Treatment of painful menstruation by gynecologist Ekaterina Vyacheslavovna Silantyeva in Dnipro.

Patients present with complaints of painful menstruation that interfere with daily life, either recurring or appearing for the first time, as well as when self-care measures have been ineffective.

The doctor conducts a thorough clinical assessment, reviews the complaints and medical history, and, if necessary, orders additional examinations to gain an accurate understanding of the condition.

The patient receives a clear action plan: recommendations for initial measures, necessary tests, and ways to monitor symptoms over time.

Ekaterina Vyacheslavovna pays special attention to the differential diagnosis of the causes of pain, adjusts treatment for comorbid conditions, and provides support throughout all stages of patient care.

When to See a Doctor

Painful periods can manifest in different ways, and sometimes it can be difficult to know when to seek help. If the pain recurs, worsens, or interferes with your daily life, consulting a specialist is necessary. A doctor can help identify the causes of your symptoms, assess your overall condition, and suggest an appropriate course of action. You should schedule an appointment with a gynecologist if you notice any of the following during painful periods:

• Persistent or increasing pain in the lower abdomen during menstruation
• Severe cramps that interfere with work or daily activities
• Pain accompanied by weakness or dizziness
• Frequent recurring painful periods that were not a problem before
• Ineffectiveness of self-care methods to relieve pain
• Intensifying pain with each menstrual cycle
• Onset of pain after a long period without symptoms
• Menstrual cycle irregularities along with painful sensations
• Pain that disrupts your sleep during menstruation
• Recurring symptoms following stressful situations or lifestyle changes
• No improvement after starting previous treatment
• Painful periods occurring alongside other chronic illnesses

If you experience such symptoms or situations, consulting a doctor will help rule out serious causes and find suitable ways to alleviate your condition. Avoid self-treatment without professional evaluation — timely medical attention will help manage the situation and prevent potential complications.

Emergency conditions or when to see a doctor urgently

• Sudden and very severe pain in the lower abdomen that rapidly intensifies
• Combination of painful sensations with severe dizziness or fainting
• Sudden deterioration of overall condition accompanied by pain during menstruation
• Appearance of unusual discharge with a strong unpleasant odor and discomfort
• Bleeding significantly heavier than a normal menstrual flow

If you experience these symptoms, do not wait for a scheduled appointment — we recommend calling a doctor to your home immediately for a quick and professional assessment.

Causes and Risk Factors of Painful Menstruation

Understanding the possible causes of painful menstruation helps determine which examinations and measures should be taken. The doctor assesses the condition to identify the main mechanisms behind the symptoms and factors that may influence their severity.

Main Causes / Mechanisms (briefly)

• Disorders in uterine function associated with intensified muscle contractions
• Inflammatory processes in the pelvic organs
• Hormonal changes affecting the menstrual cycle
• Conditions related to pathologies of the cervix or endometrium
• Psycho-emotional stress that can enhance pain perception

Risk Factors

• Young age and onset of menstruation
• Presence of chronic gynecological diseases
• Frequent stressful situations and psycho-emotional tension
• Hereditary predisposition to painful menstruation
• Unbalanced diet and deficiency of essential nutrients
• Sedentary lifestyle
• Early onset of menstrual function
• Hormonal balance changes related to age or other conditions

Reversible Causes That Should Be Ruled Out

• Inflammatory diseases requiring treatment
• Genital infections affecting pain syndrome
• Unbalanced contraception causing discomfort
• Stress and psychological factors that can be corrected

Painful menstruation can have various causes, and accurate diagnosis requires a specialist’s examination. It is especially important to promptly exclude reversible conditions in order to select optimal measures and control the symptoms.

Diagnosis

To determine the causes of painful menstruation, the doctor uses a sequential approach that helps understand the condition and identify the necessary steps to alleviate symptoms. This examination takes place in several stages and considers the individual characteristics of the patient.

