Menstrual Cramps

Painful cramps occur during the menstrual cycle due to increased secretions of prostaglandins (hormone-like substances) and an increased uterine contractility. Primary dysmenorrhea is the term for common menstrual cramps that occur cyclically with the menstrual cycle and are not due to other diseases. Secondary dysmenorrhea is the term for severe menstrual cramps due to a disorder/disease process and usually start earlier in the menstrual cycle and last longer. Endometriosis is a common example of a condition that causes secondary dysmenorrhea.

Pelvic health physical therapy can be a part of a multidisciplinary team to assist in managing excessive menstrual pelvic pain, especially if there is a component of pelvic floor muscle dysfunction or myofascial tension, as physical therapists are experts at assessing and addressing the muscular and fascial systems.