Severe menstrual pain with heavy menstrual bleeding has a large impact on all aspects of quality of life, more than heavy menstrual bleeding alone.
Citation: Weisberg E, McGeehan K, Fraser IS. Effect of perceptions of menstrual blood loss and menstrual pain on women’s quality of life. The European Journal of Contraception & Reproductive Health Care. 2016;21(6):431-435. doi: 10.1080/13625187.2016.1225034