What are effective solutions for menstrual cramps?


Effective solutions are prostaglandin inhibitors such as non steroidal anti inflammatory drugs (NSAID) such as motrin®, advil® or alleve®, and a different family of NSAID called fenamates work particularly well.

In clinical practice, a fenemate called mefanemic acid (Ponstel®) works extremely well. These medications should be taken with food so that they do not cause GI upset, and they should be taken as soon as you get the first drop of menstrual bleeding so that they can most effectively block the prostaglandins in the menstrual blood.

Oral contraceptive pills (the birth control pill) are extremely effective in abolishing menstrual cramps. They make the periods light, short and regular and also provide birth control in addition to providing relief from menstrual cramps.

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Wendy Fried, M.D., FACOG, FACS, is an OB/Gyn with Northern Obstetrics and Gynecology, PC in North Hills, New York

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