Is this your symptom?
- Cramps in the lower belly or pelvis. They start during the first 1 or 2 days of your period.
- Cramps only happen during menstrual bleeding
- Report of similar cramps in the past are helpful
Cause
- The medical name for painful cramping during a period is dysmenorrhea.
- Normal cramps happen in over 60% of women.
- This cramping is caused by strong muscle squeezing of the uterus. This is triggered by a high prostaglandin (a hormone) level.
- Medical causes of severe menstrual cramps include pelvic inflammatory disease (PID) and endometriosis. An ovarian cyst can also cause very bad cramping.
Pain Scale
- Mild: the pain does not keep you from any normal activities. Work, activities and sleep are not changed.
- Moderate: the pain keeps you from doing some normal activities. It may wake you up from sleep.
- Severe: the pain is very bad. It keeps you from doing all normal activities.
When to Call for Menstrual Cramps
Call Doctor or Seek Care Now
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Contact Doctor Within 24 Hours
Contact Doctor During Office Hours
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Self Care at Home
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Call Doctor or Seek Care Now
- Pregnant or could be pregnant (late or missed period)
- Not able to walk like normal
- Fever
- More severe cramps than ever before
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- Vaginal discharge that is not normal started before period began
- Pain only on 1 side
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Cramps last more than 3 days
- Cramps keep you from doing normal activities even after using pain medicine
- Vomiting or diarrhea also present
- Pelvic cramps happen when not bleeding
- You have other questions or concerns
Self Care at Home
- Normal menstrual cramps
Care Advice for Menstrual Cramps
What You Should Know About Menstrual Cramps:
- Cramps happen in over 60% of women.
- Pain medicines can keep cramps to a mild level.
- Cramps can last 2 or 3 days.
- Here is some care advice that should help.
Ibuprofen for Pain:
- Take 2 ibuprofen 200 mg tablets 3 times per day for 3 days.
- The first dose should be 3 tablets (600 mg) if you weigh more than 100 pounds (45 kg).
- Take with food.
- Ibuprofen is a very good drug for cramps. Advil and Motrin are some of the brand names. No prescription is needed.
- The drug should be started as soon as there is any menstrual flow. If you can, start it the day before. Don't wait for cramps to start.
- Note: acetaminophen products (such as Tylenol) are not helpful for menstrual cramps.
Naproxen if Ibuprofen Doesn't Help:
- If you have tried ibuprofen with no pain relief, switch to naproxen. No prescription is needed.
- Take 220 mg (1 tablet) every 8 hours for 2 or 3 days.
- The first dose should be 2 tablets (440 mg) if you weigh more than 100 pounds (45 kg).
- Take with food.
Use Heat for Pain:
- Use a heating pad or warm washcloth on your lower belly. Do this for 20 minutes 2 times per day. This may help to reduce pain.
- A warm bath may also help.
What to Expect:
- Cramps last 2 or 3 days.
- They will often happen with each period.
- The cramps sometimes go away for good after the first pregnancy and delivery.
Call Your Doctor If:
- Neither ibuprofen or naproxen helps the pain
- Cramps cause you to miss work, school or other events
- Pain lasts over 3 days