More than 75% of women suffer from menstrual cramps (also known as dysmenorrhea), while at least 10% of women have severe menstrual pain.  During the menstrual period of each month, severe menstrual pain can greatly affect women’s quality of life. If you suffer from menstrual pain and discomfort every month, you can relieve your symptoms of dysmenorrhea through medical treatment or lifestyle adjustments. The whole person is uncomfortable during the menstrual period, but at least can reduce or eliminate some annoying symptoms.
Relieve severe dysmenorrhea through medical treatment
Determine the type of menstrual bleeding. There are two types of dysmenorrhea: primary dysmenorrhea and secondary dysmenorrhea. Although both types of dysmenorrhea can cause severe pain, primary dysmenorrhea is more common and milder than secondary dysmenorrhea. Regardless of the type of dysmenorrhea, you can ask your doctor how to relieve pain. But if you think that you are secondary dysmenorrhea, you need to go to the hospital as soon as possible to find a doctor.
Primary dysmenorrhea is more common and is associated with the secretion of hormones and hormonal substances during the menstrual cycle. Prostaglandins can promote endometrial shedding, but also excessive secretion. Excessive secretion of prostaglandins reduces the flow of blood to the uterus, causing pain.  Almost every woman, including girls, has experienced dysmenorrhea. Dysmenorrhea usually begins a few days before menstruation, and as the menstrual period ends, the pain slowly subsides. 
However, secondary dysmenorrhea is caused by endometriosis, pelvic inflammatory disease, sexually transmitted diseases, intrauterine devices, or potential diseases such as uterine fibroids.  Secondary dysmenorrhea is more serious, even for women who have been through for many years. Secondary dysmenorrhea can occur even in women who do not have premenstrual syndrome or who are not in the menstrual period. 
If dysmenorrhea is caused by endometriosis or uterine fibroids, surgical treatment is needed to eliminate dysmenorrhea.  If dysmenorrhea is caused by pelvic inflammatory disease, it requires treatment with antibiotics. 
If you have some worrying symptoms, seek medical attention as soon as possible. If there are other symptoms besides dysmenorrhea, you have to go to the hospital right away. This may not be a simple dysmenorrhea, but a sign of some serious illness. 
Vaginal secretion changes
Delayed menstruation with sudden severe pain
I have placed an IUD a few months ago and my abdomen has continued
You feel that you have a pregnancy
After the menstrual period, the pain still did not improve.
Make adjustments as recommended, but the pain has not eased, you should tell the doctor. Your doctor will ask you to have an ultrasound or laparoscopy to rule out cysts, inflammatory infections or other chronic conditions. 
Ask your doctor to prescribe a contraceptive. Any form of hormonal contraception (contraceptive patches, birth control rings, contraceptive pills, injectables) can alleviate the symptoms of dysmenorrhea.  Low-dose hormonal contraception can reduce the secretion of prostaglandins and relieve dysmenorrhea. Contraception is the most common and the most highly regarded drug regimen for relieving dysmenorrhea. 
Hormone contraception can cause side effects such as venous thrombosis, hemorrhoids, breast tenderness and elevated blood pressure.  However, the current contraceptive pill is more safe than before, and the risk of side effects is small.  Discuss potential risks with your doctor.
Even if you stop taking the pill after 6-12 months, there is still the possibility of dysmenorrhea. Many women report that after stopping hormonal contraception, dysmenorrhea will be relieved.
Hormone-containing intrauterine devices such as Mirena can also help treat severe dysmenorrhea symptoms. 
Some hormonal contraceptives can reduce the frequency of menstruation. From the monthly pass, it becomes four times a year. Some women don’t even have menstruation. These contraceptives are called long-acting contraceptives, and many doctors consider them to be as safe as other types of hormonal contraception.  Lowering the frequency of menstruation naturally reduces the frequency of dysmenorrhea.
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If the over-the-counter drug is not effective, ask your doctor to prescribe a painkiller. It is generally recommended to use over-the-counter painkillers first, but they may not be effective for you. Ask your doctor if you can take prescription painkillers such as mefenamic acid. 
Taking over-the-counter medications to relieve pain
Consult your doctor about the safety of non-steroidal anti-inflammatory drugs. Over-the-counter non-steroidal anti-inflammatory drugs have a significant effect on relieving dysmenorrhea. Non-steroidal anti-inflammatory drugs have anti-inflammatory and analgesic effects, can help promote blood circulation in the uterus, thereby alleviating dysmenorrhea, and at the same time, help reduce menstrual flow.  Common non-steroidal anti-inflammatory drugs include ibuprofen and naproxen.
However, non-steroidal anti-inflammatory drugs are not suitable for everyone. Non-steroidal anti-inflammatory drugs are contraindicated in people under the age of 16 or who have asthma, liver and kidney disease. Consult a doctor before taking an analgesic. 
Non-steroidal anti-inflammatory drugs are the most effective drugs for the treatment of dysmenorrhea, but if you are not suitable for taking these drugs, you can choose other drugs.  Analgesics such as acetaminophen are also effective in the treatment of dysmenorrhea. 
When dysmenorrhea, take non-steroidal anti-inflammatory drugs as recommended. In order to make the non-steroidal anti-inflammatory drugs fully effective, it is necessary to take the medicine in time. As soon as I feel dysmenorrhea, I started taking non-steroidal anti-inflammatory drugs. Follow the doctor’s advice and take it continuously for 2-3 days until the symptoms are relieved. Be sure to read and follow the instructions on the package carefully. [twenty one]
Record the menstrual log so that you can clearly see when each month’s dysmenorrhea symptoms begin.
Do not take excessive amounts of non-steroidal anti-inflammatory drugs. Be sure to follow the instructions on the medicine package and the doctor’s advice. Non-steroidal anti-inflammatory drugs, especially long-term use, can cause some side effects, so make sure you don’t overdo it every month.
