Why Am I Cramping A Week Before My Period?

Why Am I Cramping A Week Before My Period

Is it normal to cramp a week before your period?

Most patients find relief once the pain subsides after a few days, so cramping before a period is perfectly normal. Therefore, while some women do experience cramping a few days before their period starts, it’s rare for cramping to begin a week or more in advance.

How many days before your period is it normal to get cramps?

Menstrual cramps (dysmenorrhea) are throbbing or cramping pains in the lower abdomen. Many women have menstrual cramps just before and during their menstrual periods. For some women, the discomfort is merely annoying. For others, menstrual cramps can be severe enough to interfere with everyday activities for a few days every month.

Throbbing or cramping pain in your lower abdomen that can be intense Pain that starts 1 to 3 days before your period, peaks 24 hours after the onset of your period and subsides in 2 to 3 days Dull, continuous ache Pain that radiates to your lower back and thighs

Some women also have:

Nausea Loose stools Headache Dizziness

See your health care provider if:

Menstrual cramps disrupt your life every month Your symptoms progressively worsen You just started having severe menstrual cramps after age 25

Why do my ovaries hurt a week before my period?

Menstruation – Some people experience pain in the area around their ovaries just before or when they get their period. Like ovulation pain, it’s not a cause for concern. It happens because your uterus is contracting in order to shed your uterine lining. Taking over-the-counter pain relievers or using a heating pad can help.

Can period cramps start 7 days before period?

Cramping a week before your period is probably not a symptom of PMS – About a week or two before your period starts, you might develop a cluster of symptoms collectively called premenstrual syndrome (PMS). Common symptoms include headache, moodiness, and bloating.

  1. But cramping a week out? Not so common, according to Reza Askari, MD, an obstetrician-gynecologist in San Pedro, California.
  2. A week before your period is too early to experience premenstrual cramping, called dysmenorrhea,
  3. Dysmenorrhea occurs when chemicals in the lining of the uterus called prostaglandins are released and cause pain.

This typically happens right before menstruation begins and may carry into the first couple of days of a woman’s period. “So, it would be a bit uncommon for it to seven days out,” says Askari.

Is my period coming or am I pregnant cramps?

Cramping – Cramping is common in both PMS and early pregnancy. Early pregnancy cramps are similar to menstrual cramps, but they can occur lower down in the stomach. These cramps may persist for weeks or months during pregnancy, as the embryo implants and the uterus stretches.

Why am I cramping 8 days before my period?

Yes, you may have cramps before your period. While they aren’t automatically a health concern, these pelvic cramps could also be caused by endometriosis, fibroids, or ovulation pain. Most people who get periods experience some cramping and pain in the few days before their period begins and into the first few days of menstruation.

But can you experience cramps a week before your period? The short answer is yes, it’s possible, but cramps in that timeframe may be caused by something else. Here we’ll talk about what cramps a week before your period may mean, and most importantly, how you can get some relief. Symptoms of premenstrual syndrome (PMS) can vary widely by person, and while it’s not totally common, changes in estrogen and progesterone can cause cramping as much as a week before your period begins.

Cramps a week before your period may also be caused by other things. Here we’ll discuss what else may be causing early cramps.

Why do I feel cramps but no period?

What causes cramps, no period and white discharge? 19 July 2023 Written by If you’ve missed a period, have cramping and a white discharge from your vagina, you may be pregnant, although there are other causes for these symptoms. is normal. During your menstrual cycle, your vaginal discharge will usually change in colour and texture.

A few days before your period starts, your vaginal discharge may be cloudy or white. This means white vaginal discharge and cramping could mean your period is late. Cramping without a period could also be a sign of, or, White vaginal discharge, cramping and a missed period are all signs of pregnancy, although they can also be symptoms of a late period or other conditions.

Stomach pain and cramping during pregnancy usually feel different to pain and cramps you experience during your period. This is because pregnancy cramping and stomach pain is caused by ligaments in your lower tummy stretching in preparation for your womb growing in size.

  • and/or fainting
  • Changes in your breast — this includes:
    • Achy, tender breasts
    • Darker, larger nipples
  • Gastrointestinal changes — this includes:
    • A metallic taste in your mouth
    • Bloating
    • Changes to your food preferences ie developing cravings or a strong dislike to certain foods
    • and/or
  • , and/or mood swings
  • Urinating more often
  • Vaginal spotting (implantation bleeding)

In some cases, early pregnancy may feel as if your period is about to start. Pelvic inflammatory disease (PID) This occurs when bacteria infects your womb. The infection can spread to your ovaries and fallopian tubes, and usually enters your body as a sexually transmitted infection (STI) via your vagina.

  • Common PID symptoms include:
  • Endometriosis
  • occurs where tissue similar to the lining of your womb (endometrium) starts to grow elsewhere and attaches to other organs, such as your ovaries and fallopian tubes.

Getting a diagnosis of endometriosis involves talking to your doctor about symptoms, having a pelvic exam and imaging tests. In some cases, you may also need surgery to confirm a diagnosis. Endometriosis symptoms can be relieved with treatment but there is currently no cure.

