Menstrual Cramp Causes And Risk Factors
Menstrual cramps happen because of contractions in the uterus, or womb, which is a muscle. If it contracts too strongly during your menstrual cycle, it can press against nearby blood vessels. This briefly cuts off oxygen to the uterus. Itâs this lack of oxygen that causes your pain and cramping.
You can also have cramps because of:
- Endometriosis, a condition in which the tissue lining the uterus grows outside of the uterus
- Fibroids in your uterus
- Adenomyosis, when your uterine lining grows into nearby muscle
- Pelvic inflammatory disease , an infection caused by bacteria that starts in the uterus and can spread to other reproductive organs
- Cervical stenosis, or a narrowing of the lower part of your uterus, caused by scarring, as well as a lack of estrogen after menopause
Certain things put you at a higher risk of menstrual cramps. Youâre more likely to have them if you:
- Are under 30
Are Your Periods Getting Heavier Or More Painful
Now, if you told me that your periods were getting heavier and heavier or not heavier but more and more painful, I would begin to think that as each period got worse, there was something going on. So a woman who said, “I just had one of the worst periods of my life.” I’d think, “Fine.” If you said, “My periods are getting worse and worse,” I’d think of two conditions:
So for women who are having really bad periods but they’re getting worse and worse and worse, we have very good therapy for periods, but we may need to do a little investigation. If it’s just the worst period of your life and it’s only this one, it’s probably not going to be so bad next time. And the good news is you’re probably normal.
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Iud Cramps Can Be Normal Or Not
An intrauterine device, or IUD, can give you up to 12 years of protection from unintended pregnancy, with as much as 99% certainty. Unfortunately, IUD usage is also often associated with cramps.
So what causes IUD-related cramps, when can you expect them to cease, and how can you tell if your IUD cramps are normal or not? Lets check it out together with the European Board and College of Obstetrics and Gynaecology .
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Why Your Cramps Are Worse Some Months But Not Others
Periods are sometimes called the fifth vital sign because theyre an expression of someones underlying health status. When your period is painful or difficult, its trying to tell you your system has been thrown.
You may only think about your menstrual cycle during your period, but its happening all the time. The hormones that drive the ebbs and flows of your cycle are sensitive to whats going on elsewhere in your body, all month long.
Every day is an opportunity to support your cycle with healthy habits. Some periods come with worse cramps than others because your period is like a scorecard that reflects how supportive your habits were over time.
Habits that support cycle health and promote easy periods include:
- Choosing a healthy diet rich in anti-inflammatory, plant-based foods
- Supplementing with nutrients and herbs that are important to cycle health
- Getting at least 7 hours of quality sleep each night
- Quitting cigarettes
Reasons For Severe Menstrual Cramps
Menstrual cramps that are so painful that they cause you to miss work or social events could be a sign of endometriosis, a condition that occurs when the tissue lining the uterus grows outside the uterus. According to Mayo Clinic, In endometriosis, displaced endometrial tissue continues to act as it normally would it thickens, breaks down, and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped.
In addition to painful menstrual cramps, symptoms of endometriosis include:
- Pain during sex
- Pain with urination or bowel movements
- Fatigue
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Pain Medications Don’t Work
For those 20% who experience monthly discomfort, most can get relief with over-the-counter pain medications, like Advil or Tylenol . If over-the-counter medication is not enough to help you get on with your day, however, then your period cramps arent normal.
Very important side note: Some people will take more than the recommended dosage of over-the-counter pain relievers thinking that since they are over-the-counter, they are therefore harmless. Over-the-counter is not a code word for dosage-doesnt-really-matter. Dont do this. It can be extremely dangerous and even deadly.
Why Are My Period Cramps So Bad All Of A Sudden
Why are my period cramps so bad all of a sudden. When monthly guests come, many women have to deal with menstrual problems that make them nervous. Starting from suddenly feeling stomach cramps, bad mood, the body feels weak, to feeling more sensitive they have to deal with for several days.
