Many women experience cramps either at the time of ovulation (when the ovary releases an egg) or just preceding, during, or just after their menstrual period. The location of the menstrual pain may be in the region of the ovaries, uterus, lower abdomen, pelvis, pubic area and can extend to the lower back, thighs, and overall body. Some women experience constipation or diarrhea associated with menstrual cramping.
Causes of menstrual cramping include:
• Substances (such as prostaglandins) released by the body around or during the time of menstruation
• Medical conditions of the ovaries (such as ovarian cysts or, rarely, ovarian cancer) or uterus (such as endometriosis, uterine fibroids, or, rarely, uterine cancer)
The intensity of menstrual cramps can range from mild to severe. If you have severe menstrual cramping, you should consult with your gynecologist and integrative medical physician immediately to rule out the presence of medical conditions of the ovaries or uterus.
There are a variety of ways to help prevent and treat menstrual cramps. See our Q&A called Prevention & Treatment of Menstrual Cramps. Consult your integrative medical physican and gynecologist for guidance on prevention and treatment of menstrual cramping.
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