  • Abnormal vaginal bleeding
  • Gastrointestinal symptoms — this includes constipation, diarrhoea, nausea and, especially just before or during your period
  • Pelvic pain
  • Severe cramping during your periods

Irritable bowel syndrome (IBS) is a common digestive condition that affects more women than men. Common IBS symptoms include:

  • Abdominal pain
  • Bloating
  • Cramps or stomach pain with no period
  • Changes in your bowel movements eg constipation
  • Lower back pain
  • White mucus in your stools

Other IBS symptoms include heavy and/or painful periods, pain during sex and urinating frequently. IBS symptoms can worsen during your period. Cervical cancer is cancer that starts in the entrance of your womb (cervix). It is most common in women aged 30–45 who are sexually active. In the early stages, cervical cancer has no symptoms. Later, symptoms include:

  • Pain during sex
  • Pelvic pain
  • Vaginal bleeding after sex
  • Vaginal bleeding in between your periods
  • Unusual vaginal discharge

Uterine fibroids or polyps Uterine fibroids and polyps are both noncancerous growths in or on your womb. They can cause heavy and/or painful periods, as well as irregular periods. Fibroids and polyps can be small or large and vary in number. Large fibroids can sometimes be detected during a physical examination by your doctor. Symptoms of fibroids include:

  • Constipation
  • Heavy and/or painful periods
  • Pain during sex
  • Pain in your abdomen, pelvis and/or lower back
  • Urinating frequently

Perimenopause Perimenopause is the period of time before menopause when oestrogen levels in a woman start to decrease. Common symptoms include irregular periods, hot flushes and, Polycystic ovary syndrome (PCOS) is a hormonal condition that affects the normal function of your ovaries and their ability to release eggs regularly. Symptoms include:

  • Infertility
  • Irregular, infrequent or no periods
  • Prolonged periods
  • Painful periods

Why Am I Cramping A Week Before My Period Birth control pills, birth control devices and other medications Starting or stopping taking birth control pills changes your monthly menstrual cycle. You may have irregular or missed periods for up to six months after you stop taking birth control pills.

  1. Other medications ie certain antidepressants, blood thinners and steroids can also change your menstrual cycle.
  2. Stress or other lifestyle factors
  3. Changes in your lifestyle or health can also affect your menstrual cycle and/or cause your periods to stop. This includes:
  • Anxiety and stress — both can stop your periods or cause more painful periods
  • Eating disorders
  • Extreme weight loss
  • Illnesses
  • Too much exercise

Other conditions Other conditions can also cause cramping with no period. This includes:

  • Ectopic pregnancy
  • Miscarriage
  • STIs
  • Thyroid problems

If you have white vaginal discharge but no other symptoms, this is most likely part of your normal menstrual cycle. However, if the vaginal discharge is not normal for you, then you may have an infection such as bacterial vaginosis or a yeast infection. Other symptoms of an infection include:

  • A burning sensation when urinating
  • Pain during sex
  • Vaginal itching or irritation

If your periods are not regular, see your GP. They can investigate what is causing your irregular periods. You should also see your GP if you have abnormal vaginal discharge. This includes:

  • Foul-smelling vaginal discharge
  • Vaginal discharge alongside vaginal itching, redness or swelling
  • Yellow, green, grey or strongly coloured vaginal discharge

Although cramping is a common period symptom, you should see your GP if your cramps:

  • Affect only one side of your body
  • Become worse or don’t go away
  • Occur alongside fever or other symptoms

Although white vaginal discharge and cramping with no period can be signs of pregnancy, there are many other conditions that can cause these symptoms. Thick white discharge or foul-smelling vaginal discharge could be a sign of an infection. It is important to get treatment for infections, including STIs, as soon as possible to reduce the risk of complications.

Why do I have cramps but no period? Your period may be late or, depending on your other symptoms, you could be pregnant or have one of several other conditions, such as pelvic inflammatory disease (PID), endometriosis, uterine fibroid or polyps, or polycystic ovary syndrome (PCOS). If you are concerned your cramps aren’t going away or are getting worse, see your GP.

Could I be pregnant if I have cramps but no period? Yes, you could be pregnant if you have cramps but no period, however there are also other conditions that can cause these symptoms. Additional symptoms of pregnancy include vaginal spotting, white vaginal discharge, backache, nausea, vomiting, dizziness, fainting, and achy, tender breasts.

Can early pregnancy feel like period cramps? In some women, early pregnancy can feel as if their period is about to start. However, cramping in pregnancy often feels slightly different to period cramps as it is caused by ligaments in your lower belly stretching in preparation for your womb growing. Pregnancy cramping therefore usually occurs in your lower belly and on one side at a time.

Why do I have cramps but no period on birth control? If you have recently started taking birth control, you may experience mild cramping as your body adjusts. If you are on birth control and have persistent or severe cramping, see your GP. Why is my period late but pregnancy test negative? If your period is late but your pregnancy test is negative, your period may be late, which can occur due to a number of different factors including, stress, anxiety, excessive exercise, extreme weight loss and illnesses.

Your periods may also be late or irregular if you have uterine fibroids or polyps, pelvic inflammatory disease (PID), polycystic ovary syndrome (PCOS) or perimenopause. If you’re concerned about symptoms you’re experiencing or require further information on the subject, talk to a GP or see an expert consultant at your local Spire hospital.

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Why do I have period pains but not on my period?

