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    How to Handle Severe Menstrual Cramps

    If you have very painful menstrual cramps or cramps that last longer than two or three days, make an appointment with your healthcare provider.

    They’ll likely start by reviewing your medical history and performing a physical exam, including a pelvic exam. They may also give you a Pap test.

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    Depending on your other symptoms, they may recommend additional tests, including:

    • an ultrasound to check the size and thickness of your uterus as well as detect fibroids or cysts
    • a CT scan, which can provide a detailed view of your reproductive organs
    • gynecologic laparoscopy, a minimally invasive surgical procedure, to confirm a diagnosis of endometriosis

    Severe menstrual cramps are typically hard to treat on your own, but these tips may help while you work with your healthcare provider to narrow down an underlying cause:

    • Get regular exercise.

      Results of a showed that doing 30 minutes of aerobic exercise three times a week significantly reduced the severity of menstrual cramps over the course of 8 weeks.

    • Use a heating pad. The

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