🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 65 (from laksa147)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa065.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical, ml_categories_json AS ml_categories_json, ml_types_json AS ml_types_json, ml_intent_types_json AS ml_intent_types_json, meta_language AS meta_language, attrs_author AS attrs_author, ifNull(toUnixTimestamp(attrs_publish_time), 0) AS attrs_publish_time, ifNull(toUnixTimestamp(attrs_original_publish_time), 0) AS attrs_original_publish_time, ifNull(attrs_is_republished, 0) AS attrs_is_republished, ifNull(attrs_nr_words, 0) AS attrs_nr_words, ifNull(attrs_boilerpipe_nr_words, 0) AS attrs_boilerpipe_nr_words, ifNull(body_ext_links_number, 0) AS body_ext_links_number, ifNull(body_int_links_number, 0) AS body_int_links_number, ifNull(meta_nofollow, 0) AS meta_nofollow, ifNull(meta_noarchive, 0) AS meta_noarchive, ifNull(props_was_rendered, 0) AS props_was_rendered, ifNull(src_redirect, \'\') AS src_redirect, ifNull(download_time_msec, 0) AS download_time_msec, ifNull(download_ttfb_msec, 0) AS download_ttfb_msec, ifNull(download_size, 0) AS download_size FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://es.childrens.com/specialties-services/conditions/dysmenorrhea\')), getAhrefsUnparsedNoserviceFromURL(\'https://es.childrens.com/specialties-services/conditions/dysmenorrhea\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/es.childrens.com\/specialties-services\/conditions\/dysmenorrhea","crawl_time":1776042713,"first_indexed_time":1729419018,"http_code":200,"src_unparsed":"com,childrens!es,\/specialties-services\/conditions\/dysmenorrhea s443","src_root_hash":"5870899331078892865","history_drop_reason":null,"meta_title":"Adolescent dysmenorrhea (severe menstrual cramps) - Gynecology - Children's Health","meta_descriptions":["Adolescent dysmenorrhea (severe menstrual cramps), can be caused by endometriosis, pelvic inflammatory disease (PID) or uterine fibroids. Learn more from Children's Health."],"attrs_boilerpipe_text":"Dysmenorrhea (dys·men·or·rhea) is a painful menstrual condition that usually includes severe cramps. This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition.\nOverview\nCramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor.\nTypes\nWhat are the different types of adolescent dysmenorrhea (severe menstrual cramps)?\nThere are two types of dysmenorrhea:\nType 1: primary dysmenorrhea\n- Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days.\nType 2: seconday dysmenorrhea\n- Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems.\nSigns and Symptoms\nWhat are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)?\nCramping in the lower abdomen\/pelvic area\nDiarrhea\nFainting\nFatigue\nHeadaches\nLow back pain\nNausea\/vomiting\nPain in the lower abdomen\/pelvic area\nPain radiating down the legs\nWeakness\nDiagnosis\nHow is adolescent dysmenorrhea (severe menstrual cramps) diagnosed?\nIf your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved.\nAdditional tests may include:\nUltrasound\nMagnetic resonance imaging (MRI)\nCauses\nWhat are the causes of adolescent dysmenorrhea (severe menstrual cramps)?\nPainful periods may be caused by:\nEndometriosis\n - A condition in which uterine tissue grows elsewhere in the body\nPelvic inflammatory disease (PID)\n - An infection of the reproductive organs.\nUterine fibroids\n - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence.\nTreatment\nHow is adolescent dysmenorrhea (severe menstrual cramps) treated?\nTreatment for dysmenorrhea depends on your daughter’s age and overall health.\nFor painful periods, treatment can include:\nExercise\nFish oil\nHormonal medications which can help regulate periods and reduce pain\nHeating pad or warm baths\nOver-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen\nIn the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.","attrs_markdown":"- [Book Appointment](https:\/\/www.childrens.com\/specialties-services\/request-an-appointment)\n- [Emergency Care](https:\/\/www.childrens.com\/specialties-services\/specialty-centers-and-programs\/emergency-room-er)\n- [Urgent Care](https:\/\/www.childrens.com\/specialties-services\/specialty-centers-and-programs\/urgent-care)\n- [Specialty 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(Settings)\n\nLogin\n\nGet Care\n\nFor Patients\n\nFor Providers\n\nResearch & Innovation\n\nLearn\n\nGive\n\nI Want To\n\n[All Conditions](https:\/\/es.childrens.com\/specialties-services\/conditions)\n\n# Adolescent dysmenorrhea (severe menstrual cramps)\n\nOverview\n\nTypes\n\nSymptoms\n\nDiagnosis\n\nCauses\n\nTreatment\n\nProviders (5)\n\nResources\n\nDysmenorrhea (dys·men·or·rhea) is a painful menstrual condition that usually includes severe cramps. This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition.