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What Causes Menstrual Cramps?

During the menstrual cycle, the uterus contracts when the blood leaves your uterus and sheds its lining. The lining of the uterus produces a hormone or special substances called prostaglandins which trigger the cramping and pain. Some women produce higher levels of prostaglandins and experience more severe cramps. Several conditions can cause secondary dysmenorrhea and these include:
  • Endometriosis
  • Pelvic inflammatory disease
  • Adenomyosis
  • Uterine fibroids and uterine polyps
  • Use of an intrauterine (IUD) device
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