Why Do I Have Menstrual Cramps Between Periods?

Why Do I Have Menstrual Cramps Between Periods?

A Guide to Mid-Cycle Cramping 

 

If you’re experiencing cramps between periods, you’re not alone. While cramps are usually associated with menstruation, it’s not uncommon to feel them at other times in your cycle. Some causes are completely normal, like ovulation, while others may be worth talking to your doctor about. This guide will help you understand some of the common reasons for cramping between periods and how to find relief. 

 

What Causes Cramping Between Periods? 

 

Most of us are familiar with period cramps, but there are several other reasons you might experience cramping at other times in your cycle. Here are a few of the most common causes: 

 

1. Ovulation Pain (Mittelschmerz) 

 

Around the middle of your cycle, you may experience a brief twinge or mild cramp known as Mittelschmerz, which is German for “middle pain.” This happens when your ovary releases an egg and is a normal part of the menstrual cycle for many people. Ovulation cramps usually last a few hours but can sometimes linger for up to two days. 

 

How to Soothe Ovulation Cramps: 

 

  • Rest and Hydrate: Make sure you’re drinking plenty of water and give your body some rest.
  • Heat Therapy: A heating pad or warm bath can help ease the discomfort.
  • Over-the-Counter Pain Relief: Non-prescription anti-inflammatories like ibuprofen can reduce inflammation and alleviate pain. 

 

2. Early Pregnancy and Implantation 

 

Some people experience light cramping early in pregnancy, known as implantation cramping. This happens when a fertilized egg attaches itself to the uterine lining, usually a week or so after ovulation. Implantation cramps are often light and may feel similar to mild period cramps. Some women also notice a bit of spotting, which is sometimes called implantation bleeding.

If you think your cramping could be related to early pregnancy, consider taking a pregnancy test about two weeks after ovulation, or when your period is due. If you get a positive result, it’s a good time to schedule a visit with your healthcare provider to begin prenatal care. 

 

Other Possible Causes of Cramps Between Periods 

 

While mid-cycle cramps can be harmless, other causes could benefit from medical advice. Here are a few conditions that can cause cramping outside of your menstrual period: 

 

3. Endometriosis 

 

Endometriosis is a condition where tissue similar to the lining of the uterus starts to grow outside of it. This tissue can attach to the ovaries, fallopian tubes, or other organs, causing pain and cramping throughout the cycle, including between periods. Endometriosis can also lead to: 

 

  • Painful periods
  • Chronic pelvic pain
  • Heavy bleeding
  • Fertility challenges 

 

If you’re experiencing ongoing cramping along with any of these symptoms, consider reaching out to your doctor. They may discuss treatment options such as pain management, hormone therapy, or in some cases, surgery to remove excess tissue. 

 

4. Urinary Tract Infections (UTIs) 

 

Cramping, especially in the lower abdomen, can sometimes be a sign of a urinary tract infection. UTIs are common, and along with cramping, you might notice other symptoms such as: 

 

  • A burning sensation during urination
  • The frequent urge to urinate, even when little comes out
  • Low fever 

 

If left untreated, a UTI can spread to the kidneys, so it’s important to see a doctor if you suspect you have one. With a quick course of antibiotics, most UTIs clear up quickly, bringing relief from symptoms, including any cramping. 

 

5. Abdominal Adhesions 

 

Adhesions are bands of scar tissue that can form between organs or tissues after surgery or infection. These tissues can cause organs to stick together in ways that aren’t natural, leading to pain or cramping. Adhesions are most commonly caused by:  

 

  • Past surgeries, especially abdominal surgery
  • Infections within the abdomen or pelvis 

 

In some cases, surgery can remove adhesions, although there is a risk that more adhesions could form afterward. If you’ve had surgery or an infection and experience ongoing cramping, it’s worth discussing with your healthcare provider. 

 

When to See a Doctor for Cramps Between Periods 

 

Occasional mild cramping, especially around ovulation or implantation, is usually nothing to worry about. However, if your cramps are intense, last for several days, or happen regularly throughout your cycle, it’s a good idea to speak with your doctor. Here are some signs it may be time to seek medical advice: 

 

  • Cramping that lasts for more than a couple of days
  • Pain that disrupts your daily activities
  • Other symptoms like heavy bleeding, fever, or unusual discharge 

 

Your doctor can help identify the cause and recommend the right course of action, whether that means lifestyle changes, medication, or other treatments. 

 

Tips for Managing Cramps at Home 

 

While some causes of cramping require medical intervention, here are a few self-care tips that may help reduce occasional cramps: 

 

  • Stay Hydrated: Drinking enough water can ease muscle tension and reduce the severity of cramps.
  • Try Heat Therapy: A heating pad, warm bath, or warm compress can relax muscles and ease pain.
  • Practice Relaxation Techniques: Stress can sometimes make pain feel worse, so take time to unwind with activities like yoga, meditation, or a good book.
  • Over-the-Counter Pain Relief: Ibuprofen, naproxen, or acetaminophen can help manage mild to moderate cramps. 

 

Final Thoughts on Cramping Between Periods 

 

Cramps between periods can be due to several different factors, some of which are harmless and temporary, like ovulation pain, while others may require a doctor’s evaluation. By paying attention to the timing, duration, and intensity of your cramps, you can get a better sense of when they’re normal and when it’s time to seek advice.

 

Disclaimer: This article is intended for informational purposes only and should not be considered a substitute for professional medical advice. If you have concerns about your health, reach out to a healthcare provider for personalized guidance.

 

 

References:  
  1. Verywell Health. “What You Should Know About Ovulation Pain (Mittelschmerz).” Verywell Health, Verywell Health, 13 Sept. 2022, www.verywellhealth.com/ovulation-pain-8628062.
  2. Healthline. “What to Know About Vaginal Bleeding Between Periods.” Healthline, Healthline Media, 29 Aug. 2022, www.healthline.com/health/vaginal-bleeding-between-periods.
  3. Cleveland Clinic. “Dysmenorrhea (Painful Periods).” Cleveland Clinic, Cleveland Clinic, 4 Oct. 2021, my.clevelandclinic.org/health/diseases/4148-dysmenorrhea.
  4. Mount Sinai. “Vaginal Bleeding Between Periods.” Mount Sinai Health System, Mount Sinai, 10 May 2021, www.mountsinai.org/health-library/symptoms/vaginal-bleeding-between-periods.
  5. Cleveland Clinic. “When Should You Worry About Spotting Between Periods?” Cleveland Clinic Health Essentials, Cleveland Clinic, 6 Dec. 2021, health.clevelandclinic.org/when-should-you-worry-about-spotting-between-periods.