Treatment of painful menstruation by obstetrician-gynecologist Alina Aleksandrovna Vasilyeva in Dnipro.

Women seek help for painful menstruation, menstrual cycle irregularities, as well as worsening symptoms and lack of effectiveness from self-care measures.

The doctor conducts a clinical evaluation, thoroughly reviews complaints and medical history, and, if necessary, orders appropriate examinations to clarify the cause.

Patients receive a clear action plan: what to do now to alleviate their condition, which tests to undergo, and how to monitor progress.

Alina Alexandrovna Vasilieva pays special attention to the differential diagnosis of causes and manages patients dynamically, ensuring a systematic approach to treatment and prevention of exacerbations.

When to See a Doctor

Painful periods can manifest in various ways, and occasional discomfort can happen to any woman from time to time. However, if the unpleasant sensations become regular or intensify, it is worth consulting a specialist. A doctor will help determine the causes of the symptoms, assess your situation, and, if necessary, recommend an examination.

You should make an appointment with an obstetrician-gynecologist if, during painful menstruation, you notice:

• persistent or increasing pain during your period
• pain that interferes with your daily activities or affects your quality of sleep
• irregular or changed patterns in your menstrual cycle
• discharge with unusual color, smell, or consistency
• painful sensations in the lower abdomen outside of menstrual days
• recurring symptoms that appear every month
• no improvement after trying to relieve symptoms with home remedies
• chronic condition with periodic flare-ups
• increasing intensity of symptoms over time
• unsatisfactory results from previously prescribed treatment
• a desire to get a second opinion about your current condition
• discomfort appearing after stressful situations or lifestyle changes

Even if the symptoms seem familiar, their worsening or frequent recurrence requires consultation with a specialist. The doctor will assess your condition, help identify possible causes, and develop a plan to manage the condition. Seeking medical advice will help prevent complications and enable appropriate treatment tailored to your health needs.

Emergencies or When You Need to See a Doctor Immediately

• sudden heavy bleeding from the genital area
• sharp, increasing lower abdominal pain that does not subside
• high fever with chills accompanied by pain
• severe dizziness or fainting along with lower abdominal pain
• combination of severe pain with nausea and vomiting

If you experience any of these symptoms, do not wait for a scheduled appointment — it is recommended to call a doctor to your home as soon as possible to receive necessary care and assessment.

Causes and Risk Factors of Painful Menstruation

This section will help you understand where menstrual pain may come from and what aspects to pay attention to for further evaluation by a doctor. Knowing possible causes and risk factors can help you undergo timely examination and manage your condition.

Main Causes / Mechanisms (briefly)

• Hormonal changes affecting uterine contractions
• Increased production of prostaglandins — substances that intensify pain and cramps
• Inflammatory processes in the pelvic organs
• Presence of benign growths in the uterus or ovaries
• Impaired blood circulation and uterine muscle spasms
• Nervous system characteristics that heighten pain perception

Risk Factors

• Young age (more common in women of reproductive age)
• Hereditary predisposition to painful menstruation
• Prolonged stress and psycho-emotional strain
• Irregular or very short menstrual cycles
• Excessive weight or rapid changes in body weight
• Sedentary lifestyle
• Previous infectious diseases of the pelvic organs
• Smoking and harmful habits

Reversible Causes to Rule Out

• Hormonal imbalance, which can be corrected under medical supervision
• Inflammatory diseases requiring treatment
• Metabolic disorders affecting menstrual cycle regulation

Each of the listed causes or factors requires evaluation by a specialist to accurately understand the source of painful sensations. Painful menstruation is a reason to check your health status and exclude reversible problems.

Diagnosis

Diagnosis of painful menstruation is aimed at understanding the possible causes of discomfort and selecting further management strategies. It is carried out step by step to ensure the patient feels confident and understands the steps that will be taken.