Actually, menstrual problems are not only as mentioned above, because there are also women who suddenly experience unbearable pain. Menstrual pain or dysmenorrhea is a muscle cramp that is felt in the lower abdomen. Usually appears before or during menstruation.
What is disturbing, this pain can sometimes suddenly be bad enough and spread to the back and thighs. In fact, this pain can interfere with daily activities. Menstrual pain is different from premenstrual syndrome . However, the symptoms of the two can be considered as related processes.
So, speaking of menstrual pain, what are the signs of menstrual pain that are dangerous or should not be ignored?
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What Causes Period Pain
If you experience chronic painful periods, its only natural to wonder why. Maybe youre the only woman in your family who gets severe cramps. Maybe your painful periods didnt start until your twenties. Whatever your situation, a doctor can help you understand why you get painful cramps every month. Some of the most common causes of painful periods are:
Reason For Painful Cramps: Uterine Defects
Your uterus is formed while you are a female fetus in your mothers uterus and it is developed from a structure called the paramesonephric ducts. Sometimes, the uterus wont be formed as it should, which can lead to several things like infertility, painful intercourse, and period pain.
Menstrual cramps are often present and caused by the blockages and membranes diving the uterus and vagina. The most common types of uterine defects include bicornuate uterus , septate uterus and unicornuate uterus .
Also Check: I Have Been On My Period For 2 Months
Endometriosis: A Common Cause Of Severe Period Pain
Endometriosis is a gynecological condition in which endometrium-like tissue is found outside the uterus on other structures throughout the pelvis, including the ovaries, fallopian tubes, bladder, pelvic floor, and in more severe cases, the bowel, diaphragm, liver, lungs, and even the brain.
According to Ken R. Sinervo, MD, the medical director of the Center for Endometriosis Care in Atlanta, We dont really know why endometriosis causes menstrual pain may have to do with where is located and how it presents.
Untreated endometriosis can lead to adhesions, chronic inflammation, chocolate cysts , and internal bleeding all of which can prompt excruciating pelvic pain. Endometriosis pain isnt limited to period pain that goes on 24/7, says Dr. Sinvero. Many women also experience backache and other bowel symptoms, not to be confused with IBS, he added.
What Are Menstrual Cramps
Menstrual cramps are throbbing, aching cramps you get in your lower belly just before and during your period. Theyâre some of the most common, annoying parts of your period. They can strike right before or during that time of the month. Many women get them routinely.
Cramps can range from mild to severe. They usually happen for the first time a year or two after a girl first gets their period. With age, they usually become less painful and may stop entirely after you have your first baby.
Your doctor may call your cramps dysmenorrhea.
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Why Do I Have Cramps But No Period
If youre having period cramps but no period, or a late period and cramps at an unexpected time of the month, it could be due to a number of things. Common causes include pregnancy, cysts, or IBS. Lets dive into 9 of the most common reasons women experiencing cramping and what it means for your health.
Use Foods Against Menstrual Pain
- Eating an anti-inflammatory diet is a more natural way to fight cramps from the inside. If you find yourself eating lots of junk food, especially leading up to your period, you may want to reach for healthier choices. Stay away from processed and fatty foods like sweets, pasta, cheese, and white bread instead, go for items like whole grains, legumes, fruits, and vegetables.
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Diagnosing Cramps With No Period
Always call a doctor if you have cramps that wonât go away, whether or not you have your period.
Your doctor will want to know if your pain is sudden or ongoing. The more details you can give, the faster they may be able to diagnose and treat you. Youâll be asked questions about your symptoms and your periods.
Your doctor may do tests or procedures to learn the cause of your cramps. If your doctor suspects it is related to your uterus, or ovaries, common tests are:
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Pelvic exam
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Ultrasound
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Laparoscopy, a type of exploratory surgery to look at the structures inside your pelvic area, including your uterus, cervix, ovaries, and fallopian tubes.
Your doctor may refer you to someone who specialize in stomach or intestinal disorders or a urologist if they suspect that cramps are caused by any of those areas .
Johns Hopkins Medicine: “Pelvic Pain.”