Reasons for period pain but no period Ovulation. Gas and constipation. Stress. Irritable Bowel Syndrome (IBS)

Why am I cramping 6 days before my period?

What Do Cramps a Week before Period Mean? – We often get asked, why do I have cramps a week before my period? And what do cramps a week before period mean? Two main reasons answer the queries of uncomfortable cramping prior to feeling cramps 5 days before period or more.

Before your menstrual cycle, your body produces hormones supposed to help signal your body through menstruation.

Due to changing hormone levels, sometimes your body misjudges the quantity of hormones to produce and overproduces certain ones. The two main hormones your body produces during menstruation are estrogen and progesterone. If your body overproduces estrogen or progesterone, your uterus will contract, causing the cramps we all despise.

It is possible for women to physically feel the egg when it is prepared to be fertilized every month. For the few who feel this soft and mostly painless feeling, it can signal the beginning of menstruation. Whereas for others, the preparation of the egg to be fertilized can feel the same as period cramps.

Cramping 5 days before period or earlier is a regular occurrence to those who notice this sensation because the egg is often produced earlier, around the time you are experiencing early cramps.

Why is the week before your period the worst?

Premenstrual syndrome (PMS) Why Am I Cramping A Week Before My Period PMS is a combination of physical and emotional symptoms that many women get after ovulation and before the start of their menstrual period. Researchers think that PMS happens in the days after ovulation because estrogen and progesterone levels begin falling dramatically if you are not pregnant.

  1. PMS symptoms go away within a few days after a woman’s period starts as hormone levels begin rising again.
  2. Some women get their periods without any signs of PMS or only very mild symptoms.
  3. For others, PMS symptoms may be so severe that it makes it hard to do everyday activities like go to work or school.

Severe PMS symptoms may be a sign of, PMS goes away when you no longer get a period, such as after, After pregnancy, PMS might come back, but you might have different PMS symptoms. As many as three in four women say they get PMS symptoms at some point in their lifetime.

  • For most women, PMS symptoms are mild.
  • Less than 5% of women of childbearing age get a more severe form of PMS, called,
  • PMS may happen more often in women who: Yes.
  • PMS symptoms may get worse as you reach your late 30s or 40s and approach and are in the transition to menopause, called perimenopause.
  • This is especially true for women whose moods are sensitive to changing hormone levels during the menstrual cycle.

In the years leading up to menopause, your hormone levels also go up and down in an unpredictable way as your body slowly transitions to menopause. You may get the same mood changes, or they may get worse. PMS stops after menopause when you no longer get a period.

  • Swollen or tender breasts
  • or
  • Bloating or a gassy feeling
  • Cramping
  • Headache or backache
  • Clumsiness
  • Lower tolerance for noise or light

Emotional or mental symptoms of PMS include:

  • Irritability or hostile behavior
  • Feeling tired
  • Sleep problems (sleeping too much or too little)
  • Appetite changes or food cravings
  • Trouble with concentration or memory
  • Tension or anxiety
  • Depression, feelings of sadness, or crying spells
  • Mood swings
  • Less interest in sex

Talk to your doctor or nurse if your symptoms bother you or affect your daily life. Researchers do not know exactly what causes PMS. Changes in levels during the menstrual cycle may play a role. These changing hormone levels may affect some women more than others.

  • Happen in the five days before your period for at least three menstrual cycles in a row
  • End within four days after your period starts
  • Keep you from enjoying or doing some of your normal activities

Keep track of which PMS symptoms you have and how severe they are for a few months. Write down your symptoms each day on a calendar or with an app on your phone. Take this information with you when you see your doctor. About half of women who need relief from PMS also have another health problem, which may get worse in the time before their menstrual period.12 These health problems share many symptoms with PMS and include: PMS may also worsen some health problems, such as asthma, allergies, and migraines.

  • Get regular aerobic physical activity throughout the month. Exercise can help with symptoms such as depression, difficulty concentrating, and fatigue.
  • Choose healthy foods most of the time. Avoiding foods and drinks with caffeine, salt, and sugar in the two weeks before your period may lessen many PMS symptoms. Learn more about,
  • Get enough sleep. Try to get about eight hours of sleep each night. Lack of sleep is linked to depression and anxiety and can make PMS symptoms such as moodiness worse.
  • Find healthy ways to cope with stress. Talk to your friends or write in a journal. Some women also find yoga, massage, or meditation helpful.
  • Don’t smoke. In one large study, women who smoked reported more PMS symptoms and worse PMS symptoms than women who did not smoke.

Over-the-counter and prescription medicines can help treat some PMS symptoms. Over-the-counter pain relievers you can buy in most stores may help lessen physical symptoms, such as cramps, headaches, backaches, and breast tenderness. These include:

  • Aspirin

Some women find that taking an over-the-counter pain reliever right before their period starts lessens the amount of pain and bleeding they have during their period. Prescription medicines may help if over-the-counter pain medicines don’t work:

  • Hormonal may help with the physical symptoms of PMS, but it may make other symptoms worse. You may need to try several different types of birth control before you find one that helps your symptoms.
  • Antidepressants can help relieve emotional symptoms of PMS for some women when other medicines don’t help. Selective serotonin reuptake inhibitors, or SSRIs, are the most common type of antidepressant used to treat PMS.
  • Diuretics (“water pills”) may reduce symptoms of bloating and breast tenderness.
  • Anti-anxiety medicine may help reduce feelings of anxiousness.

