Key takeaways:
Many people experience menstrual cramps before or during their period.
Exercise –– including low-intensity walking, swimming, and yoga –– may help prevent or relieve period cramps.
Over-the-counter medications like ibuprofen (Advil) and acetaminophen (Tylenol) can also be good for managing period pain.
There are many home remedies, like heat, hot tea, and aromatherapy, that may be able to help with period cramps, too.
From headaches to digestive problems, there are a lot of different symptoms that can pop up during your period. After all, hormonal and physical changes are a normal part of the menstrual cycle.
But some symptoms, like cramps, can be harder to manage than others. Period cramps cause pain in your lower abdomen and back. And not only are cramps uncomfortable, in some cases they can really mess with your daily life.
Most of the time, period cramps are a normal part of menstruation. But that doesn’t mean you have to put up with them. In fact, there are a lot of things you can do to manage your menstrual cramps — and even make them go away. Taking over-the-counter (OTC) pain relievers, staying hydrated, and eating nutritious foods are just some of the many things that can help. And exercise seems to go a long way, too.
Everyone experiences their menstrual cycle differently. But more than 50% of people who menstruate have period-related pain (dysmenorrhea). There are two types of painful periods: primary dysmenorrhea and secondary. Here’s the difference:
Primary dysmenorrhea: This is period pain that isn’t caused by a specific health condition. Primary dysmenorrhea usually stems from high levels of prostaglandins in your body. Prostaglandins are hormone-like substances that make your uterus contract during your period, which can cause menstrual cramps. These types of cramps usually last for 1 to 3 days.
Secondary dysmenorrhea: This is period pain caused by another health condition. This can include pain caused by endometriosis, fibroids, or pelvic inflammatory disease. The pain of secondary dysmenorrhea may last longer than a few days, and can worsen over time.
A lot of the time, you can manage primary dysmenorrhea on your own. But if the pain from your cramps is unbearable, doesn't get better with home remedies, or lasts more than a couple of days, you should contact your healthcare provider.
It’s possible that regular physical activity may help with menstrual pain. Experts are unclear on how exactly, and there’s limited but ongoing research looking into it.
It’s possible exercise may help improve menstrual pain by reducing the prostaglandins that trigger menstrual cramps. But that’s not all. Your body also releases endorphins and endocannabinoids when you work out. Sometimes referred to as natural painkillers, these chemicals may improve your mood and reduce pain.
As long as your symptoms aren't severe, you should be able to follow your usual fitness routine.
A well-rounded fitness routine includes aerobics, strength training, and flexibility exercises. But growing research points to two types of exercise that may be best for period pain relief.
Aerobic exercise: In a small study, university students with painful periods who did aerobic exercise three times a week saw an improvement in their symptoms after 8 weeks.
Flexibility: Stretching increases blood flow, relieves muscle tension, and improves flexibility. A study found that stretching exercises are as effective as a prescription pain reliever (mefenamic acid) for easing period cramps.
That doesn't mean you have to avoid strength training when you have cramps. You can still do exercises like weight lifting if you're up to it. Plus, some activities like yoga might double as a flexibility and muscle-strengthening workout.
Low-intensity exercises are physical activities that are relatively gentle on your body. Though they don’t get your heart or breathing rate pumped up very high, they can still help you stay active and may soothe period cramps. Here are some low-intensity activities to consider:
Walking: Walking is good for your health. And it might help relieve period cramps, too. In a small study, women with premenstrual syndrome (PMS) completed a treadmill walking program. After 8 weeks, they reported less menstrual cramp pain.
Swimming: Water-based exercises like swimming are easy on the joints and provide a number of benefits. One study found that aquatic exercise helped young women reduce the intensity and duration of their cramps. The women did water exercises for at least 1 hour, 3 days per week for 12 weeks.
Yoga: Yoga involves deep breathing, meditation, and stretching. It promotes a healthy body and mind. In a small study, women who practiced yoga for 12 weeks had less period pain, improved fitness, and better quality of life. Yoga may also reduce PMS symptoms like headaches and anxiety.
Pilates: Pilates uses low-intensity movements to build core strength and improve flexibility. Research shows that core-strengthening exercises can also help you manage period pain. Pilates may help with period cramps by increasing blood flow and strengthening postural muscles.
Research on exercise and period pain is relatively new and still developing. So listen to your body if you decide to start a new exercise routine. If you don’t notice any improvement in your pain, then it may be best to stop that particular workout regimen. And when in doubt, it’s always a good idea to talk with your healthcare provider.
OTC or nonprescription medications can also help with period cramps. They seem to work best when you take them right before your period starts, and continue through the first couple of days of bleeding.
There are different types of OTC medicines options for period cramps, including:
Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs are a group of medications that block prostaglandin production in your body. This can cut down on pain and inflammation — and help with cramps. NSAIDs available over the counter include ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin. Keep in mind that aspirin shouldn’t be used by children and teenagers.
Acetaminophen (Tylenol): Acetaminophen is a pain reliever. It seems to work by blocking certain chemicals in your brain. There’s some evidence that it doesn’t work as well as NSAIDs for period cramps — but it’s still a good option for many people.
Midol and Pamprin: These are brand-name products that help with period symptoms. Most contain more than one kind of medicine. Midol and Pamprin have acetaminophen (and sometimes aspirin) for pain. Some also have other ingredients like caffeine, pamabrom, and pyrilamine maleate, to help with bloating and feeling tired.