Glencoe Regional Health Services: “Possible causes of ovarian pain.”
St. Luke’s Health System: “Ruptured Ovarian Cyst.”
Kruszka, P.S. American Family Physician, July 15, 2010.
KidsHealth: “Pregnancy Calendar: Week 4.”
KidsHealth: “Pregnancy Calendar: Week 5.”
WomensHealth.gov: “Irritable Bowel Syndrome Fact Sheet.”
Center for Young Women’s Health: “Pelvic Inflammatory Disease.”
Christiana Care Health System: “Pelvic-Floor Muscle Dysfunction.”
UpToDate: âPatient information: Chronic pelvic pain in women .
UpToDate: Patient information: Irritable bowel syndrome .â
American Cancer Society: âWhat Is Ovarian Cancer?â
Iud Insertion Pain: Overview
Its normal to feel some tolerable IUD insertion pain. It occurs when your doctor or nurse touches and dilates your cervix with special tools and pushes the IUD through the cervix into the uterus. Some people describe it as a bit harsher version of cramps you may feel during a pap smear.
The process of IUD insertion lasts only a few minutes, and cramps often become better in 1520 minutes. To manage the pain, you can take over-the-counter pain relievers in advance, for example, ibuprofen. You can also ask your provider for a local anesthetic to numb the cervical canal before the procedure.
Some professionals may use ultrasound guidance to show you the insertion. This may distract you from possible discomfort and help you feel in control of the procedure. Ask your doctor about their approach.
Women who have had a vaginal delivery usually feel less IUD insertion pain. For others, the insertion may be more painful. Some doctors prescribe a local treatment to soften the cervix, make insertion easier, and cause less discomfort. Please discuss this with your doctor.
You may experience dull or throbbing pain similar to menstrual cramps for a few days after your IUD was installed. And like menstrual cramps, IUD cramps can usually be managed with pain relievers or a heating pad. However, if your cramps suddenly became severe or you feel a sharp pain in the lower abdomen, its best to consult your health care provider immediately.
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How Are Severe Menstrual Cramps Treated
When the usual home remedies to relieve period cramps are no match for your cramps, an OB-GYN can help you find relief from the pain. The most common treatments for severe menstrual cramps are:
- Hormonal birth control methods If your menstrual cramps are caused by a hormone imbalance, your doctor might recommend using a hormonal birth control. In addition to preventing pregnancy, taking hormonal birth control can help correct the levels of estrogen and progesterone in your body, which effects the thickness of the uterine lining. Thinning the uterine lining can reduce prostaglandin and bring pain relief. Some birth control methods can cause women to skip their periods, eliminating cramps altogether.
- Prescription medication When over-the-counter medicines dont work, your doctor might prescribe nonsteroidal anti-inflammatory drugs . These medicines are much stronger than similar ones youll find over-the-counter. They can significantly reduce prostaglandins in your uterus, which might thin the uterine lining and alleviate cramps. Prescription medication is used when a woman experiences severe, chronic cramps.
Can Guys Have Periods
Guys donÄôt have periods because they donÄôt have a uterus, but their bodies develop and change too the changes are just different. For example: their voice changes and they develop hair on their face and other parts of their bodies. So, although guys donÄôt get periods, their bodies do go through changes too.
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When To See A Doctor For Menstrual Cramps
You’ve tried the home remedies, and still your cramps are interfering with your life. That’s one reason to make an appointment with your doctor to see what can be done. He or she might prescribe medications that can help, such as birth control pills or patches, or prescription-strength pain relievers. Other signs you need to visit your doctor include:
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Your periods are getting heavier and cramps getting worse over a 2- to 3-month time period.
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You experience pain when you’re not on your period.
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Your period pain isn’t relieved by medication.
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Your pain spreads to other parts of your body, such as into your back or down your leg.
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Your cramps suddenly get worse.
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You’re older than 25 and get severe cramps for the first time.
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You have a along with your cramps.
Some signs that your menstrual cramps need immediate medical attentionâas in, call 911 or get to the emergency room:
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Severe pain, such as that causes you to double over