Menstrual abnormalities are often characterised by irregular or heavy bleeding and period pains. We find that the latter is a problem that is typically poorly managed at the moment as period pains tend to be normalised by women and trivialised by doctors. If your period pains bother you, don’t let anyone tell you they are normal. Give yourself the reassurance that you need through proper medical checks.
Painful Periods & Endometriosis
About 60% of women with painful periods have endometriosis. When you have endometriosis, the lining of the uterus (known as the endometrium) that sheds during your period flows in a reverse direction and deposits itself on the outside of the uterus, around the ovaries and small crevices of the pelvis like between your rectum and vagina.
During your period, the deposits that sit outside the uterus also break down and bleed. The bleeding irritates the pelvis and causes painful excruciating cramps.
Over time, the repeated buildup, bleeding and inflammation of these endometrial deposits cause scarring and stringy adhesions to form within your pelvis. Having a lot of scar tissue and angry inflammation within your pelvic cavity is undoubtedly painful and can even cause pain well beyond the days of your menstrual flow.
About 60% of women who suffer from severe period pain have endometriosis. The earlier your age at which you start menstruating, the higher your risk of endometriosis as well.
Yes, painkillers can provide temporary relief. However, if your period pains are persistent and recurrent, we recommend seeing a doctor to address the issue in a more effective manner through treating the root causes of the period pain.
Hormone therapy such as dienogest and the Mirena IUD has been very effective in controlling endometriosis. In fact, surgeries alone without hormone therapy have a 30% risk of recurrence of endometriosis.
Effective treatment should shrink the endometriosis plugs and reduce inflammation caused by them. The medications used to manage endometriosis should also give you pain relief.
If you have symptoms suggestive of endometriosis, it’s not necessary to confirm the diagnosis through MRI or key hole surgery. You can start with a trial of treatment with hormone pills like dienogest to reduce the disease burden and inflammation.
If the treatment trial works, then it’s very likely that you have endometriosis.
Dr Jessherin Sidhu
Affectionately known to her patients as Dr Jess, Dr Jessherin Sidhu adopts a holistic approach to patient care. She is a firm believer that relationships, sexuality and sexual behaviour are factors that have a significant impact on overall health.
With her sex-positive and health-focused approach, Dr Jess encourages safe and open discussions of sexual health issues that extend beyond just treating diseases.
See what our patients have said about us
October 18, 2020 via Google
Last week (13th Feb 2020) was my first visit to this clinic. I was very impressed and satisfied with InSync Medical Women's Clinic. Dr. Jess was very attentive and detailed in examining my situation. Her explanation was very clear and understandable. With her patience, I was able to ask lots of questions and understand my situation much better than before. (Thank you, Dr. Jess) Price wise, it is reasonable and I would HIGHLY recommend this clinic. Again, thank you!
July 1, 2020 via Google
I am soooooo glad I went here to have my concernssorted. I have no words how comfortable I am after she had me checked up. Her hands are very light aswell. It's like having a class about our body parts. She explained my result that I had back in Bangkok than the doctor I had there. How I wish there is someone like her that will make sure all our questions and concerns are answered. She's the best of best. Highly recommend her. Price is reasonable too. Just thank you Dr.Jess and her assistant Aisyah. Have a wonderful day always.
September 18, 2020 via Google
Dr Jess is an amazing doctor with a beautiful heart. What I really love about her is that is super realistic. She does not promise rapid/fake results. She is very humble and I really like it that spent her time to talk and explain to me about my condition in detail. I have been to so many other doctors for the same. They will just talk briefly and try to push me to start the treament on the spot / nurses will start discussing on pricing.Wasted my time and money in the wrong clinic before. However, Dr Jess is just different.She is not greedy. Very helpful and high level of professionlism and empathy.And her staff Hani is super sweet too. Customer service top notch. Sometime I send message so late when i need something urgently. Hani will still reply to me patiently. I am so lucky I finally found the best doctor and her assitant for my lady needs 🙂 . I only have one regret-I didnt find them earlier.
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