Diagnostic Approach

• Detailed medical history taking, considering complaints and characteristics of the menstrual cycle
• Examination and gynecological examination to assess the condition of the reproductive organs
• Basic laboratory tests if necessary — general blood and urine analyses
• Ultrasound examination of the pelvic organs as indicated
• Additional tests based on individual indications, including hormonal studies
• Discussion of results and determination of the further action plan

Typical Examinations as Indicated

• Pelvic ultrasound
• Laboratory hormone tests
• Examination for inflammatory processes
• If necessary — additional imaging methods

What to Bring to the Appointment

• Existing medical reports and results of previous examinations
• List of medications taken
• Symptom diary, if you keep one
• Questions and observations you want to discuss with the doctor

The diagnosis of painful menstruation helps to identify possible causes and develop a clear plan for further action and treatment.

Treatment

Treatment for painful menstruation is aimed at relieving symptoms and improving overall well-being. The therapy plan is developed individually by the doctor, taking into account the specifics of each case and the results of examinations.

Therapy Goals

• reduction of pain and discomfort during menstruation
• correction of possible causes contributing to pain
• improvement of quality of life and maintenance of normal activity
• prevention of complications and exacerbations

Main Treatment Approaches

• may include medications for pain relief and inflammation reduction as indicated
• non-pharmacological methods such as physiotherapy and lifestyle recommendations are possible
• hormonal therapy may be used if necessary, individually and under doctor’s supervision
• treatment of concomitant conditions if their influence on symptoms is confirmed
• the therapy plan is built considering risk factors and overall health status

What the Doctor Does

• selects and adjusts therapy depending on the body's response and symptom changes
• takes into account comorbidities and the patient’s health characteristics
• monitors possible side effects of the prescribed treatment
• explains to the patient the criteria for evaluating therapy effectiveness
• coordinates actions with other specialists if needed

What to Expect: Plan and Monitoring

• approximate evaluation of therapy effectiveness after several months, depending on the situation
• regular symptom monitoring and treatment plan adjustments if necessary
• the need for follow-up visits to assess progress and adapt therapy
• possibility of changing the approach if there is no positive effect or if side effects occur

Detailed information about treatment options for painful menstruation can be obtained during a consultation with Dr. Alina Alexandrovna Vasilyeva.

Prevention

Prevention is important for reducing the risk of worsening painful periods and improving overall well-being. A prevention plan is tailored individually, taking into account your health characteristics and medical history.

Main Primary Prevention Measures

• stress management and maintaining psychological balance
• regular physical activity as recommended by your doctor
• balanced nutrition and maintaining a healthy weight
• quitting smoking and limiting harmful habits
• timely treatment and prevention of inflammatory diseases of the pelvic organs

Screening and Secondary Prevention / Regular Monitoring

• regular gynecological examinations as indicated
• monitoring the menstrual cycle and symptoms to detect changes
• hormonal disorder screening as recommended by your doctor
• examination and treatment of comorbidities as indicated

Practical Advice

• record changes in your well-being and menstrual symptoms to discuss with your doctor
• pay attention to warning signs and consult your doctor promptly
• maintain a routine of rest and sleep, avoiding overfatigue
• discuss any changes in medication and their effects on menstruation with your doctor

Preventive measures for painful periods help manage the condition and timely adjust treatment under medical supervision.

Important to Know

Painful menstruation is a common problem that can significantly affect quality of life. For effective treatment, it is important not only to relieve the pain but also to understand and eliminate the possible causes and factors triggering the discomfort. Early assessment by a doctor helps to choose the optimal strategy and reduce the risk of complications. Sometimes ongoing observation is required to adjust the treatment plan depending on changes in symptoms. It is important to consider overall health, lifestyle, stress levels, and other factors that may influence the menstrual cycle.

• Identifying the cause of painful menstruation helps to select the appropriate treatment and prevents recurring problems
• Early consultation reduces the risk of progression and complications
• Treatment often requires regular monitoring and adjustment depending on its effectiveness
• Stress, lack of sleep, and chronic diseases can worsen the symptoms of painful menstruation
• Self-medication can alter the symptom pattern, complicating diagnosis and leading to side effects
• In our clinic, the doctor evaluates the condition comprehensively, paying attention to all aspects of the patient’s health

For more detailed information about the causes and solutions for menstrual problems, we recommend visiting the general page on women’s health.

