It is normal to experience menstrual cramps. They are caused by the presence of prostaglandins in the uterus. These are chemicals that occur naturally in the body. They play a significant role in controlling body temperature and inflammation. They also control the constriction of the smooth muscles and their dilation. In the uterus they perform the activity of contracting the uterine muscles, expelling the uterine lining when the woman menstruates and induction of labor contractions during childbirth. According to gynae, it is normal to experience some cramping during menstruation but abnormal cramping is something to be taken seriously. According to IVF doctor, the extreme cramping could indicate something wrong with the reproductive system and fertility of the woman. Doctors at IVF Punjab further emphasizes the relationship between extreme cramping and infertility.
What is the relationship between menstrual cramps and infertility?
If you experience intense menstrual cramps, then it could be due to the following conditions which could cause infertility as well-
- Endometriosis: it is a condition in which the lining of the uterus or the endometrium starts growing outside the uterus. It is known to be the culprit in 50 % of infertility cases.
- Fibroids: It is a condition in which an abnormal mass of muscle starts growing in the uterus. They can cause pain low fertility and a high risk of miscarriage. As the symptoms are not obvious sometimes, some women never know that they have fibroids.
- PID: This condition is characterised by a scar tissue which makes a web-like structure between the uterus, fallopian tubes, and ovaries. It also leads to the blockage of fallopian tubes.
- Adenomyosis: It is a condition in which the endometrium grows into the muscle of the uterus. It causes painful and heavy periods. Experts are still divided over their role in infertility but it might be a probable cause.
What is the relationship between Pelvic Pain and Fertility?
Many women experience pelvic pain even when they are not menstruating. This could be ovulation pain, which happens during ovulation. It causes women to prevent sexual intercourse when they are ovulating. It is indeed unfortunate as this is the time they are most likely to conceive. However, some women experience pain during sex at all times. This condition is neither desirable nor normal.
Treatment for Painful Periods
If you are among the ones who have painful periods, you should consult your doctor. He might suggest the following remedies-
- Hormonal pills (for birth control) may hold the solution for your pain. However, it can’t be used if you are trying to conceive.
- Many over the counter medicines are available for killing the pain like ibuprofen, acetaminophen, and naproxen.
If the pain is caused by endometriosis, fibroids or adhesions then it must be treated with surgery. Fertility treatment can follow the surgery.
If the condition is chronic, then the removal of the uterus may also be suggested. However, if you still haven’t had your children then this option is not suitable for you.