All medicines have risks. Talk to your doctor or nurse about the benefits and risks. Maybe. Studies show that certain vitamins and minerals may help relieve some PMS symptoms. The Food and Drug Administration (FDA) does not regulate vitamins or mineral and herbal supplements in the same way they regulate medicines.

  • , Studies show that calcium can help reduce some PMS symptoms, such as fatigue, cravings, and depression. Calcium is found in foods such as milk, cheese, and yogurt. Some foods, such as orange juice, cereal, and bread, have calcium added (fortified). You can also take a calcium supplement.
  • , Vitamin B6 may help with PMS symptoms, including moodiness, irritability, forgetfulness, bloating, and anxiety. Vitamin B6 can be found in foods such as fish, poultry, potatoes, fruit (except for citrus fruits), and fortified cereals. You can also take it as a dietary supplement.

Studies have found mixed results for:

  • , Magnesium may help relieve some PMS symptoms, including migraines. If you get, talk to your doctor about whether you need more magnesium. Magnesium is found in green, leafy vegetables such as spinach, as well as in nuts, whole grains, and fortified cereals. You can also take a supplement.
  • Polyunsaturated fatty acids (omega-3 and omega-6). Studies show that taking a supplement with 1 to 2 grams of polyunsaturated fatty acids may help reduce cramps and other PMS symptoms. Good sources of polyunsaturated fatty acids include flaxseed, nuts, fish, and green leafy vegetables.

Some women report relief from their PMS symptoms with yoga or meditation. Others say herbal supplements help relieve symptoms. Talk with your doctor or nurse before taking any of these supplements. They may interact with other medicines you take, making your other medicine not work or cause dangerous side effects.

  • , The underground stems and root of black cohosh are used fresh or dried to make tea, capsules, pills, or liquid extracts. Black cohosh is most often used to help treat menopausal symptoms, and some women use it to help relieve PMS symptoms.
  • , Dried ripe chasteberry is used to prepare liquid extracts or pills that some women take to relieve PMS symptoms. Women taking hormonal birth control or hormone therapy for menopause symptoms should not take chasteberry.
  • , The oil is taken from the plant’s seeds and put into capsules. Some women report that the pill helps relieve PMS symptoms, but the research results are mixed.

Researchers continue to search for new ways to treat PMS. Learn more about current PMS treatment studies at, For more information about PMS, call the OWH Helpline at 1-800-994-9662 or check out the following resources from other organizations:

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  9. Richards, M., Rubinow, D.R., Daly, R.C., Schmidt, P.J. (2006). American Journal of Psychiatry; 163(1): 133-7,
  10. Bloch, M., Schmidt, P.J., Danaceau, M., Murphy, J., Nieman, L., Rubinow, D.R. (2000). American Journal of Psychiatry; 157(6): 924-30.
  11. Pinkerton, J.V., Guico-Pabia, C.J., Taylor, H.S. (2010). American Journal of Obstetrics and Gynecology; 202(3): 221-231.
  12. American College of Obstetricians and Gynecologists. (2015).,
  13. Dickerson, L., Mazyck, P., Hunter, M. (2002)., American Family Physician; 67(8): 1743–1752.
  14. Boneva, R.S., Lin, J.M., & Unger, E.R. (2015). Menopause, 22, 826–834.
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All material contained on these pages are free of copyright restrictions and maybe copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated. Page last updated: February 22, 2021 : Premenstrual syndrome (PMS)

What do endometriosis cramps feel like?

The cramps you get during your period can be tough. But if you have endometriosis, the pain may be so intense that it affects your daily routine. It might even stop you from doing some of the things you love. Endometriosis is when the same type of cells that make up the lining of your uterus, the endometrium, grow outside it and attach to other parts of your body.

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Very long or heavy periods Severe crampsSevere migraines or lower back pain during your periodPain when you poop or pee Allergies that get worse around your period Vaginal bleeding between periods Blood in your urine or from your rectum Fatigue Nausea Diarrhea or constipation Bloating Trouble getting pregnant

Endometriosis can cause pain in more than one area of your body, including: Pelvic or belly pain. It might start before your period and last several days. It can feel sharp and stabbing, and medication usually won’t help. Some women say it feels like their insides are being pulled down.

  • They have a gnawing or throbbing feeling that can be severe. Backache.
  • Your uterus and ovaries are near your back.
  • Belly pain that makes you hunch over can hurt your back, too.
  • Leg pain,
  • Endometriosis can affect nerves that connect to your groin, hips, and legs.
  • This can make it hard to walk.
  • You may limp or have to rest often.

Painful sex, Many women with endometriosis feel pain while having sex or up to 2 days later. For some, it feels stabbing or sharp. Others describe it as an ache in their pelvic area. Painful bowel movements, Depending on the affected areas, it might hurt to poop.

Endometriosis can make it hard to get pregnant, This may happen if the tissue growing outside your uterus causes scarring, which can affect your fallopian tubes and keep an egg and sperm from meeting. It can also stop a fertilized egg from implanting in the lining of your uterus. Surgery can remove the extra tissue, which may make it easier to get pregnant,

Or you might try assisted reproductive technology (such as in vitro fertilization ) to help you conceive.

