Cramps After Period: Causes And Treatments

Experiencing Menstrual-like bad cramps after period has ended? You are not alone. 

This could be strange for you if this is the first time cramping after period is happening.

Most women experience pain during their period or during ovulation and this is considered normal. 

In fact according to a study, over 50% of women experience these menstrual cramps as a normal occurrence. But for some other women cramping doesn't just stop there, it also continues even when they are no longer on their period.

So keep reading to find out what actually causes this spotting and cramping after menstruation.

You would also learn best ways to treat this painful abdominal discomfort.​

So "why does cramping after your menstruation happen" you ask?

Causes of SPOTTING AND Cramping After Period?

Presence of Prostagladins

Cramping occurs naturally in the first place, due to the presence of prostaglandins which is a chemical messenger found in various parts of the body. It's main function is to send pain signals to the brain.  For example when you cut yourself these hormone-like signals send messages to the brain about the pain.

Because the uterus contracts(tightens before,during and after your period)to properly expel all its lining​. The level of prostaglandins may remain high even after your period is over. And still sending pain signals to the brain.

In some circumstances not all blood get discharge during your menses. The prostaglandins may trigger your uterine muscles to contract leading to pain even after your period.

other causes of Pelvic pain After your Period ends?

There are lots of other reasons why you could have bad cramps and bleeding after your period is done. And the cramps could be light or severe.

Some of the most common causes of cramping after period are:

1. ​Hormonal Imbalance

Hormones play a key role in how a woman's reproductive system operates.

Hormonal imbalance or deficiency in women may cause severe cramps, bloating, irregular periods, abdominal discomfort to name a few.

The 2 main hormones that controls a woman's menstrual cycle are: the estrogen and the progesterone hormone.

Estrogen hormone control the first half of the cycle (From the first day of your period up until ovulation)​. Progesterone hormone controls the second half(after ovulation).

If there is an imbalance between these two key hormones e.g if there is a high level of estrogen and low progesterone. ​

2. ​Birth Control

Some birth controls do cause period-like cramps e.g. IUD (intrauterine Device).

The IUD is normally inserted into the Uterus.​

If you have newly inserted an IUD recently, then you are likely to get cramps before and after your period.​

It is important that you see your doctor immediately, if you have severe cramps after your period has ended if you have an IUD inserted.

It could be a serious medical condition.​

3. ​UTERINE Fibroids

Fibroids are abnormal growth in the uterus or around the uterus.

​One of the symptoms of fibroid is severe cramps and heavy bleeding.

Although, it is unclear about what causes fibroid but hormones have been linked to their formation.

Besides, Estrogen and Progesterone hormones​ have been found to stimulate the growth of fibroid.

Other symptoms of Fibroid include pelvic pain, Lower abdominal Pain, Swelling of the lower abdomen.


Ovarian cysts are very common in women of child bearing age. 

Ovarian Cyst do not necessarily cause any symptoms.

In cases of severe ovarian cyst, the ​symptoms caused include abdominal pain after period, Lower abdominal pain, cramps during and after sex.

Ovarian Cyst are usually formed when an egg did not get released during ovulation it then turns into a cyst.

​Ovarian Cyst is one of the leading causes of Ovarian Pain.

Normally during ovulation, the follicle releases an egg but in certain cases where the egg ​doesn't get released it forms a fluid like sac called an ovarian cyst.

5. ​Implantation Cramps/ early pregnancy sign

Implantation cramps occurs when a fertilised egg tries to attach itself to the walls of the uterus.

This usually happens around 6 to 7 days past ovulation​.

Implantation cramps can be severe or mild and it feels like prickling or pulling pains in the lower abdomen. This can last for a few hours or for a few days. It could also be accompanied with spotting and brown discharge.

If you take a pregnancy test too early, it is likely you would get a negative pregnancy test result.​ So wait until some day past your missed period to check if pregnant.

6. ​Adenomyosis

Adenomyosis is a medical condition in which the lining of the uterus breaks through the uterine walls.

This condition causes menstrual cramps and lower abdominal pelvic pain​ before and after periods.

