Polycystic Ovary Syndrome (PCOS) is a hormonal condition that might make women experience pain in the lower abdominal and pelvic areas. 

This pain can increase discomfort and may worsen women’s menstruation. 

It’s because PCOS may interfere with your hormone levels, which can cause these symptoms.

According to the study published by The National Library of Medicine, cramping was the most mentioned symptom in PCOS, reported by 70% of the patients.

It is essential to know the reason behind these cramps in depth to get relief from pain.

In this article, we will understand the connection between PCOS and cramps and how to manage menstrual pain effectively.

Can PCOS cause cramps

Polycystic Ovary Syndrome can cause cramps in some cases.

Cramping refers to the involuntary contraction or spasming of a muscle. 

It is common in various conditions affecting the female reproductive system, particularly in the abdomen and pelvis.

Dysmenorrhoea is a condition that refers to painful cramps during menstruation.

Fact:
Dysmenorrhoea is of two types that can cause severe cramps during periods:
Primary dysmenorrhea refers to the menstrual cramps that return every month but when there are no underlying health issues. In such cases, the cramps will typically improve over time. 
Secondary dysmenorrhea refers to painful menstrual cramps caused by an underlying medical condition, such as Endometriosis or Fibroids.

During menstruation, it is generally considered normal to experience cramping and pain. 

This is because the muscles of the uterus contract to shed the lining of the womb. 

In some cases of PCOS, pain can occur even without menstruation. 

While cramping is commonly associated with menstrual cycles, women with PCOS may also experience pelvic pain or discomfort at other times. 

This pain can vary in intensity and duration. 

However, PCOS is not always the only reason behind the pain.

Sometimes, Endometriosis or pelvic inflammatory disease can be the reason behind the cramps.

Recommended Article:
To learn more about Endometriosis and how it differs from PCOS, read our article on PCOS vs Endometriosis: A Comprehensive Examination of Women’s Health Conditions.

Association of PCOS and cramps

The exact reason why PCOS leads to excessive cramping is still not fully understood.

Irregular periods and lack of regular ovulation are common in people with PCOS. This can lead to longer gaps between periods. 

In PCOS, the longer gaps between periods are associated with higher levels of Prostaglandins, which can contribute to cramping.

These prostaglandins can trigger contractions in the uterus, causing pain when the lining of the womb is shed during menstruation.

A study published by The National Library of Medicine reported pain and discomfort-related symptoms among PCOS patients.

The researchers found out that the most frequently occurring symptoms in PCOS patients are cramping, irregular periods, heavy bleeding, facial hair growth, bloating, and infertility.

This suggests a possible link between PCOS and cramps, although more research is needed to understand the connection entirely.

Managing cramps with PCOS

To manage cramps with PCOS, you can try different approaches that focus on balancing your hormones and relieving the discomfort.

Here are some ways to manage the cramps with PCOS:

NSAIDs (Nonsteroidal Anti-Inflammatory Drugs)

Consult a doctor before taking medicine
Consult a doctor before taking medicine

The National Library of Medicine published a study highlighting the effectiveness of NSAIDs for Dysmenorrhoea.

Research has shown that women with this condition have high levels of prostaglandins, which cause abdominal pain and cramping.

It was found in the study that NSAIDs can be more effective in relieving pain compared to  Paracetamol, with 45-53% of women experiencing moderate or excellent pain relief with NSAIDs.

Nonsteroidal Anti-Inflammatory Drugs like Ibuprofen can help reduce pain and lower prostaglandin production.

Consult your doctor before using NSAIDs, especially if you have kidney or liver disease.

Your doctor will check your medical history and current health condition to determine if NSAIDs are safe and appropriate.

Follow your doctor’s advice on the dosage and frequency.

Read the medication label carefully before using any over-the-counter pain relievers.

Hormonal contraceptives

One effective treatment for reducing menstrual cramping and pain is using hormonal contraceptives. 

These contraceptives can regulate hormone levels by decreasing the production of prostaglandins, the chemicals responsible for causing cramping. 

However, hormonal contraceptives may not suit everyone, especially those trying to conceive.

Warning:
It is essential to consult with a medical expert before using any contraceptives or medications for pain relief in PCOS or any other condition. 

LNG-IUS

Levonorgestrel-releasing intrauterine system (LNG-IUS) is a form of contraception used to manage secondary dysmenorrhea.

It works by reducing inflammation and controlling hormonal imbalances.

According to research, LNG-IUS is a safe and effective treatment for reducing Dysmenorrhea and chronic pelvic pain.

Alternative therapies

Applying a heating pad is a natural remedy to alleviate the pain.

Managing cramps in PCOS without having periods can be challenging since cramps are commonly associated with menstrual cycles.

However, certain factors can positively impact PCOS symptoms, including pain management.

This may involve maintaining a balanced diet, managing stress levels, regular exercises, and ensuring sufficient sleep.

Some individuals find relief through complementary therapies like acupuncture, yoga, or herbal remedies.

It is essential to consult with a qualified practitioner before trying these approaches.

When to see a doctor

Checking her body temperature
High fever

If someone is experiencing cramps without a period, it can be a sign of various underlying conditions or factors. 

While most cases may not be severe, certain symptoms should not be ignored and require medical attention.

If you experience any of the following symptoms along with cramps, it is recommended to seek medical help:

  • Sudden, severe, or worsening abdominal or pelvic pain
  • Pain in the chest, arms, neck, or jaw
  • High fever
  • Persistent vomiting in conjunction with cramps 
  • Difficulty in breathing

Conclusion

PCOS can cause cramping and pain in the lower abdominal and pelvic areas.

Cramping is more common in people with PCOS who have irregular periods and don’t ovulate regularly.

The exact reason behind PCOS-related cramps is not fully understood, but it may be related to higher levels of prostaglandins.

NSAIDs, hormonal contraceptives, and LNG-IUS can be effective in relieving pain associated with cramps in PCOS.

Lifestyle changes, such as maintaining a balanced diet, managing stress, and exercising regularly, can help manage PCOS symptoms and cramping.

Alternative therapies like acupuncture, yoga, or herbal remedies may provide relief for some individuals. It is important to consult with a doctor before trying them.

Overall, managing PCOS-related cramps requires a personalized approach and consultation with a healthcare professional.

Frequently Asked Questions

What do PCOS cramps feel like?

PCOS cramps can feel like sharp or dull aches in the lower belly or pelvic area. The intensity and duration may be different for each person. These cramps can cause discomfort at times.

Does PCOS cause cramping?

Yes, PCOS can cause cramping. Many women with PCOS experience abdominal or pelvic cramps, which can be related to hormone imbalances and the irregular shedding of the uterine lining during menstruation.

Why are cramps worse with PCOS?

The exact reason why cramps can be worse in PCOS is not fully understood, but hormonal imbalances and irregular periods may contribute. Higher levels of prostaglandins and longer gaps between periods could lead to more intense cramping.

Can you have cramps with PCOS but no period?

Cramps can occur in people with PCOS even when they are not expecting their menstrual periods. Pelvic pain and cramps are not solely associated with menstruation but can also arise from other underlying conditions or factors related to PCOS.

Citations:
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