\n\nOverview\n\n## What is dysmenorrhea (severe menstrual cramps)?\nCramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor.\n\nRead More\n\n## What is dysmenorrhea (severe menstrual cramps)?\nCramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor.\n\nTypes\n\n## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)?\n**There are two types of dysmenorrhea:**\n\n1. **Type 1: primary dysmenorrhea** - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days.\n2. **Type 2: seconday dysmenorrhea** - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems.\n\nRead More\n\n## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)?\n**There are two types of dysmenorrhea:**\n\n1. **Type 1: primary dysmenorrhea** - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days.\n2. **Type 2: seconday dysmenorrhea** - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems.\n\nSigns and Symptoms\n\n## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)?\n- Cramping in the lower abdomen\/pelvic area\n- [Diarrhea](https:\/\/es.childrens.com\/specialties-services\/conditions\/diarrhea)\n- Fainting\n- Fatigue\n- [Headaches](https:\/\/es.childrens.com\/specialties-services\/conditions\/headache)\n- Low back pain\n- [Nausea\/vomiting](https:\/\/es.childrens.com\/specialties-services\/conditions\/nausea-vomiting)\n- Pain in the lower abdomen\/pelvic area\n- Pain radiating down the legs\n- Weakness\n\nRead More\n\n## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)?\n- Cramping in the lower abdomen\/pelvic area\n- [Diarrhea](https:\/\/es.childrens.com\/specialties-services\/conditions\/diarrhea)\n- Fainting\n- Fatigue\n- [Headaches](https:\/\/es.childrens.com\/specialties-services\/conditions\/headache)\n- Low back pain\n- [Nausea\/vomiting](https:\/\/es.childrens.com\/specialties-services\/conditions\/nausea-vomiting)\n- Pain in the lower abdomen\/pelvic area\n- Pain radiating down the legs\n- Weakness\n\nDiagnosis\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed?\nIf your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved.\n\n**Additional tests may include:**\n\n- [Ultrasound](https:\/\/es.childrens.com\/specialties-services\/treatments\/pediatric-ultrasound)\n- [Magnetic resonance imaging (MRI)](https:\/\/es.childrens.com\/specialties-services\/treatments\/mri)\n\nRead More\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed?\nIf your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved.\n\n**Additional tests may include:**\n\n- [Ultrasound](https:\/\/es.childrens.com\/specialties-services\/treatments\/pediatric-ultrasound)\n- [Magnetic resonance imaging (MRI)](https:\/\/es.childrens.com\/specialties-services\/treatments\/mri)\n\nCauses\n\n## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)?\n**Painful periods may be caused by:**\n\n- [Endometriosis](https:\/\/es.childrens.com\/specialties-services\/conditions\/endometriosis) - A condition in which uterine tissue grows elsewhere in the body\n- [Pelvic inflammatory disease (PID)](https:\/\/es.childrens.com\/specialties-services\/conditions\/pelvic-inflammatory-disease) - An infection of the reproductive organs.\n- [Uterine fibroids](https:\/\/es.childrens.com\/specialties-services\/conditions\/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence.\n\nRead More\n\n## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)?\n**Painful periods may be caused by:**\n\n- [Endometriosis](https:\/\/es.childrens.com\/specialties-services\/conditions\/endometriosis) - A condition in which uterine tissue grows elsewhere in the body\n- [Pelvic inflammatory disease (PID)](https:\/\/es.childrens.com\/specialties-services\/conditions\/pelvic-inflammatory-disease) - An infection of the reproductive organs.