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She also holds an Associate of Arts from the Art Institute of Dallas and a Master of Science in international health from University College London. Menstrual cramping after menopause can be caused by uterine fibroids.
Hormone-like substances (prostaglandins) involved in pain and inflammation trigger the uterine muscle contractions. Higher levels of prostaglandins are associated with more-severe menstrual cramps. Severe contractions may constrict the blood vessels feeding the uterus. The resulting pain can be compared to the chest pain that occurs when blocked blood vessels starve portions of the heart of food and oxygen. Menstrual cramps may also be caused by: Endometriosis.