Take vitamin supplements to relieve menstrual pain. When dysmenorrhea is severe, vitamins do not relieve pain. However, vitamin D supplements can prevent the occurrence of dysmenorrhea in advance.  In addition, omega-3 fatty acids, magnesium, vitamin E, vitamin B-1 and B-6 supplements can help improve dysmenorrhea. [twenty four]
Consult a doctor before starting to take vitamins to avoid any side effects. Read the instructions on the package carefully before taking over-the-counter medicines and supplements.
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Consult your doctor about prescription drugs. If the pain is severe, you can ask your doctor to prescribe medication to relieve dysmenorrhea. The doctor will give you some choices:
Hydrogen ketone and acetaminophen (Vicker, Lortab hydrocodone and acetaminophen tablets) are recommended for moderate to severe pain. 
Tranexamic acid (tranexamic acid tablets) can alleviate the pain caused by excessive menstruation. Only when the menstrual period can take the tranexamic acid drugs, in order to reduce the amount of bleeding, relieve the purpose of dysmenorrhea. 
Relieve dysmenorrhea through exercise
When you have dysmenorrhea, you can do some gentle exercise. When the pain is severe, severe high-intensity exercise should be avoided. Gentle exercise promotes blood circulation and secretes endorphins, thereby relieving dysmenorrhea.
Aerobic exercise such as walking, cycling and swimming can alleviate pain. 
Some yoga poses can stretch the back, groin, chest and abdominal muscles to help promote uterine blood circulation and relieve pain. 
Pay attention to exercise intensity, perform gentle exercise, and wear loose clothing.  Excessive exercise, or too tight clothes, can exacerbate the symptoms of dysmenorrhea.
Another potential benefit of exercise is weight loss, which also reduces the frequency of dysmenorrhea. 
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Sex life. Menstrual sex sounds a bit confusing, but it is a good way to relieve dysmenorrhea. Orgasm can promote blood circulation, secrete endorphins, relieve pain,  and temporarily divert your attention.
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Massage the abdomen. Massage the painful area to promote uterine blood circulation, thereby relieving dysmenorrhea. Gently massage the lower abdomen with a fingertip in a circular motion.  In order to relieve symptoms, the duration and frequency of massage are not limited, and can be adjusted according to actual needs.
Acupuncture and acupoint finger pressure also have the same positive effect on dysmenorrhea as massage. Some women report that dysmenorrhea has improved after receiving acupuncture or acupressure.  Acupuncture and acupressure can stimulate the central nervous system and have therapeutic and analgesic functions. Consult a doctor before accepting these therapies. Also, do some research in advance to find a professional licensed masseur, not an amateur practitioner. 
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Rush a hot bath or soak a hot bath. Hot water can promote blood circulation and help relieve pain.  When you feel unbearable pain, give yourself a hot bath. Repeat once or twice a day as needed.
If you can’t take a hot bath, you can put a bottle of hot water or a heating stick on your stomach for 20 minutes.
Be careful not to overheat the temperature to avoid burns or burn yourself. The temperature that makes you feel comfortable is OK, and it’s safe and won’t burn.
For relieving dysmenorrhea, these heat therapies are as effective as painkillers with fewer side effects. 
Alleviate dysmenorrhea through diet
A few days before the start of menstruation, you should avoid caffeine, alcohol and salty food. Dysmenorrhea is usually caused by vasoconstriction. Foods that contain diuretic ingredients, or that are rich in sodium, can block blood circulation and should be avoided. During the period, caffeine, alcohol and junk food should also be avoided to improve the symptoms of dysmenorrhea.  The diet was adjusted a few days before the start of menstruation until the end of the menstrual period.
Menstruation should also avoid smoking. The reason is the same as above: smoking can contract blood vessels and impede blood circulation. 
Drink plenty of water. Drink plenty of water to avoid vasoconstriction. If you are in a hot bath or exercise to relieve dysmenorrhea, it is especially important to replenish moisture.
Drink chamomile tea. Chamomile has an anti-inflammatory effect and can effectively improve the symptoms of dysmenorrhea.  Caffeine drinks such as coffee and black tea should be avoided during dysmenorrhea. Chamomile tea is an ideal substitute.
Eat less and eat more. Instead of eating three big meals a day, you can eat less and eat a few more meals per meal. 
Eat high calcium food. High calcium foods can also help relieve symptoms of dysmenorrhea.  In general, high-calcium foods such as dark green leafy vegetables such as kale or spinach, tofu, almonds, soybeans, sardines and low-fat dairy products are healthy dietary options. 
Several methods described above can be used in combination to relieve dysmenorrhea. For example, you can combine gentle exercise therapy with non-steroidal anti-inflammatory drugs, which is more effective than a single method.
Don’t let dysmenorrhea affect your daily life or study. Usually, girls are particularly prone to severe dysmenorrhea during the physiological period, which is one of the important reasons why some girls can’t go to class.  Many women have to take time off because of severe pain during menstruation. If the symptoms of dysmenorrhea have affected your daily life, go to the doctor.
Write a physiological period diary, record various symptoms, pain and continuous duration. This can help you anticipate the time of dysmenorrhea and make necessary adjustments, such as reducing caffeine intake and increasing calcium intake. The physiological period diary can let you know if a strange sudden physiological change has occurred. If you have one, you should see a doctor. 
Always consult your doctor before taking over-the-counter medicines or supplements to ensure medication safety. Understand the side effects of over-the-counter drugs or supplements. Always use medication according to instructions, not to exceed the recommended dose.
If the dysmenorrhea persists after the menstrual period, abnormal bleeding, nausea, vomiting, etc., or if you are pregnant, seek medical attention immediately.