\n- [Uterine fibroids](https:\/\/es.childrens.com\/specialties-services\/conditions\/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence.\n\nTreatment\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) treated?\nTreatment for dysmenorrhea depends on your daughter’s age and overall health.\n\n**For painful periods, treatment can include:**\n\n- Exercise\n- Fish oil\n- Hormonal medications which can help regulate periods and reduce pain\n- Heating pad or warm baths\n- Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen\n\nIn the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.\n\nRead More\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) treated?\nTreatment for dysmenorrhea depends on your daughter’s age and overall health.\n\n**For painful periods, treatment can include:**\n\n- Exercise\n- Fish oil\n- Hormonal medications which can help regulate periods and reduce pain\n- Heating pad or warm baths\n- Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen\n\nIn the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.\n\n## Doctors and Providers\n- [![NK avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F4c6d60e47e985179%2Foriginal%2Fnirupama-kakarla-de-silva.jpg&w=96&q=75)Nirupama Kakarla De SilvaPediatric and Adolescent Gynecologist](https:\/\/es.childrens.com\/doctor-profile\/nirupama-kakarla-de-silva)\n- [![MT avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F380197b75525537%2Foriginal%2Fkboskp3i-mic-jpg.jpg&w=96&q=75)Michele Troutman GiffordPediatric and Adolescent Gynecology](https:\/\/es.childrens.com\/doctor-profile\/michele-troutman-gifford)\n- [![JD avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F2da5f4596e5b4c53%2Foriginal%2Fjason-domingo-jarin.jpg&w=96&q=75)Jason Domingo JarinPediatric and Adolescent Gynecologist](https:\/\/es.childrens.com\/doctor-profile\/jason-domingo-jarin)\n- [![EC avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F416a406e8613f4dc%2Foriginal%2Ferik-chen-su.jpg&w=96&q=75)Erik Chen SuAdolescent Medicine Specialist](https:\/\/es.childrens.com\/doctor-profile\/erik-chen-su)\n- [![PI avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F15a797d5f16f88eb%2Foriginal%2F5txlkof1-aeg-jpg.jpg&w=96&q=75)Paulette Ismalia AbbasPediatric Surgeon](https:\/\/es.childrens.com\/doctor-profile\/paulette-ismalia-abbas)\n\nRead More\n\n- [![NK avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F4c6d60e47e985179%2Foriginal%2Fnirupama-kakarla-de-silva.jpg&w=96&q=75)Nirupama Kakarla De SilvaPediatric and Adolescent Gynecologist](https:\/\/es.childrens.com\/doctor-profile\/nirupama-kakarla-de-silva)\n- [![MT avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F380197b75525537%2Foriginal%2Fkboskp3i-mic-jpg.jpg&w=96&q=75)Michele Troutman GiffordPediatric and Adolescent Gynecology](https:\/\/es.childrens.com\/doctor-profile\/michele-troutman-gifford)\n- [![JD avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F2da5f4596e5b4c53%2Foriginal%2Fjason-domingo-jarin.jpg&w=96&q=75)Jason Domingo JarinPediatric and Adolescent Gynecologist](https:\/\/es.childrens.com\/doctor-profile\/jason-domingo-jarin)\n- [![EC avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F416a406e8613f4dc%2Foriginal%2Ferik-chen-su.jpg&w=96&q=75)Erik Chen SuAdolescent Medicine Specialist](https:\/\/es.childrens.com\/doctor-profile\/erik-chen-su)\n- [![PI avatar](https:\/\/es.childrens.com\/_next\/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F15a797d5f16f88eb%2Foriginal%2F5txlkof1-aeg-jpg.jpg&w=96&q=75)Paulette Ismalia AbbasPediatric Surgeon](https:\/\/es.childrens.com\/doctor-profile\/paulette-ismalia-abbas)\n\n## Resources\n- [American Academy of Pediatrics – Menstrual Disorders](https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/genitourinary-tract\/Pages\/Menstrual-Disorders.aspx)\n\n### Gynecology\nCall[214-456-9099](tel:214-456-9099)\n\n### Adolescent Medicine\nCall[214-456-9099](tel:214-456-9099)\n\n### General and Thoracic Surgery\nCall[214-456-6040](tel:214-456-6040)\n\n[Book 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[Accessibility](https:\/\/es.childrens.com\/footer\/accessibility)\n\n- [Patient Rights and Responsibilities](https:\/\/es.childrens.com\/footer\/policies-procedures\/patient-rights-and-responsibilities)\n- [Notice