What choices do I have for treating dysmenorrhea?

Dysmenorrhea. There are many types of dysmenorrhea. Primary dysmenorrhea means you have had pain ever since your first menstruation. Secondary means you didn't have pain before but you do now. Physiological dysmenorrhea means there is nothing wrong with your organs. Pathological means there is something wrong, like endometriosis. No matter what is the diagnosis, there are many choices of treatment.
Many options. 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.
Hormonal therapy. After a full evaluation by a gynecologist and if you are a candidate for hormonal therapy, combined oral contraceptives (estrogen/progestorone) pills, in addition to anti-inflammatory medication is the way to go.