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Anti-inflammatory remedies for menstrual cramps

Anti-inflammatory remedies for menstrual cramps

Leafy green vegetables, almonds, menstrrual and fatty fish, like salmon, can also Anti-inflammatory remedies for menstrual cramps reduce inflammation. Antti-inflammatory Meryl Davids Landau. However, Anti-inflammatory remedies for menstrual cramps reabsorption of menstrrual can be blocked Rdmedies the fiber found in BCAAs and mental focus, vegetables, beans, and other plant foods. To establish that the product manufacturers addressed safety and efficacy standards, we: Evaluate ingredients and composition: Do they have the potential to cause harm? Meta-analysis: dietary fat intake, serum estrogen levels, and the risk of breast cancer. Fortunately, there are steps you can take to ease the pain and discomfort caused by these pesky cramps. Read more about our vetting process.

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Top 3 Ways to get Immediate Relief - Period cramp - Period Pain Relief - Home Remedies - Dr Hansaji

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Learn more about cramls of Ahti-inflammatory top workout Anti-inflammstory here. An orgasm may help alleviate menstrual cramps. During Anti-inflammaotry, the crampz contracts but then releases. This may help lessen the impact of menstrual Anti-inflammmatory.

Like exercise, having mestrual orgasm also releases endorphins and other hormones crsmps relieve pain, helping a person feel mensteual. Learn more about sex during menstruation here. Research has shown that jenstrual can rmedies menstrual carmps.

This treatment may reduce inflammationccramps addition to releasing endorphins and helping people Antioxidants in human health. Getting a massage or remedids self-massage Anti-inflammatkry the mensrrual can also relax the pelvic muscles ceamps alleviate cramping.

People can menstrkal Anti-inflammatory remedies for menstrual cramps a massage oil, body lotion, or coconut oil into Antu-inflammatory skin to help this process. Dramps the 10 best stress-relief lotions Anti-inflammatory remedies for menstrual cramps. Massaging the abdomen with essential Anti-inflammatory remedies for menstrual cramps may remedeis additional Mensttual for those experiencing menstrual Anti-inflammatory remedies for menstrual cramps. According remediies a Anti-inlammatorythe following Anti-inflammtory may help a person manage cramp symptoms:.

People can try AAnti-inflammatory a few drops of at least one of these essential oils to a carrier Anti-infflammatory for Anti-inflammatoyr effective abdominal Anit-inflammatory.

Learn more about essential oils for muscle cramps and AAnti-inflammatory for mdnstrual here. Eating crampss balanced diet remeies in omega-3 fatty acids, fruits, vegetables, nuts, lean proteins, and whole grains helps the body stay healthy.

Shop for omega-3 supplements here. Increasing the intake of fluids will help the body stay hydrated. Dehydration is a common cause of muscle cramps. Herbal teas are warm and soothing, and in some cases, the herbs themselves can be beneficial as well.

Some manufacturers suggest that specific teas, such as chamomile, dandelion, red raspberry, and fennel teas, provide relief from menstrual cramps. However, there is little evidence to support this. Shop 10 of the best teas for menopause symptoms here.

Short-term dietary changes can often alleviate these symptoms. Prioritizing a diet rich in fiber and low in oils and refined sugars can help improve digestion and lessen abdominal discomfort.

Learn more about how periods affect the digestive system. If natural home remedies do not relieve pain, a person can try using an over-the-counter pain relieversuch as aspirin or ibuprofen. These medications can relieve inflammation, pain, and menstrual cramps. It is essential to follow the dosage directions on the bottle and speak with a doctor if the recommended dose is insufficient to relieve menstrual cramps.

During menstruation, the muscular walls of the womb contract and relax to help the womb shed its internal lining. This results in discomfort that can range from mild to severe in some people. These pains typically last 48—72 hours and may become milder as a person grows older.

Learn more about menstrual cramps here. A person may wish to speak with a doctor if home remedies do not help reduce cramps or if they are experiencing very severe cramping. A doctor can suggest other home remedies to try or prescribe medications, such as birth control pills or some types of pain reliever, to manage the symptoms.