Self-care before the appointment: what you can and cannot do

Before the appointment for painful menstruation, it is important to follow safe steps to avoid worsening your condition or distorting the symptom picture. If your condition worsens at any time, urgently contact Dr. Alina Aleksandrovna Vasileva.

What you can do before the appointment

• Write down when and how the painful sensations began, and what makes the pain better or worse
• Keep a symptom diary noting the intensity and duration of complaints
• Bring a list of all medications you are taking, if any, to the appointment
• Measure your temperature or blood pressure if you know how, and record the results
• Reduce physical activity and ensure rest until the medical examination
• Drink enough water to avoid dehydration
• If there are no contraindications, you may use simple painkillers as recommended by a specialist
• Pay attention to accompanying symptoms and note them for discussion with the doctor

What you should not do before the appointment

• Do not stop or change medications without consulting a doctor
• Do not start using multiple new remedies or medications at the same time
• Do not use folk or unverified methods for quick pain relief
• Do not ignore worsening symptoms or delay seeing a specialist
• Do not try to self-diagnose based on symptoms or test results
• Do not postpone seeking help if your condition significantly worsens
• Do not engage in self-diagnosis and self-treatment as this may complicate making an accurate diagnosis
• Do not use medications without instructions and a doctor's prescription

If you experience signs of an emergency, seek medical help immediately from Dr. Alina Aleksandrovna Vasileva.

How I Can Help as a Doctor with Painful Periods

During a consultation regarding painful periods, I will help you understand the causes of your symptoms, assess their severity and impact on your well-being. Together, we will create a plan for examinations and further steps to manage the situation and improve your quality of life. At the appointment, you will receive support and answers to all important questions about your condition.

In a consultation about painful periods, I can assist you by:

• Reviewing your complaints and medical history to identify possible causes
• Assessing the severity of symptoms and identifying risk factors affecting your condition
• Analyzing current prescriptions and evaluating treatment tolerability
• Developing a diagnostic workup plan based on indications to clarify the diagnosis
• Selecting a treatment and management strategy tailored to your individual needs
• Considering comorbidities and current medications when planning therapy
• Providing recommendations on lifestyle and daily habits relevant to your condition
• Discussing criteria for monitoring progress and when it is important to follow up with a doctor
• Adjusting the treatment plan if effectiveness is insufficient or side effects occur

Medical care for painful periods is a comprehensive approach that goes beyond simply prescribing medications. A systematic evaluation and ongoing monitoring are essential to achieve the best outcomes. Consulting a specialist will ensure professional support and help you find the most suitable path for treatment and prevention.

What questions can you ask the doctor about painful periods

During a consultation regarding painful periods, you can discuss the following questions with Alina Alexandrovna Vasilyeva:

• Are you experiencing constant pain in the lower abdomen during your periods?
• How much does the pain disrupt your usual daily routine?
• Are there any discharges with an unpleasant odor or unusual color?
• Do the symptoms recur every month or get worse over time?
• Is there a lack of effect from the current methods or prescribed treatment?
• Are there any additional symptoms related to other health issues?
• Is there a need to adjust therapy or get a second opinion on the current treatment?

In case of sudden heavy bleeding, severe sharp pain, or high fever — emergency assistance is required; do not wait for a scheduled appointment.

Frequently Asked Questions during the Consultation

• What is happening to me and what could it be?
• Why did the painful periods start right now?
• How can I tell if the pain is related to my periods and not another problem?
• What examinations are necessary specifically in my case?
• Which tests and investigations are truly essential?
• How should I properly prepare for the examinations and consultation?
• What treatment options are available and how do they differ?
• Is it possible to completely get rid of painful periods?
• What should I do if the prescribed treatment does not help?
• Can I manage without medication or surgery?
• How long does treatment last and how often should my condition be monitored?
• What signs indicate that my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

If urgent symptoms arise, it is important to seek immediate help or call a doctor. During the consultation, Alina Alexandrovna Vasilyeva will help you understand the causes of painful periods, suggest a plan for examinations and treatment, and answer all your questions to ease your condition and improve your quality of life.