The symptoms of adenomyosis and uterine fibroids are very similar​, and both causes menstrual-like pain after period.

7. ​Pelvic inflammatory disease

PID is an infection of the female reproductive system, usually caused by sexually transmitted diseases.

PID infects the fallopian tubes, uterus, ovaries, vagina and cervix.​

The symptoms of PID includes cramps and spotting through the month, lower abdominal pain after period, pain during and after sex, vaginal discharge to mention just a few.

8. ​Early Ovulation

Early ovulation occurs when your ovulation starts earlier than normal.

Ovulation usually occurs around day 10 - 14 of your monthly menstrual cycle. One of the symptoms of ovulation is cramping.

Some women notice cramping before ovulation occurs and also during ovulation itself.

In other cases women also report cramping after ovulation has occurred.​

Ovulation cramps could last for a few hours or several days past ovulation.

Abdominal pain After Period Could I be Pregnant?

This is one of the most popular questions we get asked all the time.

Abdominal cramping is one of the earliest signs of pregnancy.

But for pregnancy to occur, a woman must be in her fertile days or very close to ovulation.

If you have abdominal pain days after ovulation, then you may be pregnant. But if you have abdominal pain right after your period has ended then it is unlikely that you are pregnant.

This is because the days after your period ended is known as the dry days. It is difficult or almost impossible to get pregnant on this dry days.​

Cramping and lower abdominal back pain can really be uncomfortable. See a doctor if is is getting in the way of your daily routine.


Cramping can last from 1-2 days after period has ended can be due to uterine incapacity.

Uterine incapacity happens when the uterus does not completely shed all the blood it is suppose to, during a period.

If the uterus doesn't get rid of all the blood during menstruation this can cause spotting and cramping after your period ends.​

Cramping 3 days after period ends?

If you are still cramping 3 days after your period has ended you may be wondering if this is normal.

If the cramping is severe then you should see a doctor. 

Cramping a week After Period?

is it normal to still have cramps a week after period has ended?

Cramping a week after period has ended could be due to early ovulation or more serious health problems.

If the cramping is severe, call to see the Doctor.

Cramping 2 week After Period?

This could be ovulation cramps. Ovulation cramps happen around mid-cylce. 

You should normally have this cramps during ovulation and it can last for a few days after ovulation.

If you have continuous cramps from the end of your period for 2 weeks then you should see a doctor immediately. ​

THE 3 stages of your menstrual cycle

​Before we go further, let take a quick look at the 3 stages of your menstrual cycle so you can properly understand what goes on and why cramping occurs.

First Phase

The first stage deals with the shedding of the uterus lining.  The uterus contracts to expel the lining of the uterus as your period(blood flow).

Second Phase

The second phase is the ovulatory phase (the release of a matured  egg from the ovary). This occurs about 10-14 days after your period is over. This depends on the length of your cycle and how long your period last of course.

Third Phase​

The next phase is the luteal phase( Phase after ovulation). This is when there is an increased level of progesterone hormone. The main aim of this increase is to thicken the lining of the uterus to prepare it as a home for a fertilised egg.

If no fertilisation occurs, it is then shed as blood in the next 14 days.

So this cycle continues each month in this 3 stages.

Treatment of Cramps/LOWER BACK pain After menstruation has ended?

Period ended but still cramping do the following:

​Mild Cramps after Your Period is over

  • Over the Counter Pain Killers: Some doctor recommend painkillers for women who are still having mild cramps after their period has ended. You may need to contact your doctor for this.
  • Heat: For mild cramps take a hot bath or make use of heating pads or even a hot water bottle would be fine. Heating pads and hot water bottles can be purchased from stores or online. The key is to be relaxed while you use them.

​Severe stomach Cramps/abdominal pain after Period

  • See the Doctor: if you are experiencing unbearable abdominal discomfort anytime in your monthly cycle that last longer than a few hours then seek medical help. It could be a health related problem.

Remember to seek for medical help if you have a painful menstrual cramp after your period has ended.

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  1. Tooni April 6, 2017

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