Period pain, or dysmenorrhea, can occur for several reasons, including endometriosis, uterine problems like adenomyosis, fibroids, or polyps. The first step is to identify the cause of your pain using tests like blood tests (e.g., CA-125), ultrasound, or MRI.
For endometriosis, the endometrial tissue deposits outside the uterus in ovaries, fallopian tubes, or other parts of the reproductive system. In such cases, surgery is often more effective. Medications, especially hormonal medicines, can prevent further deposition of endometrial tissue, but they cannot reverse the tissue that is already deposited.
After surgery, any remaining issues like infertility can be addressed, sometimes with IVF. So, you don’t need to jump directly to IVF. A good doctor will first evaluate the cause of your pain or infertility and treat it accordingly.
Only some patients may require IVF; others can benefit from different treatments. Taking prescribed medicines for period pain is safe and will not harm your health, especially when guided by a doctor.