Apart from exercise and OTC medication, there are other things that can help your cramps feel better. Here are some ideas:
Use heat. Heat can help soothe pain and encourage your muscles to relax. Try using a hot water bottle or heating pad on your lower belly. A hot shower or bath can help, too.
Try lavender aromatherapy. There’s a small amount of evidence that lavender aromatherapy can help with menstrual pain — though more research is needed in this area. If you enjoy the smell of lavender, consider adding it to a hot bath or massage.
Consider ginger supplements. There’s some evidence that taking ginger powder supplements for the first 3 to 4 days of your period might help some people with period cramps.
Eat nutritious foods. Foods that fight inflammation may help with menstrual cramps, though more evidence is needed before we can be sure. This includes nutritious foods like fruits, vegetables, and lean protein. Eating a wide variety of healthy foods also helps you get vitamins and minerals that may help with cramps.
Stay hydrated. When you’re menstruating, your body is losing fluid. Staying hydrated with water and herbal tea can keep you from getting dehydrated, which can make your period pain worse.
Enjoy green tea. In a large study published in 2019, green tea was associated with a lower amount of period pain.
Avoid alcohol and tobacco. Cutting down on alcohol and tobacco may help with menstrual cramps for some people.
Masturbate. Masturbation can increase blood flow to your pelvic area and boost the “feel-good” hormones (endorphins) in your body. There’s some evidence that masturbation might help to prevent and relieve period pain.
For many people, cramps are a normal part of menstruation. But you don’t have to accept period pain as a part of life. There are many different things that can help your cramps feel better, including exercise, OTC medication, and home remedies.
And remember: If your cramps are having a major impact on your daily life, or seem to be getting worse, talk with your healthcare provider. They can suggest other strategies for getting your menstrual cramps under control, and making your periods feel more manageable.
American Family Physician. (2021). Painful menstrual periods.
Arthritis Foundation. (n.d.). 12 benefits of walking.
Bernardi, M.,et al. (2017). Dysmenorrhea and related disorders. F1000Research.
Daily, J.W., et al. (2015). Efficacy of ginger for alleviating the symptoms of primary dysmenorrhea: A systematic review and meta-analysis of randomized clinical trials. Pain Medicine: The Official Journal of the American Academy of Pain Medicine.
Dehnavi, Z. M., et al. (2018). The effect of aerobic exercise on primary dysmenorrhea: A clinical trial study. Journal of Education and Health Promotion.
Fine, P. G., et al. (2013). The endocannabinoid system, cannabinoids, and pain. Rambam Maimonides Medical Journal.
Gerzson, L. R., et al. (2014). Physiotherapy in primary dysmenorrhea: Literature review. Revista Dor.
Guimarães, I., et al. (2020). Primary dysmenorrhea: Assessment and treatment. Revista Brasileira de Ginecologia e Obstetrícia.
Heijnen, S., et al. (2016). Neuromodulation of aerobic exercise — a review. Frontiers in Psychology.
Ibrahim, M., et al. (2020). Effect of walking on physiological stress in premenstrual syndrome: A randomized controlled trial. Egyptian Journal of Physical Therapy.
Jaleel, G., et al. (2022). Effect of exercises on central and endocrine system for pain modulation in primary dysmenorrhea. Journal of Lifestyle Medicine.
Ju, H., et al. (2016). Smoking and trajectories of dysmenorrhoea among young Australian women. Tobacco Control.
Kannan, P., et al. (2019). Does aerobic exercise induced-analgesia occur through hormone and inflammatory cytokine-mediated mechanisms in primary dysmenorrhea? Medical Hypotheses.
Motahari-Tabari, N., et al. (2017). Comparison of the effect of stretching exercises and mefenamic acid on the reduction of pain and menstruation characteristics in primary dysmenorrhea: A randomized clinical trial. Oman Medical Journal.
National Center for Complementary and Integrative Health. (2020). Ginger.
National Institute on Aging. (2021). Four types of exercise can improve your health and physical ability.
Nikjou, R., et al. (2016). The effect of lavender aromatherapy on the pain severity of primary dysmenorrhea: A triple-blind randomized clinical trial. Annals of Medical and Health Sciences Research.
Oates, J. (2017). The effect of yoga on menstrual disorders: A systematic review. The Journal of Alternative and Complementary Medicine.
Office on Women’s Health. (2021). Period problems.
Planned Parenthood. (2023). Six reasons masturbation is good for you.
Rezvani, S., et al. (2013). The effect of aquatic exercises on primary dysmenorrhoea in nonathlete girls. Iranian Journal of Nursing and Midwifery Research.
Saleh, H. S., et al. (2016). Stretching or core strengthening exercises for managing primary dysmenorrhea. Journal of Women's Health Care.
Sprouse-Blum, A. S., et al. (2010). Understanding endorphins and their importance in pain management. Hawai'i Medical Journal.
Tan, B., et al. (2020). Pain across the menstrual cycle: Considerations of hydration. Frontiers in Physiology.
The American College of Obstetricians and Gynecologists. (2022). Dysmenorrhea: Painful periods.
The American College of Obstetricians and Gynecologists. (2022). Painful periods.
Torkan, B., et al. (2021). The role of water intake in the severity of pain and menstrual distress among females suffering from primary dysmenorrhea: A semi-experimental study. BioMed Central Women’s Health.
Womanizer, et al. (n.d.). The menstrubation study.
Yonglitthipagon, P., et al. (2017). Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. Journal of Bodywork and Movement Therapies.
Zhang, X., et al. (2019). Association of tea drinking and dysmenorrhoea among reproductive-age women in Shanghai, China (2013–2015): A cross-sectional study. British Medical Journal Open.