of Privacy Practices](https:\/\/es.childrens.com\/footer\/notice-of-privacy-practices)\n- [Terms of Use](https:\/\/es.childrens.com\/footer\/policies-procedures\/terms-of-use)\n- [Privacy Policy](https:\/\/es.childrens.com\/footer\/policies-procedures\/privacy-policy)\n- [Quality and Safety](https:\/\/es.childrens.com\/footer\/policies-procedures\/quality-and-patient-safety)\n- [Complaint Resolution](https:\/\/es.childrens.com\/footer\/policies-procedures\/complaint-resolution)\n- [International Patient Services](https:\/\/es.childrens.com\/footer\/policies-procedures\/international-policy)\n- [CHNA Report](https:\/\/assets.childrens.com\/m\/1c01c78d09395436\/original\/Final_Childrens-Health-CHNA-Report_Board-Approved_12-11-2025.pdf)\n\n1935 Medical District Drive, Dallas, Texas 75235©2026 Children's Health. All Rights Reserved","attrs_readable_markdown":"Dysmenorrhea (dys·men·or·rhea) is a painful menstrual condition that usually includes severe cramps. This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition.\n\nOverview\n\nCramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor.\n\nTypes\n\n## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)?\n**There are two types of dysmenorrhea:**\n\n1. **Type 1: primary dysmenorrhea** - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days.\n2. **Type 2: seconday dysmenorrhea** - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems.\n\nSigns and Symptoms\n\n## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)?\n- Cramping in the lower abdomen\/pelvic area\n- [Diarrhea](https:\/\/es.childrens.com\/specialties-services\/conditions\/diarrhea)\n- Fainting\n- Fatigue\n- [Headaches](https:\/\/es.childrens.com\/specialties-services\/conditions\/headache)\n- Low back pain\n- [Nausea\/vomiting](https:\/\/es.childrens.com\/specialties-services\/conditions\/nausea-vomiting)\n- Pain in the lower abdomen\/pelvic area\n- Pain radiating down the legs\n- Weakness\n\nDiagnosis\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed?\nIf your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved.\n\n**Additional tests may include:**\n\n- [Ultrasound](https:\/\/es.childrens.com\/specialties-services\/treatments\/pediatric-ultrasound)\n- [Magnetic resonance imaging (MRI)](https:\/\/es.childrens.com\/specialties-services\/treatments\/mri)\n\nCauses\n\n## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)?\n**Painful periods may be caused by:**\n\n- [Endometriosis](https:\/\/es.childrens.com\/specialties-services\/conditions\/endometriosis) - A condition in which uterine tissue grows elsewhere in the body\n- [Pelvic inflammatory disease (PID)](https:\/\/es.childrens.com\/specialties-services\/conditions\/pelvic-inflammatory-disease) - An infection of the reproductive organs.\n- [Uterine fibroids](https:\/\/es.childrens.com\/specialties-services\/conditions\/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence.\n\nTreatment\n\n## How is adolescent dysmenorrhea (severe menstrual cramps) treated?\nTreatment for dysmenorrhea depends on your daughter’s age and overall health.\n\n**For painful periods, treatment can include:**\n\n- Exercise\n- Fish oil\n- Hormonal medications which can help regulate periods and reduce pain\n- Heating pad or warm baths\n- Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen\n\nIn the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.","meta_canonical":"com,childrens!www,\/specialties-services\/conditions\/dysmenorrhea s443","ml_categories_json":"","ml_types_json":"","ml_intent_types_json":"","meta_language":"en","attrs_author":null,"attrs_publish_time":0,"attrs_original_publish_time":1729419018,"attrs_is_republished":0,"attrs_nr_words":"1472","attrs_boilerpipe_nr_words":"411","body_ext_links_number":0,"body_int_links_number":1,"meta_nofollow":0,"meta_noarchive":0,"props_was_rendered":0,"src_redirect":"","download_time_msec":1535,"download_ttfb_msec":1217,"download_size":385971}

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Meta Title	Adolescent dysmenorrhea (severe menstrual cramps) - Gynecology - Children's Health
Meta Description	Adolescent dysmenorrhea (severe menstrual cramps), can be caused by endometriosis, pelvic inflammatory disease (PID) or uterine fibroids. Learn more from Children's Health.
