counter pain relief options, medical treatments, and coping strategies, you can successfully manage PCOS-related period pain and improve your overall quality of life.


  • https://www.hopkinsmedicine.org/health/conditions-and-diseases/polycystic-ovary-syndrome-pcos
  • https://www.mayoclinic.org/diseases-conditions/pcos/symptoms-causes/syc-20353439
  • https://www.cdc.gov/diabetes/basics/pcos.html
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Dmitri Yang