How to Relieve Menstrual Cramps

Introduction: Why Menstrual Cramps Deserve a Holistic Solution

Menstrual cramps may be common, but they shouldn’t be considered normal or something you must suffer through every month. At Patients Medical in New York City, we take an integrative approach to address the underlying hormonal, nutritional, and inflammatory causes of painful periods.

If your cramps are disrupting your daily life, it’s time to look beyond over-the-counter painkillers. We use a blend of conventional, holistic, and functional medicine to help women achieve long-term, natural relief—without just masking symptoms.

What Are Menstrual Cramps (Dysmenorrhea)?

Menstrual cramps, or dysmenorrhea, are throbbing, cramping pains in the lower abdomen that occur before or during menstruation. They may be caused by:

  • Primary Dysmenorrhea: Pain without an underlying condition; often hormonal
  • Secondary Dysmenorrhea: Caused by conditions like endometriosis, fibroids, or pelvic inflammatory disease

Other symptoms may include:

  • Lower back pain
  • Nausea or vomiting
  • Fatigue or dizziness
  • Headaches
  • Diarrhea or digestive upset

Common Root Causes of Menstrual Pain

Our functional medicine approach focuses on discovering why your body is creating pain. Often, painful periods are a signal that something deeper is out of balance.

Root Causes of Menstrual Cramp

Understanding the root causes of menopause can help address the symptoms more effectively. The primary cause of menopause is the natural decline in the production of hormones, particularly estrogen and progesterone. Here are the key factors contributing to menopause:

  • Hormonal Changes: As a woman ages, her ovaries gradually produce less estrogen and progesterone, leading to the end of menstruation and the onset of menopause.
  • Genetics: Family history plays a significant role in determining when a woman will experience menopause. Early or late menopause can run in families.
  • Surgical Menopause: Women who undergo a hysterectomy or have their ovaries removed may experience menopause earlier than the average age.
  • Chemotherapy or Radiation Therapy: Certain cancer treatments can damage the ovaries, triggering menopause.
  • Chronic Stress: Long-term stress can affect the endocrine system and contribute to hormonal imbalances that may accelerate menopause symptoms.
  • Obesity: Higher body fat can influence estrogen production, potentially leading to earlier onset menopause.

Advanced Testing We Use to Identify Imbalances

At Patients Medical, we use advanced functional lab panels to get to the root of your pain:

Salivary hormone testing (estrogen, progesterone, cortisol)

Dutch Complete hormone panel

Micronutrient testing (magnesium, B6, omega-3s)

Inflammatory markers (CRP, homocysteine)

Thyroid panel (TSH, Free T3, Free T4, Reverse T3, antibodies)

Gut health panel (stool microbiome, SIBO testing, leaky gut markers)

Integrative Treatments for Menstrual Cramp Relief

Hormone Replacement Therapy (HRT)

  • Estrogen Therapy (ET): Often used for women who have had a hysterectomy, estrogen helps alleviate hot flashes, prevent osteoporosis, and improve vaginal health.
  • Combination Therapy (Estrogen & Progesterone): For women who still have their uterus, combining estrogen with progesterone prevents the risk of endometrial cancer.
  • Bioidentical Hormone Replacement Therapy (BHRT): A form of HRT using hormones that are chemically identical to those naturally produced by the body.

Non-Hormonal Medications

  • Antidepressants: SSRIs (Selective Serotonin Reuptake Inhibitors) like fluoxetine can help alleviate mood swings and reduce the frequency of hot flashes.
  • Gabapentin: A medication used to treat nerve pain, gabapentin can help reduce hot flashes in some women.
  • Clonidine: A blood pressure medication that can also help with hot flashes.
  • Ospemifene: A non-hormonal medication that can treat vaginal dryness by mimicking estrogen’s effects on vaginal tissue.

Osteoporosis Medications

As estrogen levels drop during menopause, the risk of osteoporosis increases. Medications such as bisphosphonates help protect against bone loss and reduce the risk of fractures.

Real Case Study: Aisha’s Period Pain Turnaround

Aisha, 29, came to Patients Medical with debilitating cramps, nausea, and fatigue every month. She had been taking NSAIDs for years with little relief. Testing revealed:

  • Elevated estrogen and low progesterone
  • Low magnesium and omega-3 levels
  • High inflammation markers
  • Gut dysbiosis

Her customized 3-month integrative plan included:

  • Anti-inflammatory diet + seed cycling
  • Magnesium + Omega-3 supplementation
  • Herbal hormone support with chasteberry
  • Weekly acupuncture for pain relief
  • Gentle gut and liver detox protocol

After 3 months, Aisha’s cramps had decreased by 70%, and she was no longer missing work due to her cycle

Testimonials

Frequently Asked Questions

 No. Severe pain is a sign something deeper is wrong—such as hormonal imbalance or inflammation.

 Yes. Many women experience significant relief through nutrition, herbs, acupuncture, and hormone balancing.

Absolutely. We use functional and integrative therapies to manage and relieve symptoms of both.

 Many patients report relief within 1–3 cycles when following a personalized plan.

 We don’t just treat symptoms—we look at labs, gut health, stress, hormones, and nutrient levels.

 Yes. We treat all ages with safe, age-appropriate protocols.

 Often, yes. Imbalances like estrogen dominance are key drivers of painful periods.

 Not at all. We help patients find lasting relief without synthetic hormones, when possible.

Yes. Gut inflammation and dysbiosis can worsen hormonal imbalances and pain.

 We are out-of-network but provide superbills for reimbursement. Many labs are partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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