What medication can women take for menstrual pain?
Most menstrual pains in women are caused by "cold uterus" (a traditional concept referring to poor uterine circulation or function). If the pain is severe and affects daily life or work, medication can be considered to relieve symptoms. However, menstrual pain is divided into two types—primary dysmenorrhea and secondary dysmenorrhea—and treatment should be tailored according to the specific condition.
1. Primary Dysmenorrhea
Primary dysmenorrhea typically causes abdominal pain during menstruation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can effectively relieve pain associated with primary dysmenorrhea. Topical analgesic suppositories may also be used, which avoid oral administration, reduce gastrointestinal irritation, and minimize potential side effects on the liver and kidneys. It is essential to strictly follow a doctor’s instructions when taking medication.
2. Secondary Dysmenorrhea
Secondary dysmenorrhea is mostly caused by conditions such as endometriosis or gynecological inflammation. Patients may take pain-relieving medications such as Yuanhu Zhitong Pian (Corydalis pain-relief tablets) or ibuprofen. For patients who do not plan to become pregnant, short-term oral contraceptives may also be an option. These are particularly effective for those with irregular periods, as they can effectively suppress menstrual pain and improve menstrual cycles.
During menstruation, it is important to rest adequately. Avoid raw, cold, greasy, spicy, and other irritating foods. Stay warm and do not get chilled. Consume easily digestible foods rich in vitamins. Seek timely medical evaluation and treatment to address any underlying conditions causing the pain.