Gynaecologist explains when period pain signals endometriosis

Period pain is common but severe pain interfering with daily life may indicate an underlying condition like endometriosis, says gynaecologist Dr Siddesh Iyer at Saukhyam Hospital, Borivali East, Mumbai.

Pain occurs due to uterine spasms from shedding lining, releasing prostaglandins; this condition is called dysmenorrhea.

Primary dysmenorrhea has no underlying cause; secondary dysmenorrhea develops or worsens due to a pelvic organ condition.

Severe pain that causes missed school or work warrants medical attention.

Managing period pain includes staying hydrated—aiming for at least two litres of water daily—along with lifestyle changes and medical support.