What are the reasons for more severe menstrual cramps at noon?

Patient's question:

I have been experiencing menstrual cramps for 3 years. During these days of my period, the pain is particularly severe around 3 PM every day. At other times, the cramps are not as intense. Why are menstrual cramps worse in the afternoon?

Doctor's answer:

Hello, the possible causes of primary dysmenorrhea are the increased levels of endometrial and prostaglandins in the blood. It can be relieved through massage. The person experiencing dysmenorrhea should lie on their back first. Using the palm, massage the lower abdomen in a clockwise or counterclockwise direction for about 10 minutes, with a frequency of 100-200 times per minute. Then, use the index or middle finger to massage the Qihai point and Guanyuan point, each for about 5 minutes. After 20 minutes of treatment, a warm sensation may be felt locally, and the pain can be relieved.

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