What are some medical and herbal treatments for dysmenorrhea?

Today's question comes from Marilou:

Q: What are some medical and herbal treatments for dysmenorrhea?

A: Dysmenorrhea is the medical term for menstrual cramps and the goal of treatment is to provide relief of symptoms. In some cases where menstrual cramps are due to other conditions, such as uterine fibroids or endometriosis, surgery may help to lessen symptoms. For the majority of people, some over-the-counter and prescriptions medications will work very well. Nonsteroidal anti-inflammatories (NSAIDs), such as ibuprofen or naproxen, taken at regular intervals one to two days prior to the start of menses can reduce symptoms. Prescription strength NSAIDs are also available. Birth control pills, which block ovulation and decrease menstrual flow, can also aid in symptom control. Some natural remedies and supplements have also been shown to be effective. Some of these include omega-3 fatty acids, magnesium, thiamine and vitamin E. Speak to your doctor to find the right dose for you. For example, too much magnesium can cause diarrhea and even lead to arrhythmias. Complimentary therapies can also help the pain of menstrual cramps through different pathways and stress reduction. These include yoga, meditation, massage, acupuncture, and acupressure.

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