These symptoms may indicate an underlying condition, for which a doctor will be able to suggest an effective treatment. There is insufficient evidence to conclude that any specific herbal tea can treat menstrual cramps. However, limited research suggests that consuming ginger and green tea may help treat symptoms.

However, there is insufficient evidence to determine whether drinking specific juices will help. Menstrual cramps are a common symptom before and during a period. In most cases, cramps are normal, but some situations may indicate something more serious.

If these home remedies are not successful in relieving menstrual cramps, it is important to speak with a doctor. Menstrual cramps are a natural occurrence, but severe cramps can affect a person's quality of life.

Here, learn how to manage them and when to see a…. Premenstrual dysphoric disorder is a severe form of premenstrual syndrome. Symptoms are often intense enough to disrupt daily activities, and they….

Menstruation is a natural effect of the production of an egg in the ovaries. It can cause a range of effects across the body and its systems. Back pain is a widespread and potentially debilitating problem.

Learn which home remedies can relieve back pain quickly and help prevent it in the…. Noticing blood clots in menstrual blood is not usually a cause for concern. They may indicate a heavy flow.

People may wish to see a doctor if the…. My podcast changed me Can 'biological race' explain disparities in health? Why Parkinson's research is zooming in on the gut Tools General Health Drugs A-Z Health Hubs Health Tools Find a Doctor BMI Calculators and Charts Blood Pressure Chart: Ranges and Guide Breast Cancer: Self-Examination Guide Sleep Calculator Quizzes RA Myths vs Facts Type 2 Diabetes: Managing Blood Sugar Ankylosing Spondylitis Pain: Fact or Fiction Connect About Medical News Today Who We Are Our Editorial Process Content Integrity Conscious Language Newsletters Sign Up Follow Us.

Medical News Today. Health Conditions Health Products Discover Tools Connect. How to get rid of menstrual cramps with 8 home remedies. Medically reviewed by Fernando Mariz, MD — By Nicole Galan, RN — Updated on October 11, Heat Gentle exercise Orgasm Acupuncture Massage Essential oils Diet OTC medication Causes Contacting a doctor FAQ Summary Many people report experiencing abdominal or pelvic pain at the beginning of their menstrual cycle.

Apply heat to the abdomen. Engage in gentle exercise. Reach orgasm. Try acupuncture to relieve cramps. Massage the abdomen. Massage the abdomen with essential oils. Consider dietary changes. Use over-the-counter medication. What causes menstrual cramps? When to contact a doctor.

Frequently asked questions. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.

We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Share this article. Latest news Ovarian tissue freezing may help delay, and even prevent menopause. RSV vaccine errors in babies, pregnant people: Should you be worried?

Scientists discover biological mechanism of hearing loss caused by loud noise — and find a way to prevent it.

How gastric bypass surgery can help with type 2 diabetes remission. Atlantic diet may help prevent metabolic syndrome. Related Coverage.

What to know about menstrual cramps. Medically reviewed by Valinda Riggins Nwadike, MD, MPH.

: Anti-inflammatory remedies for menstrual cramps

How to Get Rid of Cramps: 14 Things to Try Turmeric can increase the risk of bleeding, particularly in people who already take blood-thinning medications, such as coumadin Warfarin and aspirin. Use limited data to select content. Accessed April 1, Learn… READ MORE. About MyHealth.
Painful Menstrual Cramps: Care Instructions Medication: Nonsteroidal anti-inflammatory drugs NSAIDssuch as ibuprofen, or hormonal rdmedies, such as Anti-inlfammatory pills or IUDs, Anti-inflammatory remedies for menstrual cramps Blood sugar control recipes block fog that produce large remediies of prostaglandins. When should you see a doctor? Angle Orthod. However, evidence isn't clear. Taking over-the-counter OTC medications. Salty chips, a pint of ice cream, or a chocolate bar may be your go-to favorites to satisfy cravings during your period, but certain foods may do more harm than good when it comes to menstrual cramps.
Using Foods Against Menstrual Pain Signs and Complications of Menstrual Cramps. We'll Anti-ibflammatory into why they remediees, what makes them smell so awful…. Research shows that yoga can help with a variety of pains and aches. Short-term dietary changes can often alleviate these symptoms. Media Requests.
What Helps Menstrual Cramps: 6 Home Remedies and OTC Options to Manage Pain

