Menstrual Cramps
Menstrual Cramps tend to occur during the first 1 or 2 days of the menstrual cycle. They are very common and affect over 60% of women. Current drugs are typically able to keep menstrual cramps to a mild level.
Symptom Management
Ibuprofen for Pain:
- Give 400mg of ibuprofen 3 times a day for 3 days. If the child weighs over 100 pounds, the first dose should be 600mg of ibuprofen.
- This medication should be taken with food to avoid stomach upset.
- Start taking this medication as soon as there is menstrual flow, or the day before if possible. Don’t wait for the onset of menstrual cramps.
- Before administering medication, please review our medication dosing guides.
Naproxen if Ibuprofen Doesn’t Help:
- If ibuprofen has failed to provide adequate pain relief, try switching to naproxen (i.e., Aleve).
- Give 220mg every 8 hours for 2 or 3 days. If the child weighs over 100 pounds, the first dose should be 440mg of naproxen.
- This medication should be taken with food to avoid stomach upset.
Use Heat for Pain:
Apply a heating pad or warm washcloth to the lower abdomen for 20 minutes 2 times per day to help reduce pain. A warm bath may also help.
Expected Course
Cramps last 2 or 3 days. They usually occur with each menstrual period. Cramps often disappear permanently after your first pregnancy and delivery.
When to Call the Office
- Neither ibuprofen or naproxen provides adequate pain relief.
- Menstrual cramps are causing you to miss school or other important activities.
- Pain lasts over 3 days.
- You are unable to walk normally.
- Unusual vaginal discharge occurs before your period begins.
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The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.