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What is the solution for PMS and painful period?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

iCliniq medical review team

Published At December 23, 2016
Reviewed AtFebruary 1, 2024

Patient's Query

Hi doctor,

I am asking you on behalf of my friend. Here are the symptoms, which she had around three to seven days before bleeding. All symptoms of PMS along with occasional migraine with glaucoma, nausea, pain in the lower part of spine and cramps. On the first day of bleeding, she is having painful cramps of uterus, dizziness, breathlessness and nipple soreness. On the second day she will look better, but the pain will still be strong. Sometimes, she complains of right ovary pain. The doctor she consulted earlier said the solution to get rid of the pain permanently is to give birth. Please suggest an alternative solution. Her current prescription is Microgynon 21. Her weight is 98.3 lbs and height is 5.3 feet.

Answered by Dr. Sameer Kumar


Welcome to icliniq.com.

This is dysmenorrhea with premenstrual syndrome (PMS). If the pains are severe and symptoms are uncontrollable, then please follow the following prescription. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

  1. Tablet Arcalion (Sulbutiamine) - one tablet twice daily from day 15 to 25 of the cycle that is for 10 days.
  2. Capsule Evaglow 1000 (vitamin supplement) - once a day from day 25 to day 2 of next cycle.
  3. Tablet Evaspas (Dicycloverine) - one in the morning and one in the evening for five to seven days. Start from the first day of abdominal cramp.

Continue the above medicines for three cycles. Pregnancy once planned shall help decrease dysmenorrhea, but till then she can practice the above medication. Most importantly, keep her water intake high for 10 to 15 glasses per day, as that shall play an important role in keeping the progesterone withdrawal effects down, which lead to PMS and menses. Microgynon 21 (Ethinyl estradiol and Levonorgestrel) is an oral contraceptive pill and not necessarily help with PMS, but it shall control heavy bleeding and provide contraception.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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