When Are Cramps Worth Seeing Your Gynecologist About?

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Menstrual cramps are not, in and of themselves, abnormal. Many women deal with mild to moderate cramps during their period, and they can keep them under control with NSAID pain relievers, magnesium supplements, and other simple remedies. But sometimes, menstrual cramps are indicative of a bigger, more serious underlying problem that requires the attention of a gynecologist. How do you know the difference? Well, if any of the following are true of your cramps, it's a good idea to talk to your OBGYN.

Your cramps don't respond to NSAIDs

If you take ibuprofen or naproxen and your cramps are still bad enough to keep you from working or enjoying other life activities, then you should see your OBGYN. NSAIDs should be pretty effective at managing cramps that are due to normal uterine contractions and inflammation. If NSAIDs are not controlling your cramps, then your cramps fall into the "serious" category. They may be caused by fibroids or ovarian cysts, which are not as responsive to NSAIDs.

Your cramps occur when you don't have your period

Mild cramps during your period, and even a day or two before your period, are usually normal. However, if you are cramping when you are not on your period, this is a reason to be more concerned. The cramps could be due to ovulation, but they could also be due to fibroids or cysts, so it is best to have your OBGYN take a look. 

Your cramps are accompanied by piercing pain

While achy, cramping pain can be normal, you should not be experiencing sharper, stabbing pain during your period or at other times during your cycle. Sometimes, women have background cramps, but also intermittent bouts of sharper pain. This is often due to ovarian cysts, and it can also be an indicator of uterine or ovarian cancer, so it's definitely not a problem to ignore.

Your cramps are worsening over time

Were your cramps mild at one point but are getting stronger and stronger over the years? This could still be within the range of what's normal, but it may also not be. You should be seen by your gynecologist to ensure there's not an underlying problem or hormonal imbalance that is causing the worsening cramps.

Gynecologists are experts in women's health, so don't hesitate to tell yours about your cramps. With a few simple tests, they should be able to tell you what's really going on, if anything. 

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