How to prepare for a video visit about Menstrual Cramps (Dysmenorrhea)

Audience: adult

Menstrual cramps, also known as dysmenorrhea, are common and can cause pain before or during your period. Preparing for a video visit with your healthcare provider can help you get the most out of your appointment. During the visit, you can discuss your symptoms, ask questions, and learn about ways to manage your cramps. It is helpful to have information ready about your pain, any other symptoms, your menstrual cycle, and any treatments you have tried. Telemedicine can provide convenient access to advice and guidance but may not be able to handle emergencies or complex conditions. If you experience severe pain, heavy bleeding, or other warning signs, seek in-person care promptly. This guide will help you prepare, understand what telemedicine can and cannot do, and know when to get urgent help.

Red flags — go in person / ER

• Severe abdominal pain not relieved by medication — seek emergency care immediately.
• Heavy menstrual bleeding soaking through one or more pads or tampons every hour for several hours — contact healthcare urgently.
• Fever above 38°C (100.4°F) with abdominal pain — seek prompt medical evaluation.

What telemedicine can do

• Discussing symptoms and medical history related to menstrual cramps.
• Providing advice on over-the-counter pain relief and home care strategies.
• Determining if further in-person evaluation or testing is needed.
• Answering questions about menstrual health and general management.

What telemedicine cannot do

• Performing physical examinations or pelvic exams.
• Diagnosing complex or serious underlying conditions requiring imaging or lab tests.
• Managing emergencies such as severe bleeding or acute abdominal pain.
• Prescribing controlled substances or treatments requiring close monitoring.

What are Menstrual Cramps (Dysmenorrhea)?

Menstrual cramps are pains in the lower belly that happen before or during your period. They are caused by muscle contractions in the uterus. Many people experience mild to moderate cramps, but some may have stronger pain that affects daily activities.

How to Prepare for Your Video Visit

Before your video visit, gather information to share with your healthcare provider:

Having this information ready helps your provider understand your situation better.

What to Expect During the Video Visit

During the video visit, your provider will ask about your symptoms and health history. They may suggest ways to manage cramps, such as lifestyle changes, over-the-counter pain relievers, or other treatments. They can also help decide if you need further tests or an in-person exam. Be honest and clear about your symptoms to get the best advice.

When to Seek In-Person Care or Emergency Help

Some symptoms need urgent attention. Contact emergency services or go to a clinic if you have:

These signs may indicate a serious condition that requires immediate care.

Managing Menstrual Cramps at Home

Many people find relief with simple measures:

Discuss these options with your provider to ensure they are safe for you.

How to prepare for your tele-visit

• Note the start date and duration of your menstrual cramps.
• Record the severity and location of your pain.
• List any other symptoms you experience with cramps.
• Write down any medications or treatments you have tried.
• Prepare questions or concerns to discuss with your provider.
• Ensure your device is charged and you have a private, quiet space for the video visit.
• Test your internet connection and video app before the appointment.

After your tele-visit

• Follow the treatment advice and medication instructions given by your provider.
• Monitor your symptoms and note any changes or new symptoms.
• Schedule follow-up visits if recommended.
• Seek in-person care if you experience any red flag symptoms.
• Use recommended home care methods to manage pain.
• Keep a symptom diary to track your menstrual cycles and cramps for future visits.

FAQs

What causes menstrual cramps?

Menstrual cramps are caused by contractions of the uterus as it sheds its lining during your period. Hormone-like substances called prostaglandins trigger these contractions, which can cause pain.

Can I take pain medicine during my period?

Yes, over-the-counter pain relievers like ibuprofen or acetaminophen often help reduce menstrual cramp pain. Always follow dosing instructions and check with your healthcare provider if you have any concerns.

When should I see a doctor about my cramps?

You should see a healthcare provider if your cramps are very severe, interfere with daily life, or if you have other symptoms like heavy bleeding, fever, or unusual discharge. They can help find the cause and recommend treatments.

Are menstrual cramps normal every month?

Many people experience menstrual cramps regularly, but the severity varies. Mild cramps are common, but severe or worsening pain should be evaluated by a healthcare provider.

Can lifestyle changes help with cramps?

Yes, regular exercise, a healthy diet, stress reduction, and applying heat to the lower abdomen may help reduce cramp severity. Your provider can suggest specific strategies based on your needs.

Sources

1. Menstrual Cramps — MedlinePlus, U.S. National Library of Medicine / National Institutes of Health.
2. Dysmenorrhea: Painful Periods — Mayo Clinic.
3. Menstrual Disorders — Centers for Disease Control and Prevention (CDC).
4. Dysmenorrhea — Merck Manuals: Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent or severe symptoms, please seek immediate medical attention.