Is sex better than Midol?

Many women have cramps during their period that make them feel anything but sexy. We investigate the question: does orgasm relieve menstrual cramps?

But in order to answer that questions, we have the understand what causes cramps in the first place.

What Causes Menstrual Cramps?

Most of us know that our periods are the result of the uterine lining being shed. The lining is created in preparation for a fertalized egg to attach- if none appears, then the lining must be shed.

As the cells in the uterine lining start to break down, compounds called prostaglandins are released. These molecular compounds stimulate the uterine muscles to contract. As the muscles contract, they restrict the flow of blood to the lining – without the blood flow and the precious oxygen it carries, the cells starve and begin to die.

However, particularly vigorous contractions can lead to the uterus pressing against the nearby blood vessels that deliver blood to the uterus itself – the pain is caused when those muscles briefly lose their supply of oxygen. (It’s similar to when you get cramps in your side during a run – your muscles aren’t getting the oxygen they need.) Severe menstrual cramps are actually called primary dysmonorrhea.

Additional compounds promote inflammation of the uterus, which can also lead to constriction of blood flow to the uterus, and more pain.

As the uterus contracts, the lining is pushed through the cervix and out through the vagina. If a woman’s cervix is particularly small, the passing of larger clots may also cause pain.

So How Could Orgasm Relieve Menstrual Cramps?

As you might already know from our “30 Day Orgasm” challenge, orgasms have a lot of benefits:

Orgasms are natural pain-relievers: oxytocin, dