Severe Period Pain on the First Day - The Period Pain Co

Severe Period Pain on the First Day

 Disclaimer: This article is for information only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of your doctor with any questions you may have regarding your health or a medical condition.


Table of Contents

Why Are Day One Period Cramps the Worst?

The Science Behind Menstrual Cramps

Menstrual cramps, or dysmenorrhoea, are a common symptom of the menstrual cycle. Dysmenorrhoea is caused by the contraction of the uterus as it expels its lining. The contractions are triggered by substances called prostaglandins, which are similar to hormones. Higher levels of prostaglandins are associated with more severe menstrual cramps.

Hormonal Changes and Their Effects on Pain

During the menstrual cycle, hormone levels fluctuate. Estrogen and progesterone, in particular, play a significant role in menstruation. Low levels of these hormones, especially just before and during your period, can lead to more intense contractions and increased pain.

So What Makes Day One Period Pain Especially Bad?

On the first day of the menstrual cycle, prostaglandin levels are at their peak, causing the uterus to contract more intensely. Consequently, many women experience the worst cramps on the first day. Additionally, the drop in estrogen and progesterone levels can contribute to heightened pain sensitivity, making day one especially tough for many.

What Helps Severe Period Pain on the First Day

Heat Therapy

Applying heat to the lower abdomen can help to ease the muscle contractions of the uterus. A period pain relief belt, such as Invisiwarm, is an excellent option for this. Invisiwarm is discreet, lightweight, portable period pain relief belt. It can be worn under clothing without being noticeable. It helps to provide targeted heat therapy to alleviate pain. You can purchase Invisiwarm here if interested.

Over-The-Counter Medication

Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Neurofen) or Naproxen Sodium (Naprogesic) can be effective in reducing period pain by lowering the production of prostaglandins. Always follow the dosage instructions and consult your doctor if you are unsure about which medication to take.

Gentle Exercise

Engaging in light exercise, such as walking, stretching or yoga, can promote blood flow and ease muscle tension, which may alleviate menstrual cramps.

TENS machines

Transcutaneous electrical nerve stimulation (TENS) is a pain relief method that involves sending small electrical currents through the skin. It is believed to reduce menstrual pain by blocking pain signals to the brain and encouraging the production of endorphins. While it does not completely get rid of period pain, in combination with the other methods, it can be a great addition.


It is important to ensure you are getting enough sleep on your period. While it can sometimes be hard, despite being exhausted to get a proper nights rest, having a good nights sleep helps you better deal with the pain. Not having enough sleep has also been shown to increase period pain.

What Can Make Period Pain Worse?

Smoking and Vaping

Smoking and vaping have been associated with increased menstrual pain. In Australia, there has been a recent surge in vaping, which is a concerning trend, as vaping contains nicotine which can cause the blood vessels to constrict and can exacerbate period pain.


A diet high in fats, sugars, and salts can aggravate menstrual pain. It's best to focus on a balanced diet with plenty of fruits, vegetables, and whole grains, especially during your period.


Stress can worsen period pain. It’s important to find effective ways to manage stress, such as through meditation, reading, or spending time with loved ones.

Excessive Caffeine Consumption

Caffeine can constrict blood vessels and increase tension, which can worsen menstrual cramps. As Caffeine can also increase period pain, it is best to avoid that.

When to Consult a Doctor

Understanding When Pain is Abnormal

While some pain during your period is normal, severe pain that interferes with daily activities is not. If you find home remedies and over-the-counter medications are not alleviating your pain, it might be time to consult a doctor. They a prescribe stronger drugs (instead of NSAIDs) and help investigate to see if there is an underlying cause, such as secondary dysmenorrhoea.

Possible Underlying Conditions

Severe menstrual pain can sometimes be a symptom of an underlying condition, such as endometriosis or uterine fibroids. A healthcare professional can help diagnose and treat these conditions.


The first day of your period can be particularly tough due to hormonal changes and chemical changes in the body. Fortunately, there are various methods to alleviate severe period pain, such as heat therapy, medication, and gentle exercise. However, it's crucial to listen to your body and seek medical advice if the pain is abnormally severe or affecting your quality of life.

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