Over half the women of reproductive age experience some cramping and abdominal discomfort prior or during the first 2 days of their period. In the majority of cases this is not an abnormality and is therefore labeled primary dysmenorrhea. Secondary dysmenorrhea can be caused by endometriosis, pelvic infections and the use of intrauterine devices.

Primary dysmenorrhea is usually associated with exaggerated uterine contractions. High levels of prostaglandins in the body stimulate uterine contractility and have been found in women with painful menses. Prostaglandin's have a short life span and are synthesized just prior to their release. These symptoms generally peak shortly thereafter and are usually gone be the second day. The pain is spasmodic and centers in the lower abdomen and radiates to the back and possibly the upper thighs. For most women, the symptoms are mild to moderate and do not interfere with daily activities.

Non drug treatment of dysmenorrhea include warm baths, heating pads or hot water bottles applied to the abdomen, and relaxing activities or mild exercise. Since the implication of prostaglandins on dysmenorrhea, drugs that inhibit prostaglandin synthesis have been the main area of focus. Drugs such as NSAIDS (non steroidal anti-inflammatory drugs) act by this means and decrease uterine contractility and provides pain relief. Ibuprofen is available without a prescription (Advil, Motrin) and is an excellent choice for the treatment of dysmenorrhea. Regular analgesic doses of ibuprofen can be used: 200-400 mg every 4-6 hours as needed for the pain. Drugs such as NSAIDS (non steroidal anti-inflammatory drugs) act by this means and decrease uterine contractility and provides pain relief. ASA has mild antiprostagladin synthesis activity as well as analgesic properties. Studies have shown that it is effective in 30% of users as compared to 80% with use of ibuprofen. Doses range from 325-1000mg every 4-6 hours with the daily maximum dose of 4 grams.

NSAIDs should not be used before consulting a doctor. They are contraindicated in those with a history of peptic ulcers or gastrointestinal bleeding, allergies to NSAIDs, or those who use blood thinners or medications like corticosteroids. Medications should be taken at the first signs of symptoms. NSAIDs should be taken with food to reduce stomach irritation. Acetaminophen can also provide relief due to its analgesic properties. It is a reasonable choice for those who cannot tolerate NSAIDs and for those suffering only mild discomfort. If these drugs have been tried and have not provided adequate relief, see your physician for further assessment. For a recommendation on a product speak to your local Overwaitea Foods pharmacist.