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.

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.