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Doctor insights on: Menstrual Cramps (Dysmenorrhea)

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Menstrual (Definition)

Menstrual refers to the monthly cycle in women which prepares the female for ovulation, generally once per month, which is that time of month that the egg can be fertilized by the male sperm, for the purpose of reproduction. Menstrual cycles start at the first day of menstruation. (it's always been curious to me that 'menstrual' and ...Read more


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What is the definition or description of: Excessive menstrual cramps?

What is the definition or description of: Excessive menstrual cramps?

No definition: there is no objective definition for excessive menstrual cramps, the diagnosis is subjective, based upon what the patient deems is too much for her and can be treated with oral contraceptive pills ...Read more

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I am having excessive menstrual cramps since I had my 3rd baby. She is 11 months now. My periods r late and excessively painful. Cause of it.

I am having excessive  menstrual cramps since I had my 3rd baby. She is 11 months now. My periods r late and excessively painful. Cause of it.

To be determined: The cause is to be determined by your OB GYN MD when you see him/he and express the above concern as there are many etiologies for painful periods. ...Read more

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Experiencing excessive menstrual cramps with pain scare rating of 6-8 leading to difficulty focusing and concentrating and dizziness. Ways to help?

Experiencing excessive menstrual cramps with pain scare rating of 6-8 leading to difficulty focusing and concentrating and dizziness. Ways to help?

Get evaluated: Menstrual Cramps are rarely a sign of something serious, but they can be very disabling. If Advil/Motrin/Alleve is not helpful, see your clinician who can evaluate the cause of your severe menstrual cramps, and possibly perform tests to rule out more serious conditions - i.e., endometriosis, if indicated. They may recommend continuous birth control pill use or a Mirena IUD. Take Care. ...Read more

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I am experiencing pain during sex, excessive menstrual cramps and pelvic pain. Considering a hysterectomy.

I am experiencing  pain during sex, excessive menstrual cramps and pelvic pain. Considering a hysterectomy.

Consider pain source: You need to see a GYN MD first to determine why the pain, cramping and painful sex are occurring. Endometriosis is notorious for causing these types of symptoms and can be identified by Laparoscopy. Hysterectomy should only be considered when all your options are on the table. ...Read more

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I am experiencing excessive menstrual cramps, painful menstrual bleeding, nausea (severity: moderate) , fatigue, back pain (severity: severe) (sid...

I am experiencing  excessive menstrual cramps, painful menstrual bleeding, nausea (severity: moderate) , fatigue, back pain (severity: severe) (sid...

Painful periods: Irregular periods are one of the most common problems obgyns treat. If this is one time problem it usually resolves on its own. If this is a recurring problem you should be evaluated. There are many options available to help regulate the menstrual cycle. Various birth control methods can be used to shorten or lighten the periods. Schedule a visit. ...Read more

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I am experiencing irregular menstrual periods, excessive menstrual bleeding, excessive menstrual cramps and pain during sex. The following also descr?

I am experiencing  irregular menstrual periods, excessive menstrual bleeding, excessive menstrual cramps and pain during sex. The following also descr?

Need to examine: It is not feasible to provide a meaningful opinion without examining you and your symptoms warrant evaluation by a physician.
Menstrual irregularities are not uncommon and anovulatory cycle is a common cause. If you miss more than two periods it would be time to see your doctor. If you do not wish to be pregnant, use contraception all the time. You may consider implanted contraceptive or an IUD.
Consult this site for more information on this topic.
http://www.nichd.nih.gov/health/topics/menstruation/conditioninfo/Pages/causes.aspx
Practice safe sex, if you have sex.
Get HPV vaccine ...Read more

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I am experiencing vaginal bleeding (quality: contains blood clots) and excessive menstrual cramps. The following also describes me: Painful menstrual bleeding. What should I do?

I am experiencing  vaginal bleeding (quality: contains blood clots)  and excessive menstrual cramps. The following also describes me: Painful menstrual bleeding. What should I do?

Menstrual cramps: If not on oral bcps, in mid-thirties the ovaries need more stimulation to ovulate, which produces more estrogen, and cells which line the uterus can infiltrate the uterine muscle walls: result heavier bleeding and cramps. Ask your gyn about low dose oral bcp's, if there are no contraindications, as they will reduce considerably the bleeding and the cramps. ...Read more

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I am experiencing pelvic pain, excessive menstrual cramps and breast pain (quality: tenderness) .

