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Women's Health

What Causes Menstrual Cramps, Anyway?

Lauren Smith, MAMera Goodman, MD, FAAP
Written by Lauren Smith, MA | Reviewed by Mera Goodman, MD, FAAP
Updated on December 6, 2025
Reviewed by Mera Goodman, MD, FAAP | December 6, 2025

This lining is where a fertilized egg would implant and set up shop, so your uterus is basically getting you all primed for pregnancy.

Of course, you don’t get pregnant every month, so the uterus sheds that lining and starts over with each new menstrual cycle. To shed the lining, the uterus contracts, squeezes, and pushes out the uterine lining, which you see as your period. Those contractions, which can range from a dull throbbing to an intense spasm, are what you feel as menstrual cramps.

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Lauren Smith, MA
Written by:
Lauren Smith, MA
Lauren Smith, MA, has worked in health journalism since 2017. Before joining GoodRx, she was the senior health editor and writer for HealthiNation.
Mera Goodman, MD, FAAP, is a board-certified pediatrician. Prior to practicing medicine, she worked as a management consultant.

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