While there is no cure for primary dysmenorrhea, many steps can be taken to reduce or eliminate symptoms. Over-the-counter pain medications containing ibuprofen or acetaminophen can be helpful. Some over-the-counter remedies are designed especially for combating the pain of primary dysmenorrhea, and contain a combination of pain-killing agents and diuretics to stop pain and reverse bloating and water retention. For those with especially painful, heavy or long periods, prescription pain killers, muscle relaxants, or hormonal therapies may be used to alleviate symptoms or normalize the menstrual cycle; sometimes the birth control pill is used for this purpose. Other possible remedies include heat application, dietary modification, and exercise. Some patients report that herbal remedies help to decrease symptoms as well, although it is recommended that patients check with their health care provider before beginning the use of any such products.For those with secondary dysmenorrhea, some of the same over-the-counter or prescription medications may be used, and medical treatment may be helpful in correcting the pelvic lesions responsible for causing the symptoms.