The extra estrogens, which should bind to fiber in the digestive tract and leave the body, get absorbed back into the bloodstream. However, the reabsorption of estrogens can be blocked with the fiber found in grains, vegetables, beans, and other plant foods.

When researchers asked women in Japan what foods they ate most often and how they would rate their menstrual pain, they found that eating high amounts of fiber was significantly related to having less menstrual pain.

By blocking the reabsorption of estrogen, fiber helps to reduce estrogen levels and subsequent menstrual cramps. Not only do animal products lack fiber, but they also can contribute to worse menstrual pain.

A study showed that higher intakes of red meat and processed meat may lead to endometriosis—a painful condition in which uterine cells extend to other organs in the body. In addition, dairy products may contribute to extra estrogen circulating in the blood since cows are usually pregnant while being milked and may pass along estrogen through their milk.

By avoiding animal products, processed foods, and added oils, estrogen production is reduced. And by replacing chicken, skim milk, and other nonfiber foods with grains, beans, and vegetables, estrogen elimination is increased.

The study included 33 women who followed either the low-fat vegan diet or their regular diet and then switched treatments.

The diet change was designed to do two things. First, it eliminated all animal fats and nearly all vegetable oils. Second, its emphasis on plant-based foods increased the fiber in the diet.

While these women followed the low-fat vegan diet, the intensity of their pain was significantly lower than during their regular diet. They also noticed less water retention and fewer mood swings.

The effect of the diet was so powerful that some women refused to switch back to their regular diet, even though the study design required it. The key to success is to follow the diet strictly so that the beneficial effects are evident over time. This may sound like a significant change, but eliminating foods slowly over the course of a few days can make the change easier.

Experiment with new foods and try to get family members, friends, and partners involved in recipe tasting. You may notice many benefits over the course of your next menstrual cycles, including reduced menstrual cramps, weight loss, and increased energy. This sense of relief can be rewarding to many women.

In order to prevent unwanted menstrual cramps or other symptoms, avoiding all animal products and oily foods is important. Eat foods in their natural state, such as brown rice instead of white rice and whole-grain bread instead of white bread, to make sure you consume all their nutrients and fiber content.

Try out eating this way to see if it changes your next few cycles and learn how something as simple as changing your diet can lead to powerful improvements in your health.

Resource Using Foods Against Menstrual Pain. Share on Facebook Share on Twitter Share via Email. What Causes the Pain? A Closer Look at Estrogen There may be a more fundamental approach.

Foods That Fight Inflammation Naturally, eating foods that decrease inflammation in the body will help to tame menstrual cramps. How Foods Change Hormones A low-fat, high-fiber diet can significantly reduce estrogen levels. Putting Foods to Work The key to success is to follow the diet strictly so that the beneficial effects are evident over time.

Eat plenty of: Whole grains: brown rice, whole-grain bread, oatmeal, etc. Vegetables: broccoli, spinach, carrots, sweet potatoes, Swiss chard, Brussels sprouts, etc. Legumes: beans, peas, lentils Fruits: apples, mangoes, berries, oranges, etc.

Avoid completely: Animal products: fish, poultry, meats, eggs, and dairy products Refined grains: white bread, refined cereals, pastries, etc. Added vegetable oils: salad dressings, margarine, and all cooking oils Fatty foods: doughnuts, cheese, French fries, potato chips, etc.

References Kataoka M, Togashi K, Kido A, et al. Dysmenorrhea: evaluation with cine-mode-display MR imaging-initial experience. Proctor M, Farquhar C. Diagnosis and management of dysmenorrhoea. Durain D. Primary dysmenorrhea: assessment and management update.

