At GuideTreatments.com we believe that symptomatic treatments should be reserved only for short term. It is vitally important to diagnose the underlying condition with robust assessment and investigations.
Symptomatic treatments:
- Tab. Cyclopam (Dicyclomine 20 mg, Paracetamol 500 mg) 1 tablet 4 times a day
 
Common conditions to consider:
Condition | 
Common clinical presentation along with menstrual problems | 
| Dysmenorrhea | Intense pain in lower abdomen during periods for upto 3 days | 
| Endometriosis | Intense pain in lower abdomen during periods, heavy menstrual bleeding, frequent bleeding and spotting episodes, infertility, pain during urination and defaecation with relevant ultrasound findings | 
| Polymenorrhagia | Increase in frequency of menstrual cycle (less than 21 days). | 
| PCOD | Frequency of menstrual cycle more than 35 days | 
| Oligomenorrhea | Irregular menstrual cycles, weight gain, hirsutism and relevant radiological evidence | 
| Pelvic inflammatory disease | Abnormal uterine bleeding, abnormal menstrual cycles, painful intercourse, raised inflammatory markers with additional radiological evidence | 
| Hyperthyroidism | Palpitations, excessive sweating, heat intolerance, fatigue, loss of weight | 
| Hypothyroidism | Fatigue, weight gain, intolerance to cold, dry skin | 
| Obesity | High BMI and no other explainable pathology | 
| Crohn’s disease | Diarrhoea, lack of appetite, weight loss and positive laboratory evidence and colonoscopy | 
| Irritable bowel syndrome | Chronic abdominal pain, bloating, flatulence, altered bowel habits but not evidence of infective or inflammatory pathology | 
| Tuberculosis | Unexplained weight loss, prolonged cough lack of appetite, night-time fever and positive AFB sputum | 
Note: Due to cultural barriers patients often do not present with clear history of menstrual problems. Hence it is important to undertake detailed history, examination and investigations.