Yes, irregular menstruation with PCOS can make period pain worse.
Here’s the Connection Between Irregular Periods in PCOS and Pain

Thickened Uterine Lining

When a woman with PCOS has an irregular or missed period, her body doesn’t shed the uterine lining regularly. This allows the lining to build up and become thicker than normal. When the body finally does menstruate, the uterus has to contract more forcefully to expel this thicker lining, which leads to more intense and painful cramps.

Larger Blood Clots

Thicker lining also results in a heavier menstrual flow, which can cause the formation of larger blood clots. The passage of these larger clots can be very painful.

Inflammation

Women with PCOS often have higher levels of general inflammation in their bodies. This can make them more sensitive to pain and intensify the pain associated with a heavy period after a long, irregular cycle.

According to the PCOS Society of India, PCOS affects an estimated 1 in 5 girls in India. In some parts of India, the prevalence of PCOS is even higher, affecting up to 35% of young women.

A pink infographic addresses the question: “Does irregular menstruation with PCOS make period pain worse?” in large white text. Below, it states in bold blue text: “Yes, irregular periods caused by PCOS can make menstrual cramps more painful.” A small cartoon of a female doctor is shown next to the text. The explanation in smaller pink text explains that long menstrual cycles with PCOS can lead to a heavy period flow, blood clots during menstruation, and more intense period pain. The background features subtle decorative elements. The graphic ends with the campaign message "STOP The Period Pain." Which is a knowledge initiative campaign by Blue Cross Laboratories the makers of meftal spas.

Your Journey to #StopThePeriodPain Starts Here

Every month, millions of Indian girls & women suffer in silence, told that their severe period pain (dysmenorrhea) is “normal.” Our mission is to break that silence. #StopThePeriodPain campaign is here to empower you with 3 simple truths:

Period Pain Calculator Section

Hit Up Our Period Pain Calculator

For real, how bad is your pain? Our interactive tool uses a 1-10 pain scale and a few quick questions to help you get the full picture. In just a few clicks, you’ll know if your pain is a chill or a major red flag.