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Many women experience abdominal or pelvic pain during their menstrual cycle. While mild cramps are common, severe pain with heavy or irregular bleeding may signal an underlying gynecological condition that needs medical attention

Common Symptoms

Menstrual or abdominal pain may be accompanied by:

  • Heavy or prolonged periods (menorrhagia)

  • Irregular spotting or bleeding between cycles

  • Severe cramping before or during periods

  • Bloating, abdominal swelling, or back pain

  • Pain during intimacy

  • Nausea, fatigue, or dizziness

  • Difficulty conceiving

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Why It Happens

Menstrual pain and heavy bleeding are often linked to:

  • Fibroids – non-cancerous growths in the uterus causing pain and excessive bleeding

  • Endometriosis – tissue similar to the womb lining grows outside the uterus, leading to severe cramps and irregular bleeding

  • Ovarian cysts – fluid-filled sacs that may rupture, causing sudden pain and bleeding

  • Hormonal imbalances – affecting cycle regularity and blood flow

  • Pelvic infections (PID) – can cause pelvic pain, fever, and abnormal bleeding

  • Pregnancy-related issues – such as ectopic pregnancy or miscarriage

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Treatment Options

Treatment depends on the cause and future fertility plans:

  • Medications: Pain relief, hormonal therapy to regulate bleeding

  • Minimally invasive procedures: Laparoscopy, hysteroscopy, embolization for fibroids or endometriosis

  • Surgery: For larger fibroids, persistent cysts, or severe cases

  • Lifestyle & Support: Diet, stress management, and physiotherapy to ease long-term symptoms

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Types of Abdominal Pain in Women

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  • Strong cramps linked to the menstrual cycle, often caused by fibroids or endometriosis.
  • Severe, sharp pain that starts suddenly (e.g., ruptured cyst, ectopic pregnancy).

  • Lasting for months, often tied to hormonal conditions or advanced endometriosis.

  • Strong cramps linked to the menstrual cycle, often caused by fibroids or endometriosis.
  • Severe, sharp pain that starts suddenly (e.g., ruptured cyst, ectopic pregnancy).

  • Lasting for months, often tied to hormonal conditions or advanced endometriosis.

Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

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Dr. Sozdar Abed

Gynecology & Obstetrics
Consultant Obstetrics and Gynecology
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Dr. Shereen Ali Elnagar

Gynecology & Obstetrics
Specialist obstetric and gynecology
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Dr. Aisha Khalid AlMukhtar

Gynecology & Obstetrics
Specialist Obstetrics & Gynaecology
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FREQUENTLY ASKED QUESTIONS

  • When should I see a doctor for menstrual pain or heavy bleeding?

  • Can menstrual pain and heavy bleeding affect fertility?

  • What treatments are available for painful or heavy periods?

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