Period Pain (Dysmenorrhoea): UK Online Doctor Treatment Guide
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Period pain is very common but shouldn't stop you living your life.
- First line: NSAIDs (ibuprofen, naproxen, mefenamic acid) — start before pain peaks.
- Heavy periods may need tranexamic acid or hormonal treatment.
- Endometriosis or fibroids cause severe pain — investigate if not responding.
- An online GP can prescribe stronger options.
Self-care
- Heat (hot water bottle, heat pads).
- Gentle exercise.
- Ibuprofen 400 mg every 6 hours — most effective started before pain peaks.
- Tracking cycle and symptoms helps identify patterns.
Prescription options
- Mefenamic acid 500 mg three times daily during periods.
- Tranexamic acid 1 g three times daily for heavy periods.
- Combined contraceptive pill — reduces pain and lightens periods.
- Mirena IUD — significantly reduces pain and bleeding.
- Investigation for endometriosis if severe.
Frequently asked questions
Common questions UK patients ask about dysmenorrhoea.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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