Why do I have 7 days before my period?

Spotting before your period is most likely related to your body’s ovulation patterns. – The biggest factor at play typically is.hormones (surprise!). ” means you’re not ovulating perfectly and not making as much progesterone as you should,” says Mary Jane Minkin, MD, a clinical professor in the department of obstetrics, gynecology, and reproductive sciences at the Yale University School of Medicine.

Progesterone is one of the hormones involved with making menstruation happen, and Dr. Minkin says it plays an important role in stabilizing the lining of your uterus. If you don’t make enough of it during your cycle, some of your uterine lining may be discharged in the five to seven days before your period, which is that spotting you notice.

Talk to your ob-gyn about having your hormone levels tested (especially if you’re planning a pregnancy). They may suggest solutions, such as birth control pills with progesterone. Now, what if imperfect ovulation isn’t the cause of your pre-period spotting? Bigger health problems that can cause spotting (we’ll get into some of those in a sec) would most likely also cause symptoms throughout your *whole* cycle, not just the week before your period, Dr.

Where are early pregnancy cramps?

Normal Cramps in Early Pregnancy – During your first trimester, you experience cramps as your body prepares for the pregnancy. You may initially experience cramping in your lower abdomen or lower back even before you know you’re pregnant. This is due to implantation, which is the process of the fertilized egg implanting in the uterus.

You may feel a small twinge or sharper cramps that may double you over at times. After you know you’re pregnant, cramping is due to your uterus growing and expanding to accommodate your growing baby. It’s perfectly normal and happens to all women. Cramps often feel similar to your normal menstrual cramps.

Once you pass your first trimester, you might experience occasional cramping. It’s important to remember that the uterus is a muscle, which means it can contract and cause pain or discomfort. The same can happen when you have gas, constipation, bloating, or even a full bladder. Why Am I Cramping A Week Before My Period

What do implantation cramps feel like?

What do implantation cramps feel like and when do they happen? – Implantation cramps don’t feel like menstrual cramps, and you’re not likely to confuse the two. Women who experience implantation cramps have described them as a prickling, pulling or tingling feeling. You can also differentiate between the two based on timing. Typically, implantation (and any associated cramping), occurs:

Six to 12 days after ovulation (the same time when you’d expect to get your period) Eight to nine days after fertilization

The cramping will not happen along the same schedule as menstrual cramping would. You can also rest easy because implantation cramping should not be especially painful (phew!) With that being said, if you do experience painful uterine cramps between periods—regardless of whether or not you’re trying to conceive—you should contact your doctor.

Why is the week before your period the worst?

Premenstrual syndrome (PMS) Why Am I Cramping A Week Before My Period PMS is a combination of physical and emotional symptoms that many women get after ovulation and before the start of their menstrual period. Researchers think that PMS happens in the days after ovulation because estrogen and progesterone levels begin falling dramatically if you are not pregnant.

PMS symptoms go away within a few days after a woman’s period starts as hormone levels begin rising again. Some women get their periods without any signs of PMS or only very mild symptoms. For others, PMS symptoms may be so severe that it makes it hard to do everyday activities like go to work or school.

Severe PMS symptoms may be a sign of, PMS goes away when you no longer get a period, such as after, After pregnancy, PMS might come back, but you might have different PMS symptoms. As many as three in four women say they get PMS symptoms at some point in their lifetime.

For most women, PMS symptoms are mild. Less than 5% of women of childbearing age get a more severe form of PMS, called, PMS may happen more often in women who: Yes. PMS symptoms may get worse as you reach your late 30s or 40s and approach and are in the transition to menopause, called perimenopause. This is especially true for women whose moods are sensitive to changing hormone levels during the menstrual cycle.

In the years leading up to menopause, your hormone levels also go up and down in an unpredictable way as your body slowly transitions to menopause. You may get the same mood changes, or they may get worse. PMS stops after menopause when you no longer get a period.

  • Swollen or tender breasts
  • or
  • Bloating or a gassy feeling
  • Cramping
  • Headache or backache
  • Clumsiness
  • Lower tolerance for noise or light

Emotional or mental symptoms of PMS include:

  • Irritability or hostile behavior
  • Feeling tired
  • Sleep problems (sleeping too much or too little)
  • Appetite changes or food cravings
  • Trouble with concentration or memory
  • Tension or anxiety
  • Depression, feelings of sadness, or crying spells
  • Mood swings
  • Less interest in sex

Talk to your doctor or nurse if your symptoms bother you or affect your daily life. Researchers do not know exactly what causes PMS. Changes in levels during the menstrual cycle may play a role. These changing hormone levels may affect some women more than others.

  • Happen in the five days before your period for at least three menstrual cycles in a row
  • End within four days after your period starts
  • Keep you from enjoying or doing some of your normal activities

Keep track of which PMS symptoms you have and how severe they are for a few months. Write down your symptoms each day on a calendar or with an app on your phone. Take this information with you when you see your doctor. About half of women who need relief from PMS also have another health problem, which may get worse in the time before their menstrual period.12 These health problems share many symptoms with PMS and include: PMS may also worsen some health problems, such as asthma, allergies, and migraines.

