When to Call a Doctor About Menstrual Cramps
Menstrual cramps are very common, particularly mild cramping just before or at the onset of menstrual flow. Some experience cramping that is more severe and may even affect their daily life or interrupt school or activities. If cramping is more severe, a doctor may diagnose it as dysmenorrhea. Dysmenorrhea essentially means especially painful periods.
The most common reason people have dysmenorrhea is from the contraction of the uterine wall itself. Menstrual cramping is caused by the contractions that shed the inner lining of the uterus, which makes up the menstrual blood. When that lining sheds, the body releases chemicals called prostaglandins. This makes the uterus contract further.
Generally, you can manage cramping at home. Heating pads and warm baths can be helpful, as can light exercise or yoga. If the cramping is still an issue, you can use NSAIDs, such as ibuprofen or naproxen. Talking to a healthcare provider about an appropriate dosage is always a good idea, as it can change by situation.
If these at-home treatments are not enough to manage severe menstrual cramps, it is always good to talk to a healthcare provider. They can help determine if hormonal medications will treat the menstrual cramps, or if there is a secondary issue.
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The St. Louis Children’s Hospital YouTube station is intended as a reference and information source only. If you suspect you have a health problem, you should seek immediate care with the appropriate health care professionals. The information on this website is not a substitute for professional care, and must not be used for self-diagnosis or treatment. For help finding a doctor, St. Louis Children's Hospital Answer Line may be of assistance at 314.454.KIDS (5437). The opinions expressed in these videos are those of the individual writers, not necessarily St. Louis Children's Hospital or Washington University School of Medicine. BJC HealthCare and Washington University School of Medicine assume no liability for the information contained in this website or for its use.
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