Period pain is a common issue that many women face every month. It is often described as a dull, crampy feeling in the lower abdomen and is usually caused by the uterus contracting to shed its lining. However, some women may experience period pain that feels like contractions. In this article, we will explore what causes this type of pain and what can be done to alleviate it.

Causes of Period Pain Like Contractions

Pain during menstruation is caused by the release of prostaglandins, which are hormone-like substances that cause the uterus to contract. These contractions help to expel the lining of the uterus, which is why they are often described as cramps. However, some women may experience more intense contractions that feel similar to those felt during labor.

There are several factors that can contribute to period pain like contractions. These include:

1. Endometriosis

Endometriosis is a condition where the tissue that lines the uterus grows outside of it. This tissue can cause pain and inflammation in the surrounding areas, including the ovaries, fallopian tubes, and pelvic area. Women with endometriosis may experience more severe period pain, including pain that feels like contractions.

2. Adenomyosis

Adenomyosis is a condition where the tissue that lines the uterus grows into the uterine wall. This can cause the uterus to become enlarged and tender, leading to more intense period pain.

3. Fibroids

Fibroids are non-cancerous growths that can develop in the uterus. They can cause heavy bleeding and intense period pain, including pain that feels like contractions.

4. Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is a bacterial infection that can affect the reproductive organs. It can cause inflammation and scarring, leading to chronic pelvic pain and intense period pain.

Treatment for Period Pain Like Contractions

The treatment for period pain like contractions depends on the underlying cause. In some cases, over-the-counter pain relievers such as ibuprofen or naproxen may be helpful in reducing pain and inflammation. However, if the pain is severe or affects daily life, it is important to seek medical attention.

For women with endometriosis, adenomyosis, or fibroids, hormonal therapy may be recommended to help regulate the menstrual cycle and reduce pain. Surgery may also be necessary in some cases, especially if conservative treatments have not been effective.

For women with PID, antibiotics may be prescribed to clear the infection and reduce inflammation. It is important to seek treatment for PID promptly to prevent long-term complications.


Period pain like contractions can be a challenging problem for women to deal with. However, by understanding the underlying causes and seeking appropriate treatment, women can find relief from this type of pain. If you are experiencing intense period pain, it is important to talk to your healthcare provider to determine the underlying cause and develop an appropriate treatment plan.