Period Pain
Cramping pain in the lower tummy during periods. It's common, but severe pain may have an underlying cause.
Quick Summary
Cramping lower tummy pain, back pain, pain spreading to thighs, nausea and headache during periods.
Painkillers such as mefenamic acid or ibuprofen, heat, exercise and hormonal contraception.
Young age, heavy periods, endometriosis, fibroids and family history.
Overview
Period pain is caused by the womb muscle contracting, triggered by substances called prostaglandins.
Pain that's severe, getting worse, or happening outside periods should be checked for conditions such as endometriosis.
Symptoms
Cramps
In the lower tummy.
Back pain
Lower back ache.
Nausea
And tiredness.
Severe pain
That stops normal activities: see a doctor.
Causes & Risk Factors
Biological Causes
Prostaglandins causing strong womb contractions.
Key Risk Factors
- Age More common in teenagers and young women.
- Conditions Endometriosis and fibroids.
- Heavy periods Linked with more pain.
Management & Treatment
01. Painkillers
NSAIDs taken at the start of pain.
02. Heat
Hot water bottle on the tummy.
03. Hormonal options
Birth control pills for some women.
Frequently Asked Questions
Is period pain normal?
Does exercise help?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Period Pain(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Period pain(opens in a new tab) · NHS