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Period pain should only be considered 'normal' if: 1  the pain is only there on the first one or two days of your period. 2  it goes away if you use the contraceptive pill or take period pain medications. 3  your ability to do your normal activities is not impaired.
Some women never get cramps with their periods, while others experience severe pain and fatigue every month. Cramps are caused by your uterus contracting as it works to shed its lining. Some cramps are normal, especially if you are new to your period. Debilitating cramps that affect your day to day functioning are not. Severe cramps may be a sign of endometriosis, a reproductive health condition that causes painful periods, fatigue, and in some cases infertility.