Is it common to feel severe vaginal pain before a period?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 23-year-old married woman. I am experiencing severe pain that usually comes with my periods, but my period has not started yet. For the past two days, I have been having increasing pain on the vaginal side.

I have taken Levofloxacin tablets and Diclofenac sodium, but the pain has not improved. It seems to be getting worse.

  1. What might be causing this?

  2. What treatment or medication should I consider?

Please help.

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

I am sorry that you are going through this. Since you are experiencing increasing vaginal pain before your period, and you have already taken Levofloxacin (an antibiotic) and Diclofenac (a pain reliever/anti-inflammatory), here are some important points to consider:

Possible causes of your pain:

  1. Pelvic infection or pelvic inflammatory disease (PID): This requires prompt medical evaluation.
  2. Ovarian cysts or gynecological conditions like endometriosis.
  3. Hormonal imbalance or early menstrual cramps.
  4. Side effects or incomplete treatment from current medications.

Important advice:

  1. Do not continue or increase antibiotics without consulting your healthcare provider. Levofloxacin is a strong antibiotic and should only be used under a doctor’s supervision after proper diagnosis.
  2. Worsening pain despite medication is a clear sign to see a doctor urgently, preferably a gynecologist.
  3. Avoid sexual intercourse until the cause of the pain is identified and treated.
  4. If you develop a fever, foul-smelling discharge, severe pain, or unexpected bleeding, seek emergency care immediately.

What you should do now:

  1. Consult a gynecologist as soon as possible. You may need a pelvic examination and possibly an ultrasound.
  2. You may continue Diclofenac for pain relief if prescribed, but avoid taking any additional medication without medical advice.
  3. Monitor your symptoms closely, including the timing and intensity of the pain, any vaginal discharge, and your bleeding pattern.

What to avoid:

  1. Do not take more antibiotics or switch medications without a doctor’s recommendation.
  2. Avoid heavy physical activity or anything that worsens the pain until you have been adequately evaluated.

I hope this answers your query.

Please let me know if I can assist you further.

Medically reviewed byiCliniq medical review team

Published At August 14, 2025
Reviewed AtAugust 21, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Listen to related tracks in our music library

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy