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    • April 2025
      • 1. Can tampons get lost inside the vagina?
      • 2. Coffee worsens period cramps
      • 3. Exercise worsens period cramps
      • 4. Periods Sync
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  • What The Doctor Might Ask
  • Common Tests You Should Know About

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  1. Visiting a Doctor

What to Expect

What The Doctor Might Ask

Your doctor is likely to ask you a number of questions, such as:

  1. How severe are your period cramps and the symptoms associated with them?

  2. Do you have cramp-free days during your menstrual cycle?

  3. Does anything seem to make your cramps better or worse?

  4. Do your period cramps interfere with your daily activities?

  5. What treatments have you tried so far? How have they worked?

Common Tests You Should Know About

The Following examinations are recommended when dysmenorrhea is suspected.1

  1. Pelvic Examination:

    It is recommended that if the history of onset and duration of lower abdominal pain suggests secondary dysmenorrhea. Not recommended if the person is sexually inactive, or the pain has a typical presentation without any additional symptoms.

    Time taken: A pelvic examination usually takes about 10 minutes.

    Cost: Pelvic examination costs between Rs. 1000 to Rs. 3000.

  1. Ultrasound: Preferred examination to rule out the cause of secondary dysmenorrhea.

    Time taken: An ultrasound examination typically takes 30 minutes to an hour.

    Cost: Ultrasound examination cost between Rs. 800 to Rs. 3000.

  1. Full blood examination: To assess anemia related to chronic menorrhagia, infection (Pelvic inflammatory diseases (PID)

    Time taken: A CBC test can be performed in a few minutes, and the results are available within 24 hours to the doctor.

    Cost: CBC costs between Rs. 200 to Rs. 500.

  1. Endocervical or vaginal swabs: Patient at risk of sexually transmitted infections or Pelvic inflammatory diseases.

    Time taken: The swab itself takes a few minutes to collect. Lab processing and analysis can take a few days to weeks.

    Cost: Vaginal swabs cost between Rs. 500 to Rs. 1000.

  1. CA-125: Increased in endometriosis and other gynecological conditions (i.e., ovarian cancer)

    Time taken: The entire procedure is completed within a few minutes.

    Cost: CA-125 cost between Rs. 700 to Rs. 1500.

  1. Midstream urine: To check for urinary tract pathology

    Time taken: The results of Midstream urine are available within 2-7 days.

    Cost: Midstream urine cost between Rs. 100 to Rs. 500.

  1. Quantitative B-HCG: To rule out the possibility of pregnancy with miscarriage/ectopic pregnancy

    Time taken: Time taken to complete this test usually takes a few hours to a day.

    Cost: Quantitative B-HCG cost between Rs. 650 to Rs. 2000.

References

  1. Nagy H, Carlson K, Khan MAB. Dysmenorrhea [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [cited 2025 May 15]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560834/

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