How do I know if I have very severe menstrual cramps?

You know the cramps are very severe when they get in the way of everything, like, you can't do your everyday things normally. You know when the pain is so annoying that you can't go to school, play, or do your homework? That's when the cramps are too much.

What are severe cramps like?

• Pain that doesn't go away with medicine: If you take medicine like ibuprofen (always ask an adult to help you with this, okay?) and the pain doesn't improve, or only improves a little and comes back soon, it might be a sign.
• Pain that makes you stop: If the pain is so intense that you have to sit, lie down, or writhe around, and you can't concentrate on anything else, it's severe cramps.
• Other symptoms along with it: Sometimes, severe cramps come with other things, like nausea (feeling like vomiting), headache, dizziness, or even fainting. If you feel this, it's important to tell an adult quickly.

What to do?

If your cramps are like this, it's best to tell a trusted adult, like your mom, dad, or the school nurse. They can help you figure out what's going on and, if necessary, take you to a doctor. It's important not to suffer alone with this!