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Q. Which medicine works best for severe menstrual pain?

Answered by
Dr. Jyoti Gupta
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 29, 2018 and last reviewed on: Sep 16, 2020

Hello doctor,

I am a 28 year old female nurse, I have been having severe menstrual pain throughout my life, and sadly each year the pain increases. Since I was a college student, each month for all the four days of my period, I had to stay home lying in the fetal position, had to keep a heating pad on my lower abdomen and used to take some serious pills. I have seen so many doctors, and each one of them gave me the diagnosis of endometriosis. After I had done a deep search about this medical condition, I was not happy at all. I even tried contraceptive pills for six month, which reduced my pain but made me gain 9 kg due to pure water retention. So, I stopped the pills, and the pain returned more aggressively.

Since I start working as a nurse, I am having problems to keep up with the working time during my periods. And my colleagues cannot always help me out to switch working days with me. So, I had a laparoscopy, and they found inflammatory things, but they could not determine what exactly it is. So, I changed my doctor and did an RMI, according to it they found some endometriosis tissues. And I also have a retroverted uterus. I am tired and sick of this issue, and lately, I started taking medicines to help me endure my pain. According to the latest doctor that I consulted, I have only two options, a medication called Visanne or an injection called Decapeptyl. I am terrified from both, because of there side effects and unknown results. And these will make my body go through menopause. Please help me.

Dr. Jyoti Gupta

Infertility Obstetrics And Gynaecology


Welcome to

The diagnosis is indeed endometriosis. And yes, endometriosis causes very painful periods, and the only way to stop this pain is to stop your periods, which can be done through pills, injections or surgery.

Surgery is not the answer for you, as you have already had one. And chances of recurrence are high post surgery unless we remove the uterus and ovaries too. But, we cannot do that at your age.

These injections will cause menopausal problems. So, Visanne (Dienogest) is a better choice.

Or an intrauterine system called Mirena can be inserted, which will save you from taking medicines daily.

For more information consult an obstetrician and gynaecologist online -->

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