  • Get regular aerobic physical activity throughout the month. Exercise can help with symptoms such as depression, difficulty concentrating, and fatigue.
  • Choose healthy foods most of the time. Avoiding foods and drinks with caffeine, salt, and sugar in the two weeks before your period may lessen many PMS symptoms. Learn more about,
  • Get enough sleep. Try to get about eight hours of sleep each night. Lack of sleep is linked to depression and anxiety and can make PMS symptoms such as moodiness worse.
  • Find healthy ways to cope with stress. Talk to your friends or write in a journal. Some women also find yoga, massage, or meditation helpful.
  • Don’t smoke. In one large study, women who smoked reported more PMS symptoms and worse PMS symptoms than women who did not smoke.

Over-the-counter and prescription medicines can help treat some PMS symptoms. Over-the-counter pain relievers you can buy in most stores may help lessen physical symptoms, such as cramps, headaches, backaches, and breast tenderness. These include:

  • Aspirin

Some women find that taking an over-the-counter pain reliever right before their period starts lessens the amount of pain and bleeding they have during their period. Prescription medicines may help if over-the-counter pain medicines don’t work:

  • Hormonal may help with the physical symptoms of PMS, but it may make other symptoms worse. You may need to try several different types of birth control before you find one that helps your symptoms.
  • Antidepressants can help relieve emotional symptoms of PMS for some women when other medicines don’t help. Selective serotonin reuptake inhibitors, or SSRIs, are the most common type of antidepressant used to treat PMS.
  • Diuretics (“water pills”) may reduce symptoms of bloating and breast tenderness.
  • Anti-anxiety medicine may help reduce feelings of anxiousness.

All medicines have risks. Talk to your doctor or nurse about the benefits and risks. Maybe. Studies show that certain vitamins and minerals may help relieve some PMS symptoms. The Food and Drug Administration (FDA) does not regulate vitamins or mineral and herbal supplements in the same way they regulate medicines.

  • , Studies show that calcium can help reduce some PMS symptoms, such as fatigue, cravings, and depression. Calcium is found in foods such as milk, cheese, and yogurt. Some foods, such as orange juice, cereal, and bread, have calcium added (fortified). You can also take a calcium supplement.
  • , Vitamin B6 may help with PMS symptoms, including moodiness, irritability, forgetfulness, bloating, and anxiety. Vitamin B6 can be found in foods such as fish, poultry, potatoes, fruit (except for citrus fruits), and fortified cereals. You can also take it as a dietary supplement.

Studies have found mixed results for:

  • , Magnesium may help relieve some PMS symptoms, including migraines. If you get, talk to your doctor about whether you need more magnesium. Magnesium is found in green, leafy vegetables such as spinach, as well as in nuts, whole grains, and fortified cereals. You can also take a supplement.
  • Polyunsaturated fatty acids (omega-3 and omega-6). Studies show that taking a supplement with 1 to 2 grams of polyunsaturated fatty acids may help reduce cramps and other PMS symptoms. Good sources of polyunsaturated fatty acids include flaxseed, nuts, fish, and green leafy vegetables.

Some women report relief from their PMS symptoms with yoga or meditation. Others say herbal supplements help relieve symptoms. Talk with your doctor or nurse before taking any of these supplements. They may interact with other medicines you take, making your other medicine not work or cause dangerous side effects.

  • , The underground stems and root of black cohosh are used fresh or dried to make tea, capsules, pills, or liquid extracts. Black cohosh is most often used to help treat menopausal symptoms, and some women use it to help relieve PMS symptoms.
  • , Dried ripe chasteberry is used to prepare liquid extracts or pills that some women take to relieve PMS symptoms. Women taking hormonal birth control or hormone therapy for menopause symptoms should not take chasteberry.
  • , The oil is taken from the plant’s seeds and put into capsules. Some women report that the pill helps relieve PMS symptoms, but the research results are mixed.
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Researchers continue to search for new ways to treat PMS. Learn more about current PMS treatment studies at, For more information about PMS, call the OWH Helpline at 1-800-994-9662 or check out the following resources from other organizations:

