Overview
“Dysmenorrhea” is the medical term for painful periods (menstruation) or menstrual cramps. In addition to cramping, you might have other symptoms, such as nausea, fatigue and diarrhea. It’s most common to have menstrual cramps the day before or the day you start your period. For most people, symptoms subside after about two or three days.
Mild to moderate menstrual cramping is normal. But some people have such severe pain during their period that it interferes with their day-to-day life and prevents them from doing things they enjoy. Medication and other treatments can help with painful periods.
Types of dysmenorrhea
There are two types of dysmenorrhea: primary and secondary.
Primary dysmenorrhea
Primary dysmenorrhea is the name for menstrual cramps that come back every time you have get period, but aren’t due to another medical condition. Pain usually begins one or two days before you get your period or when the bleeding actually starts. You may feel pain ranging from mild to severe in your lower abdomen, back or thighs. The pain usually subsides within two or three days. Primary dysmenorrhea is the more common type of dysmenorrhea.
Secondary dysmenorrhea
If you have painful periods because of a condition or an infection in your reproductive organs, it’s secondary dysmenorrhea. Pain from secondary dysmenorrhea usually begins earlier in your menstrual cycle and lasts longer than typical menstrual cramps. For example, you may experience cramping several days before your period and the pain may last until the bleeding completely stops. Secondary dysmenorrhea is less common.
Is having dysmenorrhea normal?
It’s normal to have some pain during menstruation. About 60% of people with a uterus have mild cramps during their period. About 5% to 15% of people report period pain that’s so severe that it affects their daily activities. However, this number is likely higher, as healthcare providers believe many people don’t report menstrual pain.
In most cases, painful periods become less painful as you get older. They may also improve after giving birth.
Symptoms
When to see a doctor
Complications
- High blood pressure.
- Diabetes.
- Heart failure.
- Some types of heart valve disease.
Prevention
- Control high blood pressure, high cholesterol and diabetes.
- Don't smoke or use tobacco.
- Eat a diet that's low in salt and saturated fat.
- Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
- Get good sleep. Adults should aim for 7 to 9 hours daily.
- Maintain a healthy weight.
- Reduce and manage stress.
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