Painful Menses: Dysmenorrhea Tx: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for dysmenorrhea. 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. ...Read more

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I am experiencing excessive menstrual cramps, nausea (severity: moderate) , difficulty sleeping (quality: difficulty falling asleep, dry mouth?

All during period?: Dysmenorrhea Tx: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for dysmenorrhea. 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. ...Read more

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I am experiencing abnormal vaginal bleeding (quality: between menstrual periods, contains blood clots) and excessive menstrual cramps. The follow...

I am experiencing  abnormal vaginal bleeding (quality: between menstrual periods, contains blood clots)  and excessive menstrual cramps. The follow...

Normal per age: Depending upon your age, this can be normal. On the other hand, changing bcps, or changing dosing of hormones such as estrogens, can cause these symptoms. A few days of the symptoms with resolution, no worries; longer, see your ObGyn. ...Read more

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I am experiencing sudden urge to urinate, pain during sex, excessive menstrual cramps, breast pain (quality: tenderness) and nausea (severity: mo...

I am experiencing  sudden urge to urinate, pain during sex, excessive menstrual cramps, breast pain (quality: tenderness)  and nausea (severity: mo...

Need to see..: .. a gynecologist or family practitioner ASAP. Cramping with the other symptoms may mean you are going through some flux in your hormone levels, though if you have menstruation it is unlikely that you are pregnant. I would check a pregnancy test anyway to be sure, and if negative another one 1 week later. Then check a blood sugar to make sure you are not diabetic. Then see a MD for proper Dx ...Read more

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I am experiencing excessive menstrual cramps, ovary pain throughout the cycle, pain and stomach ache during sex, painful bowel movements, discharge?

I am experiencing  excessive menstrual cramps, ovary pain throughout the cycle, pain and stomach ache during sex, painful bowel movements, discharge?

Get evaulation: I recommend that you start with a Gyn exam to assess whether you may have an ovarian cyst, or possible pelvic infection or endometriosis. Constipation can also be a source of chronic lower abdomiinal pain and discomfort with sex, and stool softeners or Miralax may be helpful. ...Read more

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My period is giving me very painful cramps is it OK for me to take 3 menstrual pain relivers?

My period is giving me very painful cramps is it OK for me to take 3 menstrual pain relivers?

Check lable: Check the bottle for the appropriate dose and do not take any more than is recommended ...Read more

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What can be the reason of menstrual pain/cramp 2weeks before period starts! ? and any chance of pregnancy?

?ovulation: Could be you are ovulating. Usually happens mid cycle . Other things can cause it too.Would discuss with your gyn. Here is some info on pain with ovulation. http://www.mayoclinic.org/diseases-conditions/mittelschmerz/basics/definition/con-20025507 ...Read more

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All ways am experiencing severe menstrual pain diring periods.. but this month no any pain during menstruation just a mild cramp only.why is that?shuld i worry?

Varies: Menstrual pain can vary from month to month. This is nothing to be concerned about. Hope this helps and thanks for using Healthtap! ...Read more

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Can hot balm relive menstrual pain(stomach cramp) and help with the flow of menstruation??

Some: The balm or just a hot bath may relieve the pain some but it is unlikely to do anything for the flow ...Read more

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Menstrual pain hello, for a few years now my menstrual cycle has gotten worse each year. I have one good week out of a month, the rest of the time i get pre cramps and during cramps. I get nausea no vomiting. Pain during sexual intercourse. I have also

The : The bulk of your answer is coming from dr. Salisbury. I just wanted to add to the excellent information that she provided. In conjunction with a comprehensive assessment and any recommendations by your doctor, you may wish to consider adjunctive medical acupuncture treatment. It has been practiced for thousands of years in china and there are excellent protocols for cramping. ...Read more

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How bad are cramps in dysmenorrhea?

How bad are cramps in dysmenorrhea?

Varies: Dysmenorrhea is painful menses. Typically the pain is crampy. The degree of discomfort can only be determined by the one having the cramps. Form some women the pain is mild, others describe severe pain. There is no one description that would apply to everyone. ...Read more

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Bad cramps every month. Could I get drugs for a bad case of primary dysmenorrhea?