  1. Freeman, E., Halberstadt, M., Sammel, M. (2011)., Journal of Women’s Health; 20(1): 29–35.
  2. Dennerstein, L., Lehert, P., Bäckström, T.C., Heinemann, K. (2009)., Menopause International ; 15: 120–126.
  3. Winer, S.A., Rapkin, A.J. (2006)., Journal of Reproductive Medicine ; 51(4 Suppl):339-347.
  4. Dennerstein, L., Lehert, P., Heinemann, K. (2011)., Menopause International; 17: 88–95.
  5. Steiner, M. (2000)., Journal of Psychiatry and Neuroscience; 25(5): 459–468.
  6. Potter, J., Bouyer, J., Trussell, J., Moreau, C. (2009)., Journal of Women’s Health; 18(1): 31–39.
  7. Gollenberg, A.L., Hediger, M.L., Mumford, S.L., Whitcomb, B.W., Hovey, K.M., Wactawski-Wende, J., et al. (2010). Journal of Women’s Health; 19(5): 959-967.
  8. Endicott, J., Amsterdam, J., Eriksson, E., Frank, E., Freeman, E., Hirschfeld, R. et al. (1999). Journal of Women’s Health & Gender-Based Medicine; 8(5): 663-79.
  9. Richards, M., Rubinow, D.R., Daly, R.C., Schmidt, P.J. (2006). American Journal of Psychiatry; 163(1): 133-7,
  10. Bloch, M., Schmidt, P.J., Danaceau, M., Murphy, J., Nieman, L., Rubinow, D.R. (2000). American Journal of Psychiatry; 157(6): 924-30.
  11. Pinkerton, J.V., Guico-Pabia, C.J., Taylor, H.S. (2010). American Journal of Obstetrics and Gynecology; 202(3): 221-231.
  12. American College of Obstetricians and Gynecologists. (2015).,
  13. Dickerson, L., Mazyck, P., Hunter, M. (2002)., American Family Physician; 67(8): 1743–1752.
  14. Boneva, R.S., Lin, J.M., & Unger, E.R. (2015). Menopause, 22, 826–834.
  15. El-Lithy, A., El-Mazny, A., Sabbour, A., El-Deeb, A. (2014). Journal of Obstetrics and Gynaecology; 3: 1–4.
  16. Aganoff, J.A., Boyle, G.J. (1994)., Journal of Psychosomatic Research ; 38: 183–92.
  17. Kaur, G., Gonsalves, L., Thacker, H.L. (2004)., Cleveland Clinic Journal of Medicine ; 71: 303–5, 312–3, 317–8.
  18. Tsai, S.Y. (2016)., Int J Environ Res Public Health ; 13(7).
  19. Hernandez-Reif, M., Martinez, A., Field, T., Quintero, O., Hart, S., Burman, I. (2000)., J Psychosom Obstet Gynaecol ; 21(1):9-15.
  20. Arias, A.J., Steinberg, K., Banga, A., Trestman, R.L. (2006)., Journal of Alternative and Complementary Medicine ; 12(8):817-32.
  21. Dennerstein, L., Lehert, P., Heinemann, K. (2011)., Menopause International; 17(3): 96–101.
  22. Rapkin A. (2003)., Psychoneuroendocrinology ; Suppl 3:39-53.
  23. The Medical Letter. (2003)., Med Lett Drugs Ther ; 45(1170):93-5.
  24. National Institute for Health Research, U.K. (2008).,
  25. Ghanbari, Z., Haghollahi, F., Shariat, M., Foroshani, A.R., Ashrafi, M. (2009). Taiwanese Journal of Obstetrics and Gynecology; 48(2): 124–129.
  26. Office of Dietary Supplements. (2016).,
  27. Rocha Filho, F., Lima, J.C., Pinho Neto, J.S., Montarroyos, U. (2011)., Reproductive Health; 8: 2. doi: 10.1186/1742-4755-8-2.
  28. Johnson, T.L., Fahey, J.W. (2012). Journal of Ethnopharmacolgy, 141(3): 775-9. doi: 10.1016/j.jep.2012.03.050.
  29. Dietz, B.M., Hajirahimkhan, A., Dunlap, T.L., Bolton, J.L. (2016)., Pharmacological Reviews, 68(4): 1026-1073. doi:,
  30. Girman, A., Lee, R., Kligler, B. (2003)., American Journal of Obstetrics and Gynecology, 188 (5), S56–S65.

All material contained on these pages are free of copyright restrictions and maybe copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated. Page last updated: February 22, 2021 : Premenstrual syndrome (PMS)

What’s the difference between period cramps and pregnancy cramps?

Do Early Pregnancy Cramps Feel Like Period Cramps? – As a fertilized egg implants in your uterus ( implantation ), you may notice different changes and sensations while your body adjusts to being pregnant. Implantation can cause light cramping and other symptoms like bloating or constipation in some people.

There is not a lot of research on implantation cramping, but the sensation appears slightly different for everyone. Some people report the feeling as mild cramps, a dull achiness, or light twinges. Early pregnancy cramps may also feel like a prickling, tingling, or pulling sensation that can come and go or last for a day or two before disappearing altogether.

On the other hand, period cramps may feel more intense, noticeable, severe, or painful. Many period cramps can be felt on just one side of the lower abdomen as one of the ovaries releases an egg. Early pregnancy cramping might be more likely to be felt across the entire lower abdomen, pelvic area, or lower back.

Can you ovulate a week before your period?

You typically have a narrow window in which you can become pregnant. It may be possible to become pregnant in the days before your period, but it can depend on certain factors. Although it is possible to get pregnant in the days leading up to your period, it isn’t likely.

You can only get pregnant during a narrow window of five to six days a month. When these fertile days actually occur depends on when you ovulate, or release an egg from your ovary. Ovulation usually occurs in the middle of your menstrual cycle — about two weeks before your period — but not everyone’s cycle is regular.

Even for those with a regular cycle, it’s possible to ovulate earlier or later. This can shift the fertile window by a few days in a given month. In other words, it’s difficult to pinpoint a time in your cycle where you can 100 percent guarantee that you will or won’t get pregnant.

