Why do women get menstrual cramps or period pain?

February 27, 2024

Mild menstrual pain that allows normal activities is usually not concerning. However, persistent or severe pain could indicate a serious condition, affecting quality of life.

Why do I have menstrual pain?

Menstrual pain, occurring every 28 days without fertilization, is caused by prostaglandins. These hormone-like substances prompt uterine contractions, similar to childbirth, and can worsen pain with higher levels.

Menstrual pain is categorized into 2 types:

1. Primary Dysmenorrhea: Common and caused by excessive prostaglandin from the endometrium.
2. Secondary Dysmenorrhea: Linked to conditions like endometriosis, adenomyosis, uterine fibroids, pelvic inflammatory disease, and cervical stenosis.

If you experience unusual menstrual pain, such as needing more painkillers than usual, pain before your period, or persistent pain after bleeding stops, it's important to see a doctor immediately. 


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