Diagnostic Approach

• Taking medical history with analysis of complaints and specifics of the menstrual cycle
• Examination and palpation of the pelvic organs to assess their condition
• Ordering basic laboratory tests as indicated
• Performing an ultrasound examination of the pelvic organs if necessary
• Additional studies based on individual indications
• Analyzing results and developing a plan for further monitoring or treatment

Typical Examinations as Indicated

• Ultrasound of the pelvic organs to assess the uterus and ovaries
• Complete blood count and biochemical blood tests if inflammation is suspected
• Hormonal status tests in cases of menstrual cycle disorders
• Swab tests for infections of the reproductive system as indicated
• Additional examinations if suspicions of other pathologies arise

What to Bring to the Appointment

• Results of previous examinations and tests
• List of medications taken regularly
• Menstrual cycle diary describing symptoms and their severity
• Records of previous consultations and prescribed treatments

Diagnosing painful menstruation requires careful examination and a comprehensive approach. This allows for the development of a detailed plan and selection of optimal measures, taking into account the individual characteristics of each patient.

Treatment

The treatment of painful menstruation is aimed at reducing discomfort and improving quality of life. The therapy plan is tailored individually, taking into account the causes of symptoms and the health characteristics of each patient.

Therapy Goals

• Reduce the intensity and frequency of pain during menstruation
• Address possible underlying causes contributing to the pain
• Improve overall well-being and daily activity
• Prevent potential complications and health issues

Main Treatment Approaches

• May include medication-based methods as indicated, aimed at symptom relief
• Non-pharmacological measures play an important role, such as physiotherapy and lifestyle recommendations
• Additional interventions may be applied if necessary, in consultation with a physician
• Therapy is individualized and developed considering comorbidities and patient-specific features

What the Doctor Does

• Selects and adjusts the treatment plan according to changes in the patient’s condition
• Takes into account comorbidities and individual health aspects
• Monitors possible side effects and modifies therapy as needed
• Explains the criteria for effectiveness and the steps for evaluating outcomes
• Coordinates treatment with other specialists if necessary

What to Expect: Planning and Monitoring

• Effectiveness of the therapy is regularly assessed; timing depends on the individual case
• Treatment plans may be adjusted if the response is insufficient or symptoms change
• Follow-up visits may be scheduled for monitoring and support
• The doctor assists in adapting recommendations based on the patient’s condition dynamics

For detailed information on treatment options, please consult with Dr. Ekaterina Vyacheslavovna Silantyeva.

Prevention

Prevention of painful menstruation helps reduce the risk of symptom worsening and improve overall well-being. A prevention plan is tailored individually, taking into account the patient's health characteristics.

Main Primary Prevention Measures

• Managing stressful situations and maintaining psycho-emotional balance
• Following a healthy lifestyle with adequate physical activity
• Promptly consulting a doctor at the first changes in the menstrual cycle
• Avoiding harmful habits that may increase discomfort
• Maintaining a normal weight and balanced nutrition

Screening and Secondary Prevention / Regular Monitoring

• Regular gynecological examinations as recommended by a doctor
• Screening for inflammatory and infectious diseases as indicated
• Monitoring hormonal levels if menstrual cycle disorders are present
• Monitoring concomitant chronic diseases as part of ongoing care

Practical Tips

• Discuss lifestyle modification options with your doctor to reduce symptoms
• Keep a menstrual diary, noting changes and sensations
• Avoid excessive physical and emotional stress during menstruation
• Pay attention to timely attendance of preventive check-ups
• If necessary, consult a specialist to adjust the ongoing treatment

Preventive measures help control the symptoms of painful menstruation and support women’s health; it is important to regularly discuss them with your doctor.

Important to Know

Painful periods are a common condition that can have various causes and manifestations. It is important not only to relieve the symptoms but also to understand what is causing the discomfort. Early evaluation by a specialist helps to choose the right treatment strategy and reduce the risk of complications. Sometimes ongoing monitoring is necessary, with adjustments to the treatment plan depending on changes in the condition. Overall well-being, stress, physical activity, and accompanying illnesses can affect the course of symptoms.

• Identifying the underlying cause and triggering factors of pain is essential for effective treatment
• Early consultation helps prevent progression and complications
• Ongoing monitoring allows for treatment adjustments and improved outcomes
• The impact of lifestyle, sleep, and emotional state should not be underestimated
• Self-medication can complicate diagnosis and cause side effects
• Our clinic offers a comprehensive approach and continuous monitoring of the patient’s condition

If you are troubled by painful periods, don’t delay seeing a doctor. Understanding and timely evaluation of symptoms will help select an appropriate treatment plan and improve your quality of life. You can learn more about treatment approaches on our general page dedicated to gynecological issues.

