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- Menstrual cramps facts
- What are menstrual cramps?
- How common are menstrual cramps?
- What is dysmenorrhea?
- What causes menstrual cramps?
- Why are some cramps so painful?
- Can menstrual cramps be measured?
- What other factors influence menstrual cramps?
- What are the symptoms of menstrual cramps?
- How are menstrual cramps diagnosed?
- What is the treatment for common menstrual cramps (primary dysmenorrhea)?
- What if the cramps are very severe?
- Are there surgical solutions?
- What is the treatment of secondary dysmenorrhea?
- What is the long-term outlook (prognosis) for menstrual cramps?
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What if the cramps are very severe?
If a woman's menstrual cramps are too severe to be managed by these strategies, her doctor might prescribe low doses of birth control pills (oral contraceptives) containing estrogen and progestin in a regular or extended cycle. This type of approach can prevent ovulation (the monthly release of an egg) and reduce the production of prostaglandins which, in turn, reduces the severity of cramping.
Use of an IUD that releases small amounts of the progestin levonorgestrel directly into the uterine cavity, has been associated with a 50 percent reduction in the prevalence of menstrual cramps. In contrast, IUDs that do not contain hormones, such as those containing copper, may worsen menstrual cramps.
Are there surgical solutions?
In the past, many women with menstrual cramps had an operation known as a D & C (dilation and curettage) to remove some of the lining of the uterus. This procedure is also sometimes used as a diagnostic measure to detect cancer or precancerous conditions of the uterine lining. Some women even resorted to the ultimate solution to menstrual problems by having a hysterectomy, a surgical procedure in which the entire uterus is removed.
Today, when a woman has abnormally heavy and painful uterine bleeding, her doctor may recommend endometrial ablation, a procedure in which the lining of the uterus is destroyed by various devices.