Cramps are a normal part of PMS and the first of three phases of a cycle, otherwise known as menstruation. While “normal” cramps should only cause mild pain in the pelvic and lower abdominal muscles, some people experience extreme pain.

The reason why you experience a period in the first place is that, during menstruation, the body is preparing itself to fertilize an egg. When the egg is not fertilized, the uterine lining is shed, which causes bleeding and muscle contractions.

“Typically when we think about [normal cramping], we think about a pain level that can be controlled with conservative measures such as a heating pad or taking a simple anti-inflammatory medication.
But extremely painful cramps could be a symptom of fibroids, endometriosis, or pelvic infection.
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