Menstrual cramps

Symptoms of menstrual cramps include: Throbbing or cramping pain in your lower abdomen that can be intense Pain that starts 1 to 3 days before your period, peaks 24 hours after the onset of your period and subsides in 2 to 3 days Dull, continuous ache Pain that radiates to your lower back and thighs Some women also have: Nausea Loose stools Headache Dizziness See your doctor if: Menstrual cramps disrupt your life every month Your symptoms progressively worsen You just started having severe menstrual cramps after age 25 Causes During your menstrual period, your uterus contracts to help expel its lining. Hormonelike substances (prostaglandins) involved in pain and inflammation trigger the uterine muscle contractions. Higher levels of prostaglandins are associated with more-severe menstrual cramps. Menstrual cramps can be caused by: Endometriosis. The tissue that lines your uterus becomes implanted outside your uterus, most commonly on your fallopian tubes, ovaries or the tissue lining your pelvis. Uterine fibroids. These noncancerous growths in the wall of the uterus can cause pain. Adenomyosis. The tissue that lines your uterus begins to grow into the muscular walls of the uterus. Pelvic inflammatory disease. This infection of the female reproductive organs is usually caused by sexually transmitted bacteria. Cervical stenosis. In some women, the opening of the cervix is small enough to impede menstrual flow, causing a painful increase of pressure within the uterus. You might be at risk of menstrual cramps if: You're younger than age 30 You started puberty early, at age 11 or younger You bleed heavily during periods (menorrhagia) You have irregular menstrual bleeding (metrorrhagia) You have a family history of menstrual cramps (dysmenorrhea) You smoke Complications Menstrual cramps don't cause other medical complications, but they can interfere with school, work and social activities. Certain conditions associated with menstrual cramps can have complications, though. For example, endometriosis can cause fertility problems. Pelvic inflammatory disease can scar your fallopian tubes, increasing the risk of a fertilized egg implanting outside of your uterus (ectopic pregnancy).