How the Consultation Proceeds

A consultation with a doctor is a detailed review of your complaints, an assessment of your current condition, and the development of a plan for further actions. The scope of necessary examinations is determined individually, based on indications, your symptoms, and medical history. During the appointment, a precise diagnosis is not usually promised in one visit — more often, it is the start of the process of examination and observation.

1. Clarifying complaints and the purpose of the visit: we find out exactly what troubles you, how long the symptoms have been present, what affects your condition, and what the patient expects.
2. Collecting medical history and risk factors: we study concurrent diseases, menstrual cycle characteristics, and the history of previous problems.
3. Discussing previous treatments and examinations: we analyze what has already been tried and, if available, ask you to bring test results and a list of medications.
4. Conducting an examination and/or specialized tests as indicated, to assess the condition of the pelvic organs and other important parameters.
5. Forming a preliminary conclusion: determining probable causes, what is important to exclude, and which issues require additional attention.
6. Developing an examination plan, which may include ultrasound, laboratory tests, and other necessary procedures.
7. Discussing treatment and management options, taking into account your individual characteristics and examination results.
8. Planning follow-up and subsequent visits: explaining when to assess progress, when to come back for a repeat visit, or when to seek help earlier if changes occur.

If this is your first visit, the main focus will be on thoroughly clarifying symptoms and searching for causes for further diagnosis. If you have previously undergone treatment but the effect was weak or absent, special attention will be given to analyzing the reasons and adjusting the approach.

Preparation for the Appointment

To ensure that your appointment with the obstetrician-gynecologist is effective and helps expedite the development of an accurate treatment plan, it is important to prepare in advance. This will allow for a thorough discussion of your symptoms and the receipt of appropriate recommendations.

• Bring a list of all current medications (names, dosages, how you take them)
• Take with you the results of previous examinations, scans, and tests (ultrasound, blood and urine tests, hormonal tests)
• Write down your main complaints and symptoms: when they start, what increases or decreases the pain
• Do not stop taking prescribed medications without consulting your doctor
• If there are special instructions, such as fasting, refrain from eating and drinking for at least 8 hours (unless otherwise recommended, confirm when making your appointment)
• Avoid applying cosmetics, creams, and hair sprays before the appointment (if this is important for the examination)
• If you have questions about preparation, clarify them when booking your appointment by phone
• Bring a list of questions you want to discuss during the consultation
• If necessary, prepare a diary of your menstrual cycles and symptoms

If you have doubts about preparation or medication, do not change your routine without consulting your doctor. Preparing in advance will help make the consultation as useful and comfortable as possible for you.

About the Doctor

Alina Alexandrovna Vasilyeva is an obstetrician-gynecologist, reproductive specialist, and ultrasound physician with over 10 years of experience. She specializes in assisting patients with painful menstrual periods, including initial diagnosis, recurring symptoms, and cases where previous treatments have been ineffective.

In her practice, the doctor focuses on thorough differential diagnosis and dynamic patient management, taking into account any comorbid conditions. During a consultation, you will receive a clear analysis of your situation, recommendations for examinations, and a plan for the next steps to monitor and improve your condition.

Why Patients Choose Dr. Alina Alexandrovna Vasilieva

When seeking help for painful periods, patients appreciate the comprehensive and systematic approach of the doctor. Dr. Alina Alexandrovna Vasilieva focuses on thorough diagnostics of the underlying causes of symptoms and continuous monitoring of the condition’s dynamics. She takes into account the full medical history and the patient’s health specifics, which helps adjust therapy and avoid unwanted side effects. Furthermore, the doctor explains the action plan in simple and clear language, aiming for real results and prevention of potential flare-ups.

• Clear treatment plan with step-by-step actions and criteria for evaluating effectiveness
• Examinations and tests are prescribed strictly based on indications, without unnecessary procedures
• Review of previous prescriptions and assessment of drug tolerance to ensure therapy safety
• Consideration of comorbidities and concurrently prescribed medications when selecting treatment
• Monitoring of the condition’s progress and adjustment of the plan if effects are insufficient or side effects occur
• Interpretation of existing test results to save the patient’s time
• Focus on preventing flare-ups to reduce the risk of condition deterioration
• Experience managing complex and recurring cases of painful periods

This approach helps patients better understand their situation and feel supported throughout all stages of treatment. Dr. Alina Alexandrovna Vasilieva not only helps relieve the symptoms of painful periods but also manages the condition for long-term well-being.