Self-Help Before the Appointment: What You Can and Cannot Do

Before your visit to Dr. Ekaterina Vyacheslavovna Silantyeva, you can take several safe steps to ease your condition and prepare for the consultation. If your condition worsens, it is important to seek help immediately.

What you can do before the appointment

• Note when and how painful menstruation began, recording the intensity and characteristics of the pain
• Keep a symptom diary, tracking possible triggers and the time of day
• Bring a list of medications you are taking and their dosages (if you remember) to the appointment
• Measure your temperature and, if possible, your blood pressure for a general assessment of your condition
• Try to reduce physical activity and rest during severe pain
• Drink enough water to avoid dehydration, especially with heavy discharge
• Use common and generally safe methods to relieve pain as indicated
• Maintain hygiene and avoid factors that could increase discomfort

What you should not do before the appointment

• Do not stop or change prescribed medications without consulting the doctor
• Do not start combining several new remedies or medications on your own
• Do not trust unverified folk remedies or dubious advice
• Do not try to interpret test results and examinations by yourself
• Do not ignore worsening pain or new symptoms, even if you are trying self-help measures
• Do not postpone the consultation if alarming symptoms arise or your condition deteriorates
• Do not take additional medications without your doctor’s approval

If you notice signs of worsening or emergency symptoms, seek immediate help from Dr. Ekaterina Vyacheslavovna Silantyeva.

How I can help as a doctor with issues related to painful menstruation

When addressing the problem of painful menstruation, I offer a comprehensive approach that not only helps relieve symptoms but also investigates their underlying causes. During the consultation, you will receive detailed attention, an assessment of your current condition, and a plan of further actions tailored to your individual situation.

In a consultation for painful menstruation, I can assist you in the following ways:

• Analyze your complaints and medical history to identify possible causes of the pain
• Assess the severity of symptoms and identify any associated risk factors
• Review current treatments and evaluate the tolerability of previously prescribed medications
• Plan sequential steps, including necessary examinations, treatment, and follow-up
• Consider comorbidities and medications that may influence the symptom course
• Provide lifestyle and regimen recommendations based on your individual characteristics
• Discuss criteria for evaluating progress and guidelines for follow-up consultations if needed
• Conduct an initial differential diagnosis to exclude other causes of pain
• Adjust the treatment plan if the effect is insufficient or side effects occur

This comprehensive approach allows not only temporary relief of painful menstruation but also the development of a strategy that takes all aspects of your health into account and adapts as the situation changes.

The consultation helps to form a clear and detailed action plan which ensures comfortable support throughout all stages of treatment and monitoring.

Here are the kinds of questions you can discuss with Dr. Ekaterina Vyacheslavovna Silantyeva during a consultation about painful menstruation:

• Persistent or occasional lower abdominal pain during periods
• Severe cramps that interfere with work and daily life
• Increasing discomfort with each cycle or pain occurring for the first time
• Sleep disturbances caused by pain and discomfort
• Lack of effect from self-care measures or previously prescribed treatments
• Additional symptoms and conditions related to painful periods
• Recurring symptoms or the need for a second opinion on treatment

If you experience sudden severe pain, loss of consciousness, or heavy bleeding, seek emergency medical care immediately instead of waiting for a scheduled appointment.

Frequently Asked Questions from Patients:

• What could be causing the pain and why does it occur specifically during menstruation?
• Why have painful periods started only now?
• How can I tell if the pain is related to menstruation or another condition?
• What examinations are necessary in my particular case?
• Which tests and procedures are really important, and which can be avoided?
• How should I prepare for tests and the initial consultation?
• What treatment options are available and what are their specifics?
• Is it possible to completely get rid of painful periods or is this a lifelong issue?
• What should I do if the prescribed treatment doesn’t help?
• Can it be managed without medication or surgery?
• How long does treatment usually last and how often are follow-ups needed?
• How do I know if my condition is improving or worsening?
• What steps should I take if symptoms suddenly worsen or flare up?