Meta Canonical	com,childrens!www,/specialties-services/conditions/dysmenorrhea s443
Boilerpipe Text	Dysmenorrhea (dys·men·or·rhea) is a painful menstrual condition that usually includes severe cramps. This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Overview Cramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor. Types What are the different types of adolescent dysmenorrhea (severe menstrual cramps)? There are two types of dysmenorrhea: Type 1: primary dysmenorrhea - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days. Type 2: seconday dysmenorrhea - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems. Signs and Symptoms What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)? Cramping in the lower abdomen/pelvic area Diarrhea Fainting Fatigue Headaches Low back pain Nausea/vomiting Pain in the lower abdomen/pelvic area Pain radiating down the legs Weakness Diagnosis How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed? If your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved. Additional tests may include: Ultrasound Magnetic resonance imaging (MRI) Causes What are the causes of adolescent dysmenorrhea (severe menstrual cramps)? Painful periods may be caused by: Endometriosis - A condition in which uterine tissue grows elsewhere in the body Pelvic inflammatory disease (PID) - An infection of the reproductive organs. Uterine fibroids - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence. Treatment How is adolescent dysmenorrhea (severe menstrual cramps) treated? Treatment for dysmenorrhea depends on your daughter’s age and overall health. For painful periods, treatment can include: Exercise Fish oil Hormonal medications which can help regulate periods and reduce pain Heating pad or warm baths Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen In the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.
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This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Overview ## What is dysmenorrhea (severe menstrual cramps)? Cramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor. Read More ## What is dysmenorrhea (severe menstrual cramps)? Cramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor. Types ## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)? There are two types of dysmenorrhea: 1. Type 1: primary dysmenorrhea - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days. 2. Type 2: seconday dysmenorrhea - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems. Read More ## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)? There are two types of dysmenorrhea: 1. Type 1: primary dysmenorrhea - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days. 2. Type 2: seconday dysmenorrhea - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems. Signs and Symptoms ## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)? - Cramping in the lower abdomen/pelvic area - [Diarrhea](https://es.childrens.com/specialties-services/conditions/diarrhea) - Fainting - Fatigue - [Headaches](https://es.childrens.com/specialties-services/conditions/headache) - Low back pain - [Nausea/vomiting](https://es.childrens.com/specialties-services/conditions/nausea-vomiting) - Pain in the lower abdomen/pelvic area - Pain radiating down the legs - Weakness Read More ## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)? - Cramping in the lower abdomen/pelvic area - [Diarrhea](https://es.childrens.com/specialties-services/conditions/diarrhea) - Fainting - Fatigue - [Headaches](https://es.childrens.com/specialties-services/conditions/headache) - Low back pain - [Nausea/vomiting](https://es.childrens.com/specialties-services/conditions/nausea-vomiting) - Pain in the lower abdomen/pelvic area - Pain radiating down the legs - Weakness Diagnosis ## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed? If your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved. Additional tests may include: - [Ultrasound](https://es.childrens.com/specialties-services/treatments/pediatric-ultrasound) - [Magnetic resonance imaging (MRI)](https://es.childrens.com/specialties-services/treatments/mri) Read More ## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed? If your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved. Additional tests may include: - [Ultrasound](https://es.childrens.com/specialties-services/treatments/pediatric-ultrasound) - [Magnetic resonance imaging (MRI)](https://es.childrens.com/specialties-services/treatments/mri) Causes ## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)? Painful periods may be caused by: - [Endometriosis](https://es.childrens.com/specialties-services/conditions/endometriosis) - A condition in which uterine tissue grows elsewhere in the body - [Pelvic inflammatory disease (PID)](https://es.childrens.com/specialties-services/conditions/pelvic-inflammatory-disease) - An infection of the reproductive organs. - [Uterine fibroids](https://es.childrens.com/specialties-services/conditions/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence. Read More ## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)? Painful periods may be caused by: - [Endometriosis](https://es.childrens.com/specialties-services/conditions/endometriosis) - A condition in which uterine tissue grows elsewhere in the body - [Pelvic inflammatory disease (PID)](https://es.childrens.com/specialties-services/conditions/pelvic-inflammatory-disease) - An infection of the reproductive organs. - [Uterine fibroids](https://es.childrens.com/specialties-services/conditions/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence. Treatment ## How is adolescent dysmenorrhea (severe menstrual cramps) treated? Treatment for dysmenorrhea depends on your daughter’s age and overall health. For painful periods, treatment can include: - Exercise - Fish oil - Hormonal medications which can help regulate periods and reduce pain - Heating pad or warm baths - Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen In the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended. Read More ## How is adolescent dysmenorrhea (severe menstrual cramps) treated? Treatment for dysmenorrhea depends on your daughter’s age and overall health. For painful periods, treatment can include: - Exercise - Fish oil - Hormonal medications which can help regulate periods and reduce pain - Heating pad or warm baths - Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen In the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended. ## Doctors and Providers - [![NK avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F4c6d60e47e985179%2Foriginal%2Fnirupama-kakarla-de-silva.jpg&w=96&q=75)Nirupama Kakarla De SilvaPediatric and Adolescent Gynecologist](https://es.childrens.com/doctor-profile/nirupama-kakarla-de-silva) - [![MT avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F380197b75525537%2Foriginal%2Fkboskp3i-mic-jpg.jpg&w=96&q=75)Michele Troutman GiffordPediatric and Adolescent Gynecology](https://es.childrens.com/doctor-profile/michele-troutman-gifford) - [![JD avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F2da5f4596e5b4c53%2Foriginal%2Fjason-domingo-jarin.jpg&w=96&q=75)Jason Domingo JarinPediatric and Adolescent Gynecologist](https://es.childrens.com/doctor-profile/jason-domingo-jarin) - [![EC avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F416a406e8613f4dc%2Foriginal%2Ferik-chen-su.jpg&w=96&q=75)Erik Chen SuAdolescent Medicine Specialist](https://es.childrens.com/doctor-profile/erik-chen-su) - [![PI avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F15a797d5f16f88eb%2Foriginal%2F5txlkof1-aeg-jpg.jpg&w=96&q=75)Paulette Ismalia AbbasPediatric Surgeon](https://es.childrens.com/doctor-profile/paulette-ismalia-abbas) Read More - [![NK avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F4c6d60e47e985179%2Foriginal%2Fnirupama-kakarla-de-silva.jpg&w=96&q=75)Nirupama Kakarla De SilvaPediatric and Adolescent Gynecologist](https://es.childrens.com/doctor-profile/nirupama-kakarla-de-silva) - [![MT avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F380197b75525537%2Foriginal%2Fkboskp3i-mic-jpg.jpg&w=96&q=75)Michele Troutman GiffordPediatric and Adolescent Gynecology](https://es.childrens.com/doctor-profile/michele-troutman-gifford) - [![JD avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F2da5f4596e5b4c53%2Foriginal%2Fjason-domingo-jarin.jpg&w=96&q=75)Jason Domingo JarinPediatric and Adolescent Gynecologist](https://es.childrens.com/doctor-profile/jason-domingo-jarin) - [![EC avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F416a406e8613f4dc%2Foriginal%2Ferik-chen-su.jpg&w=96&q=75)Erik Chen SuAdolescent Medicine Specialist](https://es.childrens.com/doctor-profile/erik-chen-su) - [![PI avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F15a797d5f16f88eb%2Foriginal%2F5txlkof1-aeg-jpg.jpg&w=96&q=75)Paulette Ismalia AbbasPediatric Surgeon](https://es.childrens.com/doctor-profile/paulette-ismalia-abbas) ## Resources - [American Academy of Pediatrics – Menstrual Disorders](https://www.healthychildren.org/English/health-issues/conditions/genitourinary-tract/Pages/Menstrual-Disorders.aspx) ### Gynecology Call[214-456-9099](tel:214-456-9099) ### Adolescent Medicine Call[214-456-9099](tel:214-456-9099) ### General and Thoracic Surgery Call[214-456-6040](tel:214-456-6040) [Book Appointment](https://es.childrens.com/specialties-services/request-an-appointment?reqDD=None) [Refer Patient](https://es.childrens.com/for-healthcare-professionals/refer-a-patient) Providers (5) ![NK avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Ftransform%2FHero%2F9b6e4b74-0727-44be-a358-74aea4a5ec85%2Fnirupama-kakarla-de-silva&w=96&q=75) ![MT avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Fm%2F380197b75525537%2Foriginal%2Fkboskp3i-mic-jpg.jpg&w=96&q=75) ![JD avatar](https://es.childrens.com/_next/image?url=https%3A%2F%2Fassets.childrens.com%2Ftransform%2FHero%2Ff84eb285-99f4-43bf-b105-ebedb64d4483%2Fjason-domingo-jarin&w=96&q=75) ### Related Departments - 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Readable Markdown	Dysmenorrhea (dys·men·or·rhea) is a painful menstrual condition that usually includes severe cramps. This condition can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Overview Cramping during your period can be caused by severe contractions of the uterus during menstruation or by an underlying condition. Because painful periods can resemble other conditions, it is important to be seen by a doctor. Types ## What are the different types of adolescent dysmenorrhea (severe menstrual cramps)? There are two types of dysmenorrhea: 1. Type 1: primary dysmenorrhea - Primary dysmenorrhea is the most common form of dysmenorrhea and involves crampy lower abdominal pain that occurs 24-48 hours before the onset of menstrual bleeding and continues for about 3-4 days. 2. Type 2: seconday dysmenorrhea - Secondary dysmenorrhea is the other form of dysmenorrhea that is caused by another medical or gynecologic problems. Signs and Symptoms ## What are the signs and symptoms of adolescent dysmenorrhea (severe menstrual cramps)? - Cramping in the lower abdomen/pelvic area - [Diarrhea](https://es.childrens.com/specialties-services/conditions/diarrhea) - Fainting - Fatigue - [Headaches](https://es.childrens.com/specialties-services/conditions/headache) - Low back pain - [Nausea/vomiting](https://es.childrens.com/specialties-services/conditions/nausea-vomiting) - Pain in the lower abdomen/pelvic area - Pain radiating down the legs - Weakness Diagnosis ## How is adolescent dysmenorrhea (severe menstrual cramps) diagnosed? If your daughter has painful periods, her doctor will first take a medical history and conduct a physical exam. A pelvic exam will not be required. The doctor may ask your daughter to keep a record of her pain – when and where it occurs, how long it lasts, and how it’s relieved. Additional tests may include: - [Ultrasound](https://es.childrens.com/specialties-services/treatments/pediatric-ultrasound) - [Magnetic resonance imaging (MRI)](https://es.childrens.com/specialties-services/treatments/mri) Causes ## What are the causes of adolescent dysmenorrhea (severe menstrual cramps)? Painful periods may be caused by: - [Endometriosis](https://es.childrens.com/specialties-services/conditions/endometriosis) - A condition in which uterine tissue grows elsewhere in the body - [Pelvic inflammatory disease (PID)](https://es.childrens.com/specialties-services/conditions/pelvic-inflammatory-disease) - An infection of the reproductive organs. - [Uterine fibroids](https://es.childrens.com/specialties-services/conditions/uterine-fibroids) - Adenomyosis or polyps – non-cancerous growths in the uterus – may cause painful periods, heavy bleeding, or bleeding between periods. This category is much more common in adult women and rarely seen in adolescence. Treatment ## How is adolescent dysmenorrhea (severe menstrual cramps) treated? Treatment for dysmenorrhea depends on your daughter’s age and overall health. For painful periods, treatment can include: - Exercise - Fish oil - Hormonal medications which can help regulate periods and reduce pain - Heating pad or warm baths - Over-the-counter or prescription anti-inflammatory medications for cramps such as ibuprofen and naproxen In the rare instance that the pain is caused by an abnormally shaped uterus, surgical treatment may be recommended.
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