There are two types of menstrual pain: primary and secondary dysmenorrhea. Primary dysmenorrhea is believed to be caused by hyperactivity of the hormone prostaglandin and presents in women in their teens and 20s without any underlying medical issues. Secondary dysmenorrhea occurs when there are underlying problems in the uterus or pelvic organs that cause pain, which may develop in women who previously had painless periods. The document outlines natural remedies women can try to ease menstrual pain, such as using a heating pad, massage, exercise, and over-the-counter medications. It also mentions that birth control may help regulate periods and reduce pain.

2. 
 Some women have learned to adapt with the pains of
menstruation since their very first menstrual
experience, women’s health report say. Painful
menstrual periods or dysmenorrhea may be known
as a lower abdominal pain that is sharp or aching in
nature and the pain may also extend to the back,
according to the definition of the MedlinePlus.

3. 
 The pain may come and go which will disturb the
activities of the woman experiencing it. A mild
discomfort may be typical, health experts say,
however if the pain becomes extreme then it needs to
have proper treatment.
 Two types of menstrual pains are primary and
secondary dysmenorrhea. Those who are in their
teens and 20s are the ones who experience this kind
of condition which may make them miss school or
work.

4. 
Primary dysmenorrhea is the believed to be caused by the
hyperactivity of the hormone prostaglandin. Without any
known cause, and given such problems in the uterus or any
other pelvic organs, a woman may have experienced painful
menstruation since her first cycle.
Underlying problems in the uterus or other pelvic organs
may result to secondary dysmenorrhea. Those who had
painless cycles in the past but suddenly experienced pain
during their period may have this kind of problem.

5. 
This monthly problem is still manageable. To ease the pain,
women may try the following steps:
- Apply warm compress over the area with cramps. Use the
heating pad in short periods only because it may cause burns
if left too long.
- Massage the lower abdomen using a soft circular motion.
- Lie in fetal position or elevate the legs when lying.

6. 
- Keep a healthy diet by eating whole grain, fruits and
vegetables. Avoid salty and sugary food, alcohol and
caffeine.
- Have a structured or regular exercise. Abdominal
muscles and the lower back may be strengthened by the
help of pelvic rocking exercise.
- Take over-the-counter medications such as ibuprofen
to manage the pain. Calcium, magnesium and vitamin
B6 supplements may also minimize the pain.
- Yoga or projecting a positive imagery may help relax
the body.

7. 
If the pain is still unmanageable, the attending physician
may suggest that the woman will use contraceptives because
it may normalize the menstrual cycle. Complications such as
breakthrough bleeding were found to be common among
those who were using vaginal rings. The rising number of
health complications led to the filing of several NuvaRing
birth control vaginal ring litigation.
URL References:
nlm.nih.gov/medlineplus/ency/article/003150.htm
mayoclinic.com/health/menstrual-
cramps/DS00506/DSECTION=treatments-and-drugs