Painful menstruation can have various causes, and a consultation will help to thoroughly understand your individual situation. The doctor will identify which questions are most relevant to you and, if needed, refer you to specialists or for additional tests. In cases of acute conditions or dangerous symptoms, do not delay seeking urgent medical care.

How a consultation takes place

A consultation for painful menstruation involves a thorough discussion of complaints and symptoms, assessment of the condition, and development of a plan for further action. The extent of necessary examinations is determined individually, based on indications, in order to understand the cause of discomfort and select appropriate treatment. It is not always possible to make a definitive diagnosis in a single visit, but you can receive referrals for further examinations and support.

1. Clarifying complaints and visit objectives: the doctor will ask what exactly is troubling you, when the symptoms began, how they affect your life, and what you expect from the appointment.
2. Taking medical history and risk factors: discussing the characteristics of the menstrual cycle, presence of other diseases, and stressful situations.
3. Reviewing previous treatments and examinations: it is important to bring test results, medical records, and a list of medications you are taking.
4. Examination and basic tests (if indicated): the doctor will assess the condition of the pelvic organs and may perform an ultrasound or other safe procedures.
5. Preliminary evaluation: forming an opinion about possible causes of symptoms, noting conditions that require exclusion or special attention.
6. Examination plan: if necessary, additional tests are prescribed, such as blood tests, hormonal assays, or ultrasound of the reproductive organs.
7. Treatment and management plan: general therapy principles, lifestyle advice, and rest recommendations are discussed; treatment is tailored individually.
8. Follow-up and next steps: the doctor will explain when to return for evaluation of treatment effectiveness or further monitoring.

If this is your first visit, special attention is paid to clarifying symptoms and identifying causes. If you are already undergoing treatment without improvement, the consultation will thoroughly examine why this is happening and adjust the therapy plan accordingly.

This approach helps you feel more confident and receive the necessary support at every stage of treating painful menstruation.

Preparation for the Appointment

Preparing for a gynecologist appointment regarding painful periods can help speed up diagnosis and treatment planning. Following simple recommendations will make the consultation as effective as possible.

• Bring a list of all current medications: names, dosages, and how you take them
• Bring all available results from previous examinations, including pelvic ultrasound, blood tests, and hormone tests
• Write down your main complaints: when and how symptoms appear, and what worsens or relieves them
• Do not stop taking prescribed medications without consulting your doctor
• If possible, come on an empty stomach; do not eat or drink for 8–12 hours before the appointment (unless otherwise advised—check when booking)
• Avoid applying cosmetics and creams on the abdominal area before the examination
• Check with the reception if you have any special preparation instructions for the examination
• Bring questions or notes you want to discuss during the consultation

If you are unsure about preparation, it’s best to clarify details when making the appointment to avoid missing important nuances. Do not change your medication regimen on your own, as this can complicate diagnosis and proper treatment.

About the Doctor

Ekaterina Vyacheslavovna Silantyeva is an obstetrician-gynecologist with over 10 years of experience. She specializes in preventive examinations and the diagnosis of diseases of the female reproductive system, with particular attention to patients experiencing painful menstruation.

She often works with women who need:

• an initial consultation,
• monitoring for recurring symptoms,
• or therapy adjustment after ineffective treatment.

Ekaterina Vyacheslavovna focuses on differential diagnosis of causes and monitoring the effectiveness of prescribed treatment. During the consultation, you will receive a clear explanation of your situation and a plan for the next steps.

Why Patients Choose Dr. Ekaterina Vyacheslavovna Silantyeva

When working with painful menstruation, Ekaterina Vyacheslavovna offers thorough diagnostics to identify the causes and a careful analysis of symptoms. She considers not only current complaints but also accompanying conditions, which allows her to select the safest and most effective treatment plan. Patients appreciate the systematic approach to monitoring and timely adjustment of therapy as their condition changes.