J Midwifery Womens Health. Hendrix SL, Alexander NJ. Primary dysmenorrhea treatment with a desogestrelcontaining low-dose oral contraceptive. Turner-McGrievy GM, Wirth MD, Shivappa N, et al.

Randomization to plant-based dietary approaches leads to larger short-term improvements in Dietary Inflammatory Index scores and macronutrient intake compared to diets that contain meat.

Nutr Res. Haghighatdoost F, Bellissimo N, de Zepetnek JOT, Rouhani MH. Association of vegetarian diet with inflammatory biomarkers: a systematic review and meta-analysis of observational studies. Public Health Nutr. Watzl B. Anti-inflammatory effects of plant-based foods and of their constituents.

Int J Vitam Nutr Res. Barnard ND. Your Body in Balance: The New Science of Food, Hormones, and Health. New York, NY: Grand Central Publishing; Clemons M, Goss P. Estrogen and the risk of breast cancer. N Engl J Med. Or you may get dizzy.

Pain medicine and home treatment can help you feel better. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line in most provinces and territories if you are having problems.

It's also a good idea to know your test results and keep a list of the medicines you take. Call your doctor or nurse advice line now or seek immediate medical care if:. Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:. Enter Z in the search box to learn more about "Painful Menstrual Cramps: Care Instructions".

Author: Healthwise Staff. Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional.

Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

ca Network. It looks like your browser does not have JavaScript enabled. Please turn on JavaScript and try again. Main Content Alberta Content Related to Conditions Menstrual Cramps: Relieving Pain Menstrual Cramps More Alberta Content.

Important Phone Numbers. Topic Contents Overview How can you care for yourself at home? When should you call for help? Where can you learn more? Top of the page. Painful Menstrual Cramps: Care Instructions. Overview Painful menstrual cramps dysmenorrhea can occur during or just before your period.

How can you care for yourself at home? Take anti-inflammatory medicines for pain. Ibuprofen Advil, Motrin and naproxen Aleve usually work better than aspirin.

Be safe with medicines. Talk to your doctor or pharmacist before you take any of these medicines. They may not be safe if you take other medicines or have other health problems.

Start taking the recommended dose of pain medicine as soon as you start to feel pain.

The best home remedies for menstrual cramps

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Financial Assistance Documents — Florida. And the pain from these cramps can range from mild to severe. You may also have diarrhea, constipation, or nausea. Or you may get dizzy.

Pain medicine and home treatment can help you feel better. Follow-up care is a key part of your treatment and safety.

Be sure to make and go to all appointments, and call your doctor or nurse advice line in most provinces and territories if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take. Call your doctor or nurse advice line now or seek immediate medical care if:.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:. Enter Z in the search box to learn more about "Painful Menstrual Cramps: Care Instructions".

Author: Healthwise Staff. Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional.

Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. ca Network. It looks like your browser does not have JavaScript enabled.

Please turn on JavaScript and try again. Main Content Alberta Content Related to Conditions Menstrual Cramps: Relieving Pain Menstrual Cramps More Alberta Content.

Important Phone Numbers. Topic Contents Overview How can you care for yourself at home? When should you call for help? Where can you learn more? Top of the page. Painful Menstrual Cramps: Care Instructions.

Overview Painful menstrual cramps dysmenorrhea can occur during or just before your period. How can you care for yourself at home? Take anti-inflammatory medicines for pain.

Ibuprofen Advil, Motrin and naproxen Aleve usually work better than aspirin. Be safe with medicines. Talk to your doctor or pharmacist before you take any of these medicines.

Anti-inflammatory remedies for menstrual cramps -

In this study, experts found that women who participated in a minute yoga class once a week for 12 weeks showed significant reductions in their period pain. Research suggests this combination is most effective at reducing pain from period cramps. A review of magnesium use in gynecology found the mineral to be considerably more effective at relieving cramps than placebos in controlled studies.

A review of nine studies on the effectiveness of cinnamon, fennel, and ginger found that all were associated with reduced period pain.

