Use a heating pad or hot water bottle on the lower abdomen or back
Take over-the-counter pain relievers such as ibuprofen or naproxen, if safe for you
Start pain medicine at the first sign of cramps or before bleeding begins
Rest in a comfortable position, such as lying on your side with knees bent
Try gentle stretching or light walking
Drink plenty of water
Avoid caffeine, alcohol, and very salty foods
Take a warm bath or shower
Use relaxation techniques such as deep breathing or meditation
Massage the lower abdomen or lower back
Consider a TENS unit if available
Track your cycle and symptoms
See a doctor if pain is severe, worsening, sudden, or not relieved by medicine
Seek medical care if you have very heavy bleeding, fever, fainting, or unusual discharge
Ask a doctor about hormonal birth control or other treatments if cramps are frequent or severe