How to regulate severe menstrual cramps

Patient's question:

Please ask if my menstrual cramps are very severe, and I am currently undergoing Chinese medicine treatment. Can I take Motherwort Paste? Is it for regulation rather than pain relief? Would it be beneficial if my menstrual flow is light? Thank you.
First follow-up question: If I take it, should I use it during my period or before it? For how many days should I take it? Can it significantly improve my light menstrual flow?

Doctor's answer:

Dysmenorrhea can be divided into two types: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea refers to abdominal pain that occurs from the onset of menstruation, while secondary dysmenorrhea refers to menstrual abdominal pain that appears after several years or even a decade of menstruation. The causes of the two types of dysmenorrhea are different. The cause of primary dysmenorrhea includes a narrow cervix, underdeveloped uterus, or large pieces of endometrium in the menstrual blood, the latter of which is called membrane-like dysmenorrhea. Sometimes blood clots in the menstrual blood can also cause lower abdominal pain. The cause of secondary dysmenorrhea is mostly due to diseases, such as endometriosis, pelvic inflammatory disease, pelvic congestion, etc.
1. Pay attention to and practice menstrual hygiene, and avoid eating cold, spicy, or other irritating foods during the premenstrual period and menstruation.
  2. Strengthen physical exercise in daily life, especially for those with weak constitutions, who should also pay attention to improving their nutritional status.
  3. Eliminate tension and fear related to menstruation, alleviate mental concerns, and maintain a pleasant mood. It is appropriate to participate in labor and exercise, but rest should be taken.

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