Take an over-the-counter NSAID such as ibuprofen or naproxen, if safe for you
Start pain medicine at the first sign of cramps or the day before your period if predictable
Use a heating pad or hot water bottle on the lower abdomen or back
Rest in a comfortable position, such as lying on your side with knees bent
Try gentle stretching, yoga, or light walking
Stay hydrated
Avoid smoking and limit alcohol
Consider hormonal birth control if cramps are recurrent and severe
Ask a clinician about prescription options if OTC medicine is not enough
Seek medical evaluation for possible causes such as endometriosis, fibroids, adenomyosis, or pelvic infection
Get urgent medical care if pain is sudden and extreme, you faint, have fever, heavy bleeding, or possible pregnancy
See a doctor if cramps are new, worsening, or interfere with daily life