Dysmenorrhea is the medical term for menstrual cramps, or the pain that many women have just before or at the beginning of their periods. This pain usually is not serious.
Symptoms of menstrual cramps
Menstrual cramps can feel like a dull ache in the abdomen, lower back, hips or inner thighs. The pain may start just before your period or at the beginning of your period and can last 1 to 3 days. The pain may be bad enough to keep you from doing your normal activities.
More serious problem
Talk to your doctor if you have any of the following symptoms:
- Painful periods that started later in life
- Pain at times other than the first couple of days of your period
- Unusual vaginal discharge or bleeding
- Pain that doesn”t go away when you take medicine to relieve it
What causes dysmenorrhea?
There are two types of dysmenorrhea:
Primary dysmenorrhea is pain caused by common menstrual cramps.
Secondary dysmenorrhea is pain caused by a disease or condition, such as infection, ovarian cysts (fluid-filled sacs in the ovary), or endometriosis , a problem with the lining of the uterus.
Treatment
How are painful periods treated?
You can try using heating pads or taking a warm bath. You can buy medicines without a prescription to help with the symptoms of PMS. These medicines usually combine aspirin or acetaminophen with caffeine, antihistamines or diuretics. Some brand names include Midol, Pamprin and Premsyn PMS.
Over-the-counter pain relievers can also help with the pain. These include ibuprofen and naproxen . These medicines work well for mild or moderate pain. If these don”t help, you can talk to your doctor about a stronger pain reliever.
Your doctor might want you to try using birth control pills or a birth control shot. These medicines can make your periods less painful.

