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A female asked:

What are the causes for extreme menstrual cramp pains?

2 doctor answers4 doctors weighed in
Dr. Bryan Treacy
Gynecology 36 years experience
Variety of reasons: Cramping occurs due to formation of substances that cause smooth muscle contraction. Nsaids like advil (ibuprofen) etc block the formation of these substances which is why they can help with menstrual cramping. However, if cramping is severe, more serious issues may be lurking. If menstrual cramping is affecting activities of daily living, an evaluation is in order.
Dr. Heidi Fowler
Psychiatry 26 years experience
Menstrual cramps: Reasons for significant menstrual cramps can be endometriosis, cervical stenosis, uterine fibroids, adenomyosis ; pelvic inflammatory disease.

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Last updated Mar 23, 2014
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