Your health concern provider will review your aesculapian history and perform a physical examination, including a pelvic examination. During the pelvic examination, your provider checks for anything unusual with the generative organs and looks for signs of infection .
Your provider may besides recommend certain tests, including :
- Ultrasound. This test uses sound waves to create an image of your uterus, cervix, fallopian tubes and ovaries.
- Other imaging tests. A CT scan or MRI scan provides more detail than an ultrasound and can help your sophisticate diagnose implicit in conditions. CT combines x-ray images taken from many angles to produce cross-sectional images of bones, organs and other soft tissues inside your body.
MRI uses radio waves and a herculean magnetic field to produce detail images of home structures. Both tests are noninvasive and painless .
- Laparoscopy. Although not usually necessary to diagnosis menstrual cramps, laparoscopy can help detect an underlying condition, such as endometriosis, adhesions, fibroids, ovarian cysts and ectopic pregnancy. During this outpatient surgery, your doctor views your abdominal cavity and reproductive organs by making tiny incisions in your abdomen and inserting a fiber-optic tube with a small camera lens.
To ease your menstrual cramps, your health worry supplier might recommend :
- Pain relievers. Over-the-counter pain relievers, such as ibuprofen ( Advil, Motrin IB, others ) or naproxen sodium ( Aleve ), at regular doses starting the day before you expect your period to begin can help control the trouble of cramps. Prescription nonsteroidal anti-inflammatory drugs besides are available .
Start taking the trouble reliever at the begin of your period, or angstrom soon as you feel symptoms, and continue taking the medicine as directed for two to three days, or until your symptoms are gone .
- Hormonal birth control. Oral birth control pills contain hormones that prevent ovulation and reduce the severity of menstrual cramps. These hormones can also be delivered in several other forms: an injection, a skin patch, an implant placed under the skin of your arm, a flexible ring that you insert into your vagina, or an intrauterine device (IUD).
- Surgery. If your menstrual cramps are caused by a disorder such as endometriosis or fibroids, surgery to correct the problem might help your symptoms. Surgical removal of the uterus also might be an option if other approaches fail to ease your symptoms and if you’re not planning to have children.
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Lifestyle and home remedies
Besides getting adequate sleep and rest, things you might want to try admit :
- Exercise regularly. Physical activity, including sex, helps ease menstrual cramps for some women.
- Use heat. Soaking in a hot bath or using a heating pad, hot water bottle or heat patch on your lower abdomen might ease menstrual cramps.
- Try dietary supplements. A number of studies have indicated that vitamin E, omega-3 fatty acids, vitamin B-1 (thiamin), vitamin B-6 and magnesium supplements might reduce menstrual cramps.
- Reduce stress. Psychological stress might increase your risk of menstrual cramps and their severity.
Most option therapies for treating menstrual cramps have n’t been studied enough for experts to recommend them. however, some option treatments might help, including :
- Acupuncture. Acupuncture involves inserting extremely thin needles through your skin at strategic points on your body. Some studies have found that acupuncture helps relieve menstrual cramps.
- Transcutaneous electrical nerve stimulation (TENS). A TENS device connects to the bark using adhesive patches with electrodes in them. The electrodes deliver a varying degree of electric current to stimulate nerves .
ten-spot might work by raising the doorsill for annoyance signals and stimulating the unblock of your body ‘s natural painkillers ( endorphins ). In studies, TENS was more effective than a placebo in relieving menstrual spasm pain .
- Herbal medicine. Some herbal products, such as pycnogenol, fennel or combination products, might provide some relief from menstrual cramps.
- Acupressure. Like acupuncture, acupressure also involves stimulating certain points on the body, but with gentle pressure on the skin instead of needles. Although research on acupressure and menstrual cramps is limited, it appears that acupressure may be more effective than a placebo in easing menstrual cramps.
Preparing for your appointment
If you have bothersome menstrual cramps, make an date with either your basal doctor or a doctor of the church who specializes in the female generative system ( gynecologist ). here ‘s some information to help you get ready for your appointment .
What you can do
Track your menstrual periods, when they begin and how severe your cramps are. besides, make a list of :
- Medical problems you’ve had and recent major stresses in your life
- All medications, vitamins or other supplements you take
- Questions to ask your doctor
For menstrual cramps, basic questions include :
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- What’s the most likely cause of my symptoms?
- Are my symptoms likely to change over time?
- Do I need any tests done?
- What treatments or home remedies might help?
- Are there brochures or other printed material that I can have? What websites do you recommend?
Do n’t hesitate to ask early questions as they occur to you .
What to expect from your doctor
Your sophisticate is likely to ask you questions, such as :
- How old were you when you began menstruating?
- How far apart are your menstrual periods, and how long do they typically last?
- How heavy is your menstrual bleeding? Do you ever bleed between periods?
- Where do your cramps hurt?
- Do you have other symptoms with your cramps, such as nausea, vomiting, diarrhea, back pain, dizziness or headaches?
- Do your symptoms cause you to limit your activities, stay home from work or school, or avoid exercise?
- If you’re sexually active, is intercourse painful?
- What treatments have you tried so far, if any? Has anything helped?
- Do women in your family have a history of similar symptoms?
What you can do in the meantime
When you have cramps, try taking a warmly bath or applying a heat launching pad, hot water bottle or heat patch to your abdomen. over-the-counter pain relievers, such as ibuprofen, besides might help .