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Primary dysmenorrhea—the medical term for painful periods without underlying pathology—is one of the most common gynecological complaints, especially among teens and women under 30. But that doesn’t mean it’s “normal.” At Patients Medical in New York City, we believe menstrual pain is a message, not a nuisance.
Instead of masking your symptoms with painkillers, we investigate the root causes. Through a blend of holistic, functional, and conventional medicine, we help you find real, long-term relief.
Primary dysmenorrhea refers to painful menstrual cramps that occur in the absence of pelvic disease. It typically begins within a year or two of a girl’s first period and can continue into adulthood. Unlike secondary dysmenorrhea (which is caused by conditions like endometriosis or fibroids), primary dysmenorrhea is linked to hormone imbalance and prostaglandin overproduction.
May be accompanied by nausea, fatigue, headaches, or diarrhea
While symptoms vary from person to person, these are common experiences:
If your period pain is disrupting your life or not responding to over-the-counter medications, it’s time for a deeper evaluation.
At Patients Medical, we explore functional root causes of primary dysmenorrhea rather than dismissing it as “just part of being a woman.”
We go beyond a standard pelvic exam to uncover what’s really going on. Our diagnostic workup may include:
Through bioidentical hormones and thyroid optimization, we treat hormonal imbalances that contribute to severe period pain and other symptoms.
Lily, age 24, came to us with debilitating cramps, nausea, and fatigue every month. She had missed work and social events regularly for years. Hormonal birth control offered little relief, and NSAIDs cause stomach irritation.
Through testing, we found:
We implemented a 3-month plan including:
By the third cycle, her pain was 80% reduced, her energy had returned, and her mood swings were gone.
Yes, many women experience long-term relief through dietary changes, hormonal balance, stress reduction, and targeted nutritional support—without relying on medications.
Primary dysmenorrhea is painful menstruation without an underlying disease. Secondary dysmenorrhea is caused by conditions like endometriosis, fibroids, or pelvic inflammatory disease.
Not necessarily. While birth control can suppress symptoms, our integrative approach aims to correct root causes like hormonal imbalance and inflammation naturally.
No. Menstrual pain that disrupts your daily life is not normal and should be evaluated—especially if it’s recurring.
Some patients notice improvements in one cycle, while others may need 2–3 months of consistent treatment. We tailor every plan to your body’s unique needs.
Yes. Inflammatory foods like gluten, dairy, or sugar can worsen cramps and hormone imbalances. Identifying and removing triggers often brings significant relief.
Key nutrients include magnesium, vitamin B6, omega-3 fatty acids, and vitamin D. These support hormone balance, reduce inflammation, and relax uterine muscles.
Not always. We often use saliva or urine hormone testing for more accurate insight into imbalances—especially for estrogen, progesterone, and cortisol levels.
Absolutely. Chronic stress elevates cortisol, which disrupts hormone production and increases prostaglandin levels, leading to more intense cramps.
Patients Medical is an out-of-network provider, but we offer superbills for reimbursement. Some lab tests may be partially covered by insurance.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.