Case Studies

Initial Consultation for Painful Menstruation

A middle-aged patient presented with complaints of regular severe pain and menstrual cycle irregularities. It was important to exclude inflammatory processes and pathologies that could cause such symptoms. A comprehensive examination was conducted, including ultrasound and indicated laboratory tests. Over time, the condition improved: the pain became less intense, and the menstrual cycle normalized. During the follow-up visit, further monitoring and lifestyle adjustments were recommended.

Treatment Adjustment in the Absence of Effect

A young woman came after a course of treatment that did not bring the expected relief from painful menstruation. The primary focus was on reviewing previous prescriptions and evaluating side effects. Additional examinations were performed, and therapy was adjusted based on identified characteristics. Within a few weeks, partial symptom reduction and overall health improvement were noted. Results of subsequent monitoring helped maintain a stable condition.

Chronic Course with Comorbidities

A patient with chronic illnesses reported increased pain during menstruation. The physician assessed the impact of comorbid conditions and medications on the current situation. A comprehensive plan was developed considering an interdisciplinary approach and necessary examinations. Over time, symptom stabilization and reduced pain severity were observed. Regular monitoring and timely therapy adjustments were recommended.

Symptom Exacerbation and Prevention Plan

A woman of mature age presented with a sharp increase in pain and deterioration of general condition. It was necessary to quickly exclude serious complications and relieve acute symptoms. Emergency examinations were performed as indicated, and a management plan focused on preventing recurrent exacerbations was developed. Within a month, improvement was observed, with reduced frequency and intensity of pain. Further prevention strategy and supportive therapy are being discussed.

Recurrent Symptoms and the Need for a Second Opinion

A patient with a long history of painful menstruation sought consultation to clarify treatment tactics. A detailed review of symptoms and previous examination history was conducted. Risks were assessed and additional diagnostic methods proposed. Follow-up visits showed improved quality of life and reduced pain manifestations. Monitoring and individualized plan adaptation continue as needed.

How long does a consultation last?

A consultation usually takes between 30 and 60 minutes. Please check the exact duration when making an appointment.

How should I prepare for the appointment?

It is recommended to write down your symptoms, bring a list of current medications, and any previous test results.

What should I bring to the appointment?

Please bring test results, images, medical reports, and a list of medications you are taking for a complete review.

Do I need to come fasting?

Usually not, unless otherwise specified when scheduling the appointment.

How many visits are typically required?

The number of visits depends on the complexity of your condition and the test results.

When can I expect the first results of the treatment?

Timeframes are individual and depend on the chosen treatment approach and your body's characteristics.

What should I do if my condition worsens before the appointment?

If you experience significant worsening or dangerous symptoms, seek urgent medical assistance.

Can I combine the treatment with my current medications?

Discuss all medications with your doctor; do not stop or add any drugs on your own.

Is it possible to have an online consultation?

Yes, online consultations are available if necessary and by arrangement.

Can I come with already completed tests?

Yes, please bring all existing test results for analysis and diagnosis clarification.

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

The frequency of follow-ups depends on the condition’s dynamics and the treatment plan.

Can I get a second opinion?

Yes, the doctor is ready to review your case and assist with an additional evaluation.

What should I do if symptoms return after improvement?

Contact your doctor for assessment and possible treatment adjustment.

What is assessed during a consultation for painful menstruation?

Symptoms, medical history are evaluated, and additional examinations may be ordered if necessary.

What tests might be needed?

It depends on the situation and may include ultrasound, lab tests, and other diagnostics.

Can I seek consultation if I have only mild symptoms?

Yes, the consultation helps identify causes and prevent complications.

How do I know if the treatment is working?

The doctor will explain what to monitor and when a re-evaluation is necessary.

What should I do if prescribed treatment causes side effects?

Inform your doctor to adjust the therapy and select safer options.