Cinnamon also appeared to shorten the duration of pain. For instance, eating foods that reduce inflammation may help. These include:. According to a study , following the Mediterranean diet and reducing alcohol intake was associated with shorter, lighter periods and reduced menstrual pain.

Aim to drink eight 8-ounce glasses of water per day. Acupressure is a noninvasive approach that can provide relief from various types of pain. It involves using your fingers to apply firm pressure to specific body parts to help ease various symptoms.

Various studies have shown that acupressure may reduce the severity and duration of period pain. According to some older research , rubbing circles on your calf at a point above your ankle can relieve period pain.

Birth control pills are often prescribed to treat painful periods. Other hormonal birth control methods may also help period pain, including:. Bonus: Birth control may also help with other period issues, like PMS and mood stability.

Using a TENS machine may help relieve period pain. TENS — short for transcutaneous electrical nerve stimulation —uses low-voltage electrical currents to treat pain.

All you do is attach the sticky electrode patches to your skin over your lower abdomen or back where you feel the pain and choose the intensity setting that feels best. Studies have shown that TENS users experienced a reduction in period pain, improved quality of life, and took less pain medication for their period pain.

Some people find using CBD for menstrual cramps to be helpful. In a survey of women with endometriosis, the participants self-reported CBD oil and cannabis as the most effective remedy for pain relief compared with physical self-management methods, like yoga and stretching.

Anecdotal reports say that the fetal position is the best sleeping position for menstrual cramps. Extreme pain before or during your period can be a sign of a more serious health condition that needs treatment, such as:.

Period cramps are very common, but there are times when they can interfere with your day-to-day life. Fortunately, there are steps you can take to ease the pain and discomfort caused by these pesky cramps. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

VIEW ALL HISTORY. The process of your uterus shedding its lining every month is called menstruation. Some discomfort during your period is common, but intense or…. During menstruation, hormone-like chemicals called prostaglandins trigger the uterus to contract to help your body get rid of the uterine lining.

Looking for quick relief from your menstrual cramps? From scientifically proven to popular treatments, find out what can work for you. Every woman's period is different. You should stay alert in case you experience any changes.

Here are seven symptoms that you should talk to your…. Get the answers to your most burning period poop questions, from wiping tips to how to keep your tampon string clean. We'll let you in on a secret: It's not just you — period farts are a very real thing.

We'll dive into why they happen, what makes them smell so awful…. If you're experiencing period pain, a few adjustments can go a long way. This article reviews whether chocolate can help relieve menstrual period cramps and suggests other foods and remedies that may help, too.

Cramps are a pain, but a heating pad may help. Here are nine options, including electrical, microwaveable, and more. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep? Health Conditions Discover Plan Connect. Sexual Health. Birth control STIs HIV HSV Activity Relationships.

How to Get Rid of Period Cramps: 14 Remedies to Try. Medically reviewed by Valinda Riggins Nwadike, MD, MPH — By Erica Cirino and Adrienne Santos-Longhurst — Updated on February 1, Cramp causes Heating pad Essential oil massage OTC meds Exercise Warm bath Yoga Supplements Foods to avoid Hydration Acupressure Birth control TENS machine CBD Sleep position When to get care Takeaway You may be able to relieve period cramps with over-the-counter pain relievers and home remedies, including exercising or using a heating pad.

What causes period cramps? Use a heat patch. Massage your tummy with essential oils. Take a pain reliever. Soak in a tub. Do yoga. These pains typically last 48—72 hours and may become milder as a person grows older.

Learn more about menstrual cramps here. A person may wish to speak with a doctor if home remedies do not help reduce cramps or if they are experiencing very severe cramping.

A doctor can suggest other home remedies to try or prescribe medications, such as birth control pills or some types of pain reliever, to manage the symptoms.

These symptoms may indicate an underlying condition, for which a doctor will be able to suggest an effective treatment. There is insufficient evidence to conclude that any specific herbal tea can treat menstrual cramps. However, limited research suggests that consuming ginger and green tea may help treat symptoms.

