How do i reduce pre menstrual cramps?

Several ways: You can use nsaids (like ibuprofen) or taking birth control pills are very helpful at decreasing menstrual cramps. There are some prescription pain meds too, one called Ponstel (mefenamic acid) that is really helpful at treating menstrual cramps.

Pms: Nsaid’s, ssri’s, hormone meds, otc meds containing diuretics, warm bath, heating pad, exercise ; acupuncture are excellent for pms / period. Avoid caffeine, chocolate, alcohol ; salt. Get gyn eval to r/o underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or black cohosh with dr ok. Sipping chamomile can dissipate pain. Ginger helps w nausea.