What is the treatment for common menstrual cramps (primary dysmenorrhea)?
Every woman needs to find a treatment that works for her. Perhaps the most common treatment, especially in the past, has been to lie down at the first sign of pain. It used to be that many women’s restrooms contained a cot or a couch so that a woman who felt “indisposed” could lie down. A bed in the school nurse’s office served the same purpose and girls were routinely excused from physical education or other classes because of menstrual cramps. Current recommendations include not only adequate rest and sleep, but also regular exercise (especially walking). Some women find that abdominal massage, yoga, or orgasmic sexual activity help. A heating pad applied to the abdominal area may relieve the pain and congestion. A number of nonprescription (over-the-counter) agents can help control the pain as well as actually prevent the menstrual cramps themselves. For mild cramps, aspirin or acetaminophen (Tylenol), or acetaminophen plus a diuretic (Diurex MPR, FEM-1, Midol, Pamprin, Premsyn, and