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Treatments and drugs
By Mayo Clinic staffMedications
- NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be helpful in relieving the pain of menstrual cramps. Your doctor may initially suggest taking over-the-counter NSAIDs, such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve), at regular doses starting the day before your period begins. Prescription NSAIDs, such as mefenamic acid (Ponstel), are also available.
- Hormonal birth control. Oral birth control pills contain hormones that prevent ovulation and reduce the severity of menstrual cramps. These hormones can also be delivered by injection, a patch you wear on your skin, or in a flexible ring that you insert into your vagina.
Surgery
If your menstrual cramps are caused by an underlying disorder, such as endometriosis or fibroids, the surgical removal of the abnormal tissue may help reduce your symptoms.
References
- Lentz GM. Primary and secondary dysmenorrhea, premenstrual syndrome, and premenstrual dysphoric disorder: Etiology, diagnosis and management. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/123257502-3/810739333/1524/245.html#4-u1.0-B978-0-323-02951-3..50039-X--cesec1_1158. Accessed March 2, 2009.
- Banikarim C. Primary dysmenorrhea in adolescents. http://www.uptodate.com/home/index.html. Accessed March 2, 2009.
- Dysmenorrhea. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp046.cfm. Accessed March 2, 2009.
- Smith RP, et al. Pathogenesis, clinical manifestations and diagnosis of primary dysmenorrhea in adult women. http://www.uptodate.com/home/index.html. Accessed March 2, 2009.
- Endometriosis and adenomyosis. In: Kumar V, et al. Robbins and Cotran Pathologic Basis of Disease. 7th ed. Philadelphia, Pa.: Elsevier Saunders; 2005. http://www.mdconsult.com/das/book/body/123257502-5/810836639/1249/260.html#4-u1.0-B0-7216-0187-1..50026-2--cesec79_3198. Accessed March 2, 2009.
- Peipert JF, et al. Complications of pelvic inflammatory disease. http://www.uptodate.com/home/index.html. Accessed March 2, 2009.
- Ultrasound imaging of the pelvis. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=pelvus. Accessed March 3, 2009.
- CT: Abdomen and pelvis. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=abdominct. Accessed March 3, 2009.
- MRI of the body (chest, abdomen, pelvis). Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=bodymr. Accessed March 3, 2009.
- Hysteroscopy. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp084.cfm. Accessed March 3, 2009.
- Laparoscopy. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp061.cfm. Accessed March 3, 2009.
- Smith RP, et al. Treatment of primary dysmenorrhea in adult women. http://www.uptodate.com/home/index.html. Accessed March 3, 2009.
- Dysmenorrhea. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-1-4160-2450-7..50117-1--cesec17&uniq=123506366&isbn=978-1-4160-2450-7&sid=811308126#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-1-4160-2450-7..50117-1--cesec17%3Btype%3DbookPage%3Bisbn%3D978-1-4160-2450-7. Accessed March 3, 2009.
- Mind-body medicine: An overview. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/whatiscam/mind-body/mindbody.htm. Accessed March 3, 2009.
- An introduction to acupuncture. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/introduction.htm. Accessed March 3, 2009.
- Nasir LS. Dysmenorrhea. In: Rakel RE, et al. Conn's Current Therapy. 60th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/123506366-5/811342293/1621/527.html#4-u1.0-B978-1-4160-4435-2..50267-3--cesec6_4271. Accessed March 3, 2009.
