Dysmenorrhea is severe pain associated with the menstrual cycle. Dysmenorrhea is considered to be primary when there is no other pathology affecting the reproductive system. It is considered secondary if it is due to pathology, like endometriosis. The pain in primary dysmeorrhea is believed to be caused by the uterus contracting and from lack of oxygen in the area. Pain is usually perceived as cramps, but may be a dull, constant ache. Symptoms usually begin shortly before or during menses (bleeding), and may include nausea, diarrhea, frequent urination, depression or mood swings, or breast tenderness. There are some natural approaches that are helpful to women who suffer from PMS or dysmenorrhea.

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