The average menstrual cycle is 28 days, with the first day of menstruation as cycle day 1. Most periods last two to seven days. Pregnancy is uncommon during this time, because your peak fertility window is still about a week or so away. Around days 6 to 14 of your cycle, your body will start releasing follicle-stimulating hormone (FSH),

This helps develop an egg inside your ovary. Your body will also begin rebuilding the endometrial lining in your uterus. Pregnancy is slightly more likely during this time. Sperm can live up to five days inside the body, so it could still be present when the egg matures.

  1. Once the egg is mature, your body will release lutenizing hormone (LH), triggering the egg’s release from your ovary ( ovulation ).
  2. Ovulation usually occurs around cycle day 14.
  3. Pregnancy is likely on ovulation day.
  4. That said, ovulation doesn’t always happen like clockwork.
  5. It can occur anywhere from four days before to four days after the midpoint of your menstrual cycle.

The bottom Line If you ovulate later in your cycle or start your period sooner than usual, you could become pregnant if you have sex in the days leading up to your period. Lots of people don’t have 28-day cycles. Some have cycles as short as 21 days and others as long as 35 days.

In fact, in one study, only about 30 percent of participants had their fertile window fall within days 10 to 17 of their cycle. Only 10 percent had ovulation fall exactly 14 days before their next period. Stress and diet can also impact when ovulation occurs, as well as medical conditions such as polycystic ovary syndrome (PCOS) and amenorrhea,

Menstrual cycles can also be more irregular during adolescence or perimenopause, In many cases, ovulation still happens around the middle of your cycle. Try this If you’re trying to figure out when you might be ovulating, a good place to start is by determining the midpoint of your individual cycle.

tracking your basal body temperature using an over-the-counter ovulation predictor kitwearing a fertility monitor

The only time you can get pregnant is during your fertile window. An egg only lives for about 24 hours after being released from your ovary, and sperm can only live for up to five days inside the body. That means you can only get pregnant if you have sex:

in the four to five days leading up to ovulationon the day of ovulationon the day after ovulation

If you’re looking to conceive, the best time to have sex is right before ovulation. This will give sperm time to reach the fallopian tube and meet the egg there. After that, if no sperm has fertilized the egg, it will dissolve. You won’t be able to get pregnant until your cycle restarts.

  1. It isn’t impossible, but it’s unlikely.
  2. The timing would have to be perfect for the egg and sperm to reach each other in time.
  3. If you have sex toward the end of your period and you ovulate early, it’s possible for the egg and sperm to both be alive at the same time and for fertilization to occur.
  4. It’s unlikely — though slightly more likely than if you have sex during your period.

If you have sex right after your period and you ovulate early that month, it’s possible to get pregnant. This is more likely with people who have a shorter-than-average cycle, because ovulation occurs more frequently. Your period will only start if the egg isn’t fertilized and the cells are reabsorbed.

This causes estrogen and progesterone levels to fall and menstruation to begin. However, you may experience some spotting during early pregnancy. One study found that 14 out of 151 participants experienced one day of vaginal bleeding in the first eight weeks of pregnancy. Furthermore, 15 percent to 25 percent of people may experience spotting during the first three months of pregnancy.

Taking note of the timing and any other symptoms present can help you differentiate between typical menstruation and pregnancy-related spotting. Implantation bleeding usually occurs 6 to 12 days after conception. It’s caused by the fertilized egg attaching to your uterus lining.

  1. This light spotting usually only lasts 24 to 48 hours and is generally much lighter than the average period.
  2. You may also experience spotting as a result of increased blood flow in the cervix.
  3. This type of spotting is most common after sex, a Pap test, or a pelvic exam,
  4. If you’re experiencing unexpected bleeding, see a doctor or other healthcare provider.

If you had unprotected sex and want to avoid pregnancy, take emergency contraception (EC) as soon as possible. There are two main types — the copper IUD and the hormonal EC pill — and they can both work up to five days after unprotected sex, The IUD prevents pregnancy by producing an inflammatory reaction that’s toxic to sperm and eggs.

It’s more effective than the morning-after pill, but it’s only available by prescription and has to be inserted by a doctor within five days of unprotected sex. The pill delivers a high dose of hormones to delay ovulation or prevent a fertilized egg from implanting to the uterus. Plan B One-Step, Next Choice, and MyWay are all available over the counter.

Which should you use? As a general rule of thumb, EC pills may be less effective for people who have a higher body mass index (BMI), There isn’t any research to suggest that the copper IUD is similarly affected by BMI, so this option may be more effective.

  • Talk to your local pharmacist or other healthcare provider about which EC option is right for you.
  • Wait until the first day of your missed period to take a home pregnancy test.
  • But if you can wait a little longer, taking the test one week after the date of your missed period may produce the most accurate result.

If you have an irregular cycle, wait one to two weeks after you had sex to take the test. This will allow your body to develop high enough human chorionic gonadotropin (hCG) levels to be detected by the test. If you get a positive result, you might want to check again in a day or two since it’s possible to get a false positive,

Then reach out to a medical provider to confirm the results. Whether you’re trying to prevent pregnancy or trying to conceive, it’s always a good idea to talk about it with a doctor or other healthcare provider. They can help you learn more about your cycle and discuss your options moving forward. This could include birth control, fertility awareness, or family planning.

Simone M. Scully is a writer who loves writing about all things health and science. Find Simone on her website, Facebook, and Twitter,