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- Menstrual cramps and PMS medication facts
- What are menstrual cramps?
- What is the treatment for common menstrual cramps (primary dysmenorrhea)?
- What is premenstrual syndrome (PMS)?
- What treatments are available for PMS?
- What medications are used to treat PMS?
- What are some guidelines for the safe use of OTC products for menstrual cramps and PMS?
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What is the treatment for common menstrual cramps (primary dysmenorrhea)?
Treatment options vary and each woman needs to find a treatment that works best for her. Non-drug measures that may help include adequate rest and sleep, regular exercise (especially walking), and smoking cessation. Some women find that abdominal massage, yoga, or orgasmic sexual activity can help. A heating pad applied to the abdominal area may also relieve the pain.
For mild menstrual cramps, over-the-counter (OTC) aspirin and acetaminophen (Tylenol), or acetaminophen plus a diuretic (such as Diurex MPR, Midol, Pamprin, Premesyn) may help. However, aspirin has a limited effect in curbing the production of prostaglandin and is only useful for mild cramps. For moderate menstrual cramps, the nonsteroidal anti-inflammatory drugs (NSAIDs) can be helpful. The NSAIDs are more effective than aspirin in inhibiting the production and action of the prostaglandins. NSAIDs that are available OTC are:
- ibuprofen (Advil, Midol IB, Motrin, Nuprin, and others);
- naproxen sodium (Aleve, Anaprox); and
- ketoprofen (Actron, Orudis KT).
For optimal control of menstrual cramps, a woman should start taking a NSAID before her pain becomes difficult to control. This might mean starting medication 1 to 2 days before her period is due to begin and continuing taking medication 1 to 2 days into her period. The best results are obtained by taking one of the NSAIDs on a regular schedule rather than on an as needed basis. Therefore, ibuprofen should be taken every 4-6 hours, ketoprofen every 4-8 hours, and naproxen every 8-12 hours for the first few days of the menstrual flow.