• Clear treatment plan with defined stages: examinations, therapy, and outcome monitoring
• Examinations only as indicated, without unnecessary or redundant procedures
• Consideration of comorbidities and medications to reduce risks and conflicts
• Symptom progression monitoring and treatment adjustments if desired results are not achieved
• Review of previous prescriptions and drug tolerance to optimize therapy
• Explanation of the plan and possible options in an accessible and understandable language
• Dynamic patient management with regular condition monitoring and prevention of exacerbations

This approach helps patients not only alleviate symptoms but also understand the causes of painful menstruation and work steadily towards improving their condition. A consultation with Ekaterina Vyacheslavovna is a structured and attentive process focused on results and patient comfort.

Case Studies

Initial Presentation with Complaints of Painful Menstruation

A middle-aged female patient presented with complaints of regular severe menstrual pain that interfered with work and daily activities. It was important to rule out inflammatory processes and serious gynecological pathologies. After a thorough history-taking and examination, a diagnostic plan was developed followed by appropriate monitoring. Over time, the symptoms diminished and the overall condition stabilized. The patient continues to be under regular observation to assess treatment effectiveness and to adjust the plan as needed.

Treatment Adjustment in the Absence of Effect

A middle-aged woman experienced recurrent symptoms of painful menstruation after prolonged self-treatment without improvement. The physician conducted a detailed review of current prescriptions and medication tolerance, identifying the need to revise the management approach. Additional examinations were prescribed to clarify the cause, and new recommendations were developed. Over several weeks, a gradual decrease in pain intensity was noted. Regular monitoring and therapy adjustments are ongoing based on follow-up results.

Chronic Course with Comorbid Conditions

A patient with a long history of painful menstruation accompanied by chronic illnesses sought evaluation and symptom management. The physician considered the impact of comorbidities when selecting therapy and performed regular monitoring. Preventing deterioration of the general condition and complications was a priority. According to dynamic observation results, the patient’s condition stabilized, and she received advice on maintenance strategies and prevention.

Symptom Exacerbation and Control Plan

A woman with previously diagnosed issues experienced an exacerbation of painful menstruation with increasing pain and worsening discomfort. The physician promptly assessed her condition, adjusted the management plan, and ordered additional investigations as indicated. During the monitoring period, symptoms decreased and well-being improved. Ongoing monitoring and preventive measures continue to help avoid further exacerbations.

How long does a consultation for painful menstruation last?

A consultation usually takes 30-60 minutes; please check the exact time when booking.

How should I prepare for the appointment?

Prepare by noting the specifics of your symptoms and medical history, and bring a list of medications and test results.

What should I bring to the appointment?

It is recommended to bring test results, ultrasound scans, other examinations, a list of medications you are taking, and symptom notes.

Do I need to come on an empty stomach or are there any restrictions?

Usually, there are no restrictions unless otherwise advised; come in your normal state.

How many visits are typically required for treatment?

The number of visits depends on the cause and progress; usually a series of consultations is needed to monitor and adjust therapy.

When can I expect to see the first treatment results?

Results vary individually and depend on the chosen treatment strategy and your condition.

What should I do if symptoms worsen before the appointment?

If pain intensifies, you experience fainting, or heavy bleeding, seek emergency medical help immediately.

Can treatment be combined with my current medications?

Discuss all medications during the appointment; do not change or stop any drugs on your own.

Is an online consultation possible?

Yes, online consultations are available if there is no acute condition and technical conditions allow.

Can I come with already completed examinations?

Yes, please bring all examination results to speed up the diagnosis.

Do I need to come back for follow-up visits and how often?

Follow-up visits are planned individually to monitor treatment effectiveness and adjust the plan.

Can I get a second opinion on my situation?

Yes, you can receive an additional opinion from a doctor at our clinic.

What should I do if symptoms return after improvement?

See your doctor to assess the causes and possibly adjust the treatment.

What examinations are necessary for painful menstruation?

The extent of examinations is determined individually, depending on symptoms and doctor’s recommendations.

How can I understand if my pain is specifically related to menstruation?

Diagnosis involves evaluating your symptoms and ruling out other causes, which is discussed in detail during the consultation.

Can I self-treat at home?

Self-treatment is not recommended as it may complicate diagnosis and affect therapy choice.

How often is prevention needed for painful menstruation?

Preventive measures are discussed individually and depend on your situation and risk factors.

What should I do if treatment does not bring relief?

Inform your doctor; treatment strategy may need to be adjusted.