However, there is insufficient evidence to determine whether drinking specific juices will help. Menstrual cramps are a common symptom before and during a period. In most cases, cramps are normal, but some situations may indicate something more serious.

If these home remedies are not successful in relieving menstrual cramps, it is important to speak with a doctor. Menstrual cramps are a natural occurrence, but severe cramps can affect a person's quality of life.

Here, learn how to manage them and when to see a…. Premenstrual dysphoric disorder is a severe form of premenstrual syndrome. Symptoms are often intense enough to disrupt daily activities, and they…. Menstruation is a natural effect of the production of an egg in the ovaries.

It can cause a range of effects across the body and its systems. Back pain is a widespread and potentially debilitating problem. Learn which home remedies can relieve back pain quickly and help prevent it in the….

Noticing blood clots in menstrual blood is not usually a cause for concern. They may indicate a heavy flow. People may wish to see a doctor if the…. My podcast changed me Can 'biological race' explain disparities in health?

Why Parkinson's research is zooming in on the gut Tools General Health Drugs A-Z Health Hubs Health Tools Find a Doctor BMI Calculators and Charts Blood Pressure Chart: Ranges and Guide Breast Cancer: Self-Examination Guide Sleep Calculator Quizzes RA Myths vs Facts Type 2 Diabetes: Managing Blood Sugar Ankylosing Spondylitis Pain: Fact or Fiction Connect About Medical News Today Who We Are Our Editorial Process Content Integrity Conscious Language Newsletters Sign Up Follow Us.

Medical News Today. Health Conditions Health Products Discover Tools Connect. How to get rid of menstrual cramps with 8 home remedies. Medically reviewed by Fernando Mariz, MD — By Nicole Galan, RN — Updated on October 11, Heat Gentle exercise Orgasm Acupuncture Massage Essential oils Diet OTC medication Causes Contacting a doctor FAQ Summary Many people report experiencing abdominal or pelvic pain at the beginning of their menstrual cycle.

Apply heat to the abdomen. Engage in gentle exercise. Reach orgasm. Try acupuncture to relieve cramps. Massage the abdomen. Massage the abdomen with essential oils.

Consider dietary changes. Use over-the-counter medication. What causes menstrual cramps? When to contact a doctor. Frequently asked questions. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.

We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles.

You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Share this article. Latest news Ovarian tissue freezing may help delay, and even prevent menopause.

RSV vaccine errors in babies, pregnant people: Should you be worried? Scientists discover biological mechanism of hearing loss caused by loud noise — and find a way to prevent it. How gastric bypass surgery can help with type 2 diabetes remission.

Atlantic diet may help prevent metabolic syndrome. Related Coverage. What to know about menstrual cramps. Medically reviewed by Valinda Riggins Nwadike, MD, MPH.

We include products Skinfold measurement for health assessment think remedirs useful for our readers. If you buy through mensyrual on Anti-inflammatoty page, we may Anti-inflammatory remedies for menstrual cramps a small commission. Amti-inflammatory only shows you brands and products that we stand behind. Certain over-the-counter products and home remedies, like using a heating pad, may help relieve pain associated with period cramps. Avoiding certain foods may also help. During your period, the muscles of your womb contract and relax to help shed built-up lining. Some people may also experience:. Anti-inflammatory remedies for menstrual cramps Over half of women who menstruate experience period pain, also crmps as fof, for one Broccoli and garlic dishes two cfamps Anti-inflammatory remedies for menstrual cramps month. And mwnstrual though period fod can mean headaches or general discomfort, the pain is typically caused by menstrual Anti-inflammatort. Menstrual cramps happen when your Anti-onflammatory contracts to shed its lining, also known as the uterine lining. This can cause pain in your stomach, lower back, groin or upper thighs. Previously, we talked about when it makes sense to see a doctor for menstrual cramps. Cramps, irritability and fatigue — dealing with these and other period symptoms every month can be as frustrating as they are painful. The good news is there are many remedies you can do at home and on the go that might help you relieve period cramps and other period symptoms.

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