Painful menstrual cramps (dysmenorrhea) are one of the most common reasons for women to seek medical attention. During the menstrual cycle, the lining of the uterus produces a hormone called prostaglandin, which causes the uterus to contract, often painfully.

Besides mild to severe cramping in the lower belly, symptoms of painful menstrual cramps include headaches, nausea, and diarrhea or constipation.

Primary dysmenorrhea is a term used to describe painful menstrual cramping with no recognized physical cause. It is most commonly seen in women between the ages of 20 and 24. It usually goes away after 1 to 2 years, when hormonal balance occurs. Secondary dysmenorrhea is a term used to describe painful menstrual cramping caused by a physical problem, such as endometriosis, uterine polyps or fibroids, or pelvic infection. Menstrual-type cramps also may occur after a medical procedure, such as cautery, cryotherapy, or IUD insertion.

A woman may be able to relieve menstrual cramps by:

  • Applying heat, such as a hot water bottle, a heating pad, or by soaking in a hot bath, to relax tense muscles and relieve cramping.
  • Drinking herbal teas, such as chamomile, mint, and blackberry, to soothe tense muscles and anxious moods.
  • Exercising. Regular workouts decrease the severity of cramps.
  • Emptying the bladder frequently.

Treatment depends on the cause. Menstrual cramps may be relieved with over-the-counter pain medicine. Some women need hormone treatment, such as birth control pills, to bring their hormones into balance.

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Listed below are Signature Medical Group physicians who diagnose and treat this condition.

Amanda J. Sundling, DO, FACOOG

Amanda J. Sundling

Independence, MO

  • Obstetrics and Gynecology

Anna M. Gorman, DO

Anna M. Gorman

Liberty, MO

  • Obstetrics and Gynecology
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Independence Women’s Clinic

Independence Women’s Clinic
19550 East 39th Street
Independence, MO 64057
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Northland Obstetrics and Gynecology

Northland Obstetrics and Gynecology
2529 Glenn Hendren Drive
Suite 200
Liberty, MO 64068
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