Relieving Menstrual Pain: Topic Overview

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Topic Overview

Menstrual cramps can cause mild discomfort to severe pain in the lower abdomen, back, or thighs. The pain usually starts right before or in the beginning of your period. During this time, you may also have headaches, diarrhea or constipation, nausea, dizziness, or fainting.

Not every woman has menstrual pain, but it is a normal part of how the body works.

To help relieve menstrual cramps:

• Apply heat to your abdomen with a heating pad or hot water bottle, or take a warm bath. You might find that heat relieves the pain as well as medicine does.
• Lie down and elevate your legs by putting a pillow under your knees.
• Lie on your side and bring your knees up to your chest. This will help relieve back pressure.
• Try sexual activity. This may relieve pelvic cramping and backache.
• Try using sanitary napkins instead of tampons.
• Get regular exercise. You might find that it helps relieve pain.

Over-the-counter medicine usually relieves menstrual pain.

• Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil), help relieve menstrual cramps and pain.
• Start taking the recommended dose of pain reliever when discomfort begins or 1 day before your menstrual period starts.
• Take the medicine for as long as the symptoms would normally last if you did not take the medicine.
• If an NSAID does not relieve the pain, try acetaminophen, such as Tylenol or Panadol.

Be sure to follow all labels and instructions. If you are pregnant or trying to become pregnant, talk to your health professional before using any medicine. Do not take aspirin if you are younger than 20 because of the risk of Reye's syndrome.

Prescription medicine is a good choice if over-the-counter medicine does not bring you relief. Birth control hormones help relieve menstrual pain and lighten bleeding for most women.¹ They also prevent pregnancy. Talk to your health professional about trying the birth control pill, patch, or ring. With most types of hormone birth control, you take the hormones every day for 3 weeks, then take a week off. This is when you might get a menstrual period. There are some types of pill that you can take over 3 months, or even every day of the year. With these, you might have unexpected spotting or bleeding, especially during the first year.

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Last updated:	August 23, 2007
Author:	Kathe Gallagher, MSW
Reviewed By:	Kathleen Romito, MD - Family Medicine, Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
Editors:	Kathleen M. Ariss, MS, Pat Truman