START A PETITION 27,000,000 members: the world's largest community for good

Treating Menstrual Pain With Diet

Dysmenorrhea is the medical term for painful, crampy periods. It affects almost half of menstruating women. Yet despite the substantial effect on quality of life and general well-being, few women seek treatment, thinking it won’t help. Treatments are available, though–modern medicine to the rescue! There are surgical options such as neuroablation, where surgeons go in and attempt to cut or destroy the nerves leading to the uterus, or doctors can just take out the uterus completely. There are of course a bunch of hormones in pills and shots that can suppress the menstrual cycle as well.


Since the pain is caused by inflammation, anti-inflammatory drugs like ibuprofen are the most commonly used, achieving symptomatic pain relief in about two thirds of women. While effective, women using them need to be aware of the significant risk that they may cause adverse side effects. Though there are a bunch of non-drug, non-surgical treatments like acupuncture, the evidence for the effectiveness of these treatments is generally weak.


One of the latest advances in treatment involves the use of a single high dose of vitamin D. In a randomized, double-blind, placebo-controlled study the placebo did nothing–in fact, most women got worse. But the women who got the vitamin D all felt better. For more on vitamin D, see my series justifying my vitamin D recommendations, starting with Vitamin D Recommendations Changed and ending with Resolving the Vitamin D-Bate.



But wait a second. If it’s pain caused by inflammation, how about putting women on an anti-inflammatory diet? Thirty-three women suffering from painful periods were placed on a vegan diet for two cycles and experienced significant reductions in menstrual pain duration from 4 days down to 3 days and a significant reduction in pain intensity. Women also experienced improvement of PMS symptoms such as bloating.


This was a crossover study, so after two months eating vegan the women were supposed to go back to their regular diets to see if the pain would return. But the women felt so much better that when the researchers asked them to go back to their regular diet to test before and after, several women refused, even though they were required to by the study.


Doctors too often patronizingly think that patients simply won’t adhere to therapeutic diets, but when they surveyed these women during the study, they found that the women were having fewer cramps and were losing weight. They also reported increased energy, better digestion, and better sleep. This showed that you don’t have to be in some Ornish or Esselstyn study facing certain death after a heart attack to stick to a plant-based diet. It’s well accepted even when testing more benign conditions. (For those unfamiliar with the work of Drs. Ornish and Esselstyn, see, for example, my video Our Number One Killer Can Be Stopped or my blog post Heart Disease: There Is A Cure.)


I’ve touched on this body of work briefly in Plant-Based Diets for Breast Pain. Plants that may be especially helpful include flax seeds (Flax Seeds for Breast Pain) and the spice saffron (Saffron for the Treatment of PMS and Wake Up and Smell the Saffron).


In health,
Michael Greger, M.D.

PS: If you haven’t yet, you can subscribe to my free videos here and watch my live year-in-review presentations Uprooting the Leading Causes of Death and More Than an Apple a Day.

Vitamin D from Mushrooms, Sun, or Supplements?
Preventing Bacterial Vaginosis with Diet
Why Might Vegetarians Have Less HPV?

Read more: Alternative Therapies, Eating for Health, Gynecology, Health, Videos, Women's Health, ,

have you shared this story yet?

go ahead, give it a little love

Dr. Michael Greger

A founding member of the American College of Lifestyle Medicine, Michael Greger, M.D., is a physician, author, and internationally recognized speaker on nutrition, food safety, and public health issues. Currently Dr. Greger serves as the Director of Public Health and Animal Agriculture at The Humane Society of the United States. Hundreds of his nutrition videos are freely available at


+ add your own
7:01PM PST on Dec 8, 2013


8:56PM PST on Nov 19, 2013

Thank you!

3:01PM PST on Nov 15, 2013

Nice to be armed with info to be proactive, and if the patients only partially change their diets something's better than nothing. Thanks.

12:12AM PST on Nov 14, 2013


1:58AM PST on Nov 12, 2013

Thank you :)

1:32AM PST on Nov 12, 2013

thanks for sharing

1:29AM PST on Nov 12, 2013

A long time ago (when I was 17) it was the best for me...Sadly I don't understand why that's so difficult for women to understand.

11:17PM PST on Nov 11, 2013

Well I drink Yarrow tea. It's quite common where I live. You add 3 teaspoon of dried yarrow to boiling water and let it simmer for 3 minutes. Then you drain it when it's cold and drink each day and night 3 days prior to period. It really works. Give it a try.

5:10AM PST on Nov 11, 2013

another great reason to become a vegan! cramps r hell, i have pills prescribed to me by the doctor but they only numb the pain not take it away completely. If it means no more pain i'm totally down for becoming a vegan, been meaning to anyway here's a great incentive

9:27AM PST on Nov 10, 2013

I love dr. Greger's advice! thanks!

add your comment

Disclaimer: The views expressed above are solely those of the author and may not reflect those of
Care2, Inc., its employees or advertisers.

video spotlight

Daily Cute: Go Budi Pro!

Daily Cute: Go Budi Pro!

people are talking

Thanks for the tips. I already do most of these but a good reminder.

Great article. All breeds are only as good as their upbringing. Much like children, who I find far m…

It seems to me that many doctors' choice not to share this information is based on a desire to avoid…


darlene .... ALL medication reactions in Canada are to be reported. Why aren't you on about some ant…


Select names from your address book   |   Help

We hate spam. We do not sell or share the email addresses you provide.