Skip to main content There is a range of medications that can help manage period pain and heavy blood loss. Some people have other symptoms during their period such as constipation and bowel pain or menstrual migraines that can also be relieved with medications.
Period pain is the hallmark of endometriosis and there are medications that can be taken to help manage period pain and heavy blood loss. Some people have other symptoms during a period such as constipation and bowel pain or menstrual migraines that can also be relieved with medications.
It is important that you discuss any new medications with your doctor and that they are aware of all medications you are taking and how often you are taking them.
For period pain
Non-steroidal anti-inflammatories (NSAIDs) can be helpful for period pain (such as Nurofen or Ibuprofen) and can be bought over the counter. Another option is to use a Voltaren suppository (placed in the back passage closer to the uterus and sites of endometriosis), which requires a prescription from your doctor. It is important not to exceed the recommended dose and to only use one type of NSAID at a time. Ensure your doctor knows how often and how many NSAIDS you are taking as prolonged or excessive use can cause stomach ulcers.
For heavy blood loss
Tranexamic acid tablets (prescribed by your doctor) bind to factors in the blood to facilitate clotting and reduce blood loss. Start taking tranexamic acid when menstruation starts and use it during the heavy days of menstrual bleeding. Tranexamic acid can’t be used if you have a history of blood clots or a blood clotting disorder.
For constipation
Some people experience constipation and bowel pain prior to or during their period. Taking a stool softener or laxative (either orally or by suppository) prior to your period can help. Your doctor or pharmacist will be able to advise on the best preparation for you.
For menstrual migraines
Migraines are caused by the widening of blood vessels in the head. Medications such as Sumatriptan can normalise these vessels and cause symptom relief. It is essential to check with your doctor that the medication is suitable for the headaches you have and that Sumatriptan is safe for you to use and doesn’t interfere with any other medications you are taking. This medication is available via prescription and can make you drowsy. It is important to avoid alcohol when using them.
Additional resources
Pelvic Pain Foundation of Australia - Help with medications