Absolutely: First line of treatment is usually an NSAID or cousin to aspirin. The best otc option is Aleve (naproxen) or naproxyn, 400-500 mg twice a day, starting several days before the cramps start. This will usually prevent the cramps and often other symptoms as well by preventing the production of prostaglandins in the body. Next line is hormonal birthcontrol which decreases flow. ...Read more

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What menstrual symptoms would not be called dysmenorrhea?

Many: Dysmenorrhea referrs to pain with menstruation. Anything not associated with pain is not dysmenorrhea including heavy bleeding, frequent bleeding or no bleeding. ...Read more

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What is the best way to treat severe dysmenorrhea (menstrual cramping)?

Med eval: 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. ...Read more

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How can I differentiate between primary and secondary dysmenorrhea? I get bad cramps 1 or 2 days of cycle but ALWAYS feel comfort with just 1 advil

How can I differentiate between primary and secondary dysmenorrhea? I get bad cramps 1 or 2 days of cycle but ALWAYS feel comfort with just 1 advil

Yours Primary Dysmen: Primary Dysmenorrhea is defined as cramping pain in lower abdomen occurring just before and during the menstruation in the absence of any disease.Secondary Dysmenorrhea is when the symptoms are caused by a disorder in woman's reproductive system such as Endometriosis,fibroid uterus,Adenomycosis or infection.Your case fits in the Primary Dysmenorrhea ...Read more

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Can mefenamic acid affect on the bleeding of menstrual cycle when they are given in the dysmenorrhea ?

Can mefenamic acid affect on the bleeding of menstrual cycle when they are given in the dysmenorrhea ?

Yes: This medication decreases pain and bleeding during the menstrual cycle. It's a great tool for those women in whom a common medication like Ibuprofen hasn't done enough to help with either bleeding or pain/cramping. Good luck and hope that answers your question. ...Read more

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I have primary dysmenorrhea. Last month i came on 2 weeks after my periods but had no cramps which has never happened. Could i b pregnant?

I have primary dysmenorrhea. Last month i came on 2 weeks after my  periods but had no cramps which has never happened. Could i b pregnant?

I don't believe that: I understand what you are trying to describe. If you had a period then you are not pregnant from sexual activity that occurred prior to the period. If you aren't sure if you had a period then go ahead and take a home pregnancy test. Lack of cramping does not equate to pregnancy however. ...Read more

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Can a bicornuate uterus be a cause of dysmenorrhea? I've always had severe cramps, got checked out & the only thing they found was bicornuate uterus.

Can a bicornuate uterus be a cause of dysmenorrhea? I've always had severe cramps, got checked out & the only thing they found was bicornuate uterus.

Possibly: A bicornuate uterus, is a partially split uterus that has formed in the shape of a heart, with two “horns” or areas at the top of the uterus. Like any abnormality in the shape of the uterus, bicornuate uterus can cause dysmenorrhea. More importantly, bicornuate uterus can cause recurrent pregnancy loss, preterm delivery, or fetal growth retardation, but successful term pregnancy is possible. ...Read more

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I am experiencing vomiting, nausea (severity: moderate) , excessive menstrual cramps, heartburn (gerd) (worsened by: bending forward, eating certain foods) , breast pain (quality: tenderness) , fatigue, headache (better by: rest, nsaids (ibuprofen, napro

I am experiencing  vomiting, nausea (severity: moderate) , excessive menstrual cramps, heartburn (gerd) (worsened by: bending forward, eating certain foods) , breast pain (quality: tenderness) , fatigue, headache (better by: rest, nsaids (ibuprofen, napro

Dysmenorrhea: Question was cut off. Dysmenorrhea Tx: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for dysmenorrhea. 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 ...Read more

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Why does menstrual pain occur?

Why does menstrual pain occur?

Hormonal changes &: Hormonal changes & their effects on many inflammatory mediators and your mood. A multimodal therapy is frequently necessary, since there is no one pill that can do it all. ...Read more

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Dr. Kashif Abdullah
375 doctors shared insights

Period Pain (Definition)

Period pain or menstrual cramps are often referred to as dysmenorrhea, while a more accurate translation would be menalgia. Dysmenorrhea is a more encompassing term that not only describes the painful cramping associated with menses, but means that 'something isn't right ...Read more


Dr. Navita Modi
640 doctors shared insights

Menstrual Pain (Definition)

A painful cramping sensation in the lower abdomen occuring just before or during the menses. It can be associated with other symptoms including, but not limited to. Headache, ...Read more