Other factors, including anatomical differences, genetic predisposition, and stress, also may play a role. An assessment of dysmenorrhea is based upon the severity of cramps and other discomforts during menstruation. Thus, several may be tried before one that works well is found. Some physicians prescribe birth control pills to alleviate dysmenorrhea, but this is not considered an appropriate use of these hormonal preparations. However, it may be appropriate treatment for a woman who wants to use this form of birth control.
Secondary dysmenorrhea is treated by identifying and then remedying the underlying cause.
Home Remedies and Alternative Therapies. In addition to taking nonprescription painkillers, there is much you can do yourself to help reduce menstrual cramps, and with a little experimentation, you should be able to find an approach that brings at least some relief. A hot bath may also help. Some women attain relief through exercise, which not only reduces stress, but also increases the brain's production of endorphins, the body's natural painkillers. Orgasm may also help by reducing tension in the pelvic muscles and therefore bringing relaxation and comfort.