You’re not alone Fabiola, even if that doesn’t provide a lot of consolation! Pain during menstruation (dysmenorrhea) is unfortunately a frequent symptom that happens often for teenagers, but also for younger and adult women. The pill and estrogen-progestin contraceptives (CHCs) can be a solution to this problem. Extended use pills are particularly recommended. These are taken every day of the year, continuously, eliminating the monthly pause during which withdrawal bleeding (menstrual flow while taking the pill) occurs. This allows women to remain without menstrual flow for four months, thus having only three periods per year. The total absence of flow (amenorrhea) should not be cause for concern. The “extended regimen” of estrogen-progestin has been especially designed to eliminate the discomfort associated with the monthly flow, which is painful for many women and significantly affects their quality of personal, social and work life.