The following symptoms and complaints may occur together with dysmenorrhea (period pain):
Leading symptoms
- Lower abdominal discomfort that occurs just before menstruation or on the first days of menstruation.
- Cramp-like pain
- Nausea (nausea)/vomiting
- Circulatory problems such as hypotension (blood pressure too low) or tachycardia (heartbeat too fast: > 100 beats per minute)
Associated symptoms
- Back pain
- General malaise
Warning signs (red flags)
- Secondary dysmenorrhea (painful menstrual bleeding in women who already had painless menstrual bleeding) + disturbance of night sleep → think of: organic diseases, e.g.:
- Endometriosis (occurrence of endometrium (lining of the uterus) outside the uterus, for example, in or on the ovaries (ovaries), tubes (fallopian tubes), urinary bladder, or bowel), [pain maximum: premenstrual/before menstruation].
- Adnexitis (inflammation of the fallopian tubes and ovary).
