Most cycle worries can wait for a regular appointment, but fainting, sudden severe belly pain or bleeding with severe dizziness mean calling an ambulance. Strong period pain and heavy periods are common, and a doctor can help make them easier. You don't have to put up with them in silence just because your mum did.
How soon do I need a doctor?
What if everyone says periods just hurt?
Lots of people have period pain, so it's easy to write it off as just how things are. But strong pain or heavy bleeding can have a cause that can be treated. For example, endometriosis, where tissue like the lining of the womb grows outside it, or fibroids, which are non-cancerous growths in the womb.
Even with no particular cause, a doctor can offer medicines or contraception that make periods lighter and less painful. At the appointment you may have a blood test, a pregnancy test, an ultrasound or an exam. These rule out causes that shouldn't be missed.
What should I bring?
Your last period dates, how many days your periods last and how many pads you use on the heaviest day. Note what hurts and when, which medicines and contraception you use, and what you've already tried. If PMS is the problem, a symptom diary covering at least 2 cycles helps the doctor.
How do I explain it so the doctor gets it?
Start with the main thing: what's bothering you and what it stops you doing. Then say how long it's been going on, how often it happens and what you've tried. For example: "For six months, pain on the first day of my period has stopped me working, and ibuprofen taken as directed barely helps."
Feel awkward saying it out loud? Write it all in your notes and just hand the doctor your phone.
Common questions
Should I see a gynaecologist or my GP?
Whoever you can see sooner. A GP or family doctor can look into cycle problems too and refer you to a gynaecologist if needed.
Is it worth going for something small?
Yes, if the symptom is new, keeps coming back or won't let you stop worrying. It's an ordinary part of a doctor's job, and you won't have to guess on your own.
A doctor brushed me off, but I still feel unwell. What now?
It's fine to see another doctor. Bring the same notes and ask directly: "What else could be causing this, and how can we check?"
I'm pregnant. What should I call about straight away?
Call your midwife or maternity unit straight away, even at night, for any bleeding, belly pain, or if your baby is moving less than usual. If the blood soaks a pad quickly, or comes with severe belly pain, shoulder pain or dizziness, call an ambulance.
In short
- Open Doctor's report in your profile and save the PDF
- Write your complaint in three lines: what, since when, what you've tried
Source: ACOG: Abnormal Uterine Bleeding
Educational content; it does not replace professional medical advice.