Severe menstrual cramps

Overview

Severe menstrual cramps are intense, painful contractions in the lower abdomen and pelvic area that occur during menstruation. These cramps can be debilitating and may radiate to the lower back and thighs, significantly impacting daily activities.

Common Causes

Severe menstrual cramps often occur when the uterus contracts strongly to shed its lining during your period. Higher levels of prostaglandins, which are natural chemicals that trigger these contractions, can make cramps more intense. Conditions like endometriosis, uterine fibroids, or pelvic inflammatory disease can also contribute to more painful periods. Lifestyle factors such as stress, lack of exercise, poor diet, or insufficient sleep may worsen cramping for some women.

Severity Levels

Mild: Cramping causes minor discomfort but doesn't interfere with your daily routine or activities. Over-the-counter pain relief typically provides adequate management.

Moderate: Cramping noticeably affects your ability to work, study, or participate in normal activities. You may need stronger pain medication and might miss some daily commitments.

Severe: Cramping is debilitating and prevents you from carrying out normal activities. Pain medication provides little to no relief, and you may experience additional symptoms like nausea or fainting that require medical attention.

Medical Attention

Seek medical attention if pain is severe enough to interfere with daily activities, doesn't improve with over-the-counter pain relievers, or is accompanied by heavy bleeding that soaks through a pad or tampon every hour. You should also consult a healthcare provider if you experience sudden worsening of pain, fever, nausea and vomiting, or if the pain pattern changes significantly from your usual menstrual experience. Don't hesitate to reach out if you're concerned about the intensity or if symptoms are affecting your quality of life.

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