A member asked:

What causes bad cramps when a girl is on her time of the month? any way we can reduce cramps?

2 doctors weighed in across 2 answers

Hormones: When you are having your menses, the lining of your uterus is shedding and releases hormones called prostaglandins, which can cause cramping of the uterus and GI tract. This can be reduced by drugs called nsaids, which work against the prostaglandins to prevent cramps. Ibuprofen and naproxen, sold otc, are examples. Take them very early as they work better, or ask your doctor for others.

Answered 6/25/2014

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Mnestrual cramps: Menstrual cramps are uterine contractions and blood vessel constrictions postulated to be a result of increase of substances called prostaglandins. First-line treatment is nsaids like Ibuprofen taken 2 days before the expected period or after its start. Oral contraceptives, dmpa, or Progesterone iuds may also be of benefit. Please talk to your gynecologist about these suggestions.

Answered 6/30/2014

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