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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.
Cramps typically start just before and are most severe during the first days of menstrual flow. Younger women and those who have never been pregnant or delivered a baby are more likely to have and to have worse cramps. Interestingly, cramps also seem to increase in perimenopause (the transition to menopause). The pain of cramps is due to increased release by the lining and muscle walls of the uterus of a fatty hormone called a prostaglandin.