Painful menstrual cramps (dysmenorrhea) are one of the most common reasons for women to seek medical attention. During the menstrual cycle, the lining of the uterus produces a hormone called prostaglandin, which causes the uterus to contract, often painfully.

Besides mild to severe cramping in the lower abdomen, symptoms of painful menstrual cramps include headaches, nausea, and diarrhea or constipation.

Primary dysmenorrhea is a term used to describe painful menstrual cramping with no recognized physical cause. It is most commonly seen in women between the ages of 20 and 24. It usually goes away after 1 to 2 years, when hormonal balance occurs. Secondary dysmenorrhea is a term used to describe painful menstrual cramping caused by a physical problem, such as endometriosis, uterine polyps or fibroids, or pelvic infection. Menstrual-type cramps also may occur after a medical procedure, such as cautery, cryotherapy, or IUD insertion.

A woman may be able to relieve menstrual cramps by:

• Applying heat, such as a hot water bottle, a heating pad, or by soaking in a hot bath, to relax tense muscles and relieve cramping.
• Drinking herbal teas, such as chamomile, mint, and blackberry, to soothe tense muscles and anxious moods.
• Exercising. Regular workouts decrease the severity of cramps.
• Emptying the bladder frequently.

Treatment depends on the cause. Primary dysmenorrhea may be relieved with over-the-counter pain medication. Some women need hormone treatment, such as birth control pills, to bring their hormones into balance.

By	Healthwise Staff
Primary Medical Reviewer	Kathleen Romito, MD - Family Medicine
Primary Medical Reviewer	Martin Gabica, MD - Family Medicine
Specialist Medical Reviewer	Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
Specialist Medical Reviewer	William H. Blahd, Jr., MD, FACEP - Emergency Medicine
Last Revised	July 2, 2009