Pelvic cramps

For most women, menstrual cramps generally start 1 to 2 days before they start their periods and go away as their bleeding diminishes. Cramping that starts 5 to 7 days before menstruation begins is not characteristic for most women and may be caused by a problem such as endometriosis or an ovarian cyst. It is strange for cramping to continue after your period has ended. This may be an indication of a pelvic infection. While acute pelvic pain is rare during pregnancy, the fact that pregnancies are frequent makes this category an often encountered medical problem. Clinical miscarriages causing important pain are associated with one out of every 7 to 8 pregnancies. Ectopic and molar pregnancies are less recurrent but still seen. They are severe problems and always must be considered.

More about the pelvic cramp

Many women will have one or more episodes of acute pelvic pain at sometime during their life. Therefore these categories take place fairly commonly. The ovaries of women who are not on hormonal contraception go through cystic change and egg ovulation each month. This procedure is not perfect and in many instances can be associated with pain even though it is a physiologic rather than a disease process. Many women have cramps with their menstrual periods. As the smooth muscle of the uterus contracts each month to banish menstrual tissue and blood, most women feel this add to in amplitude of intrauterine pressure as pain. The degree to which that pain is tolerated varies extensively. While 70-80 percent of women have some kind of menstrual cramps, only about 2-3 percent is incapacitated by those cramps so that they miss work, school or other daily activities.


Another important number of women may not miss school or work because of the cramps however they require medications in order to allow them to function adequately, albeit with mild to moderate discomfort. By definition, chronic pelvic cramp is that which has been present six months or longer. The pain can episodically exacerbate with menses, however the hallmark is that the pain persists throughout the month. This is not an infrequent complaint and if the pain persists long enough, patients will soon have several secondary problems because of the pain and evolve into a chronic pain syndrome. In this instance, they have altered family roles and considerable problems with depression and other psychological changes.

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