Pain or discomfort in the lower abdomen just before or during your menstrual period. Two types are primary or secondary. Primary dysmenorrhea usually begins one to two years after your first period and is rare after childbirth. Secondary dysmenorrhea is caused by a specific disease or disorder and may appear years after regular menstruation. Hormones called prostaglandins are released.
Some women have higher prostaglandin levels, therefore have more pain.
Crampy pain or discomfort in the low abdomen, low back and into the inner thighs. May also see nausea, vomiting, headache, diarrhea or fatigue. Also helpful may be a heating pad to your abdomen, a hot bath or shower, abdominal massage and plenty of rest. If the pain is chronic and severe or starts suddenly after years of regular menstruation. Your physician may order lab tests or x-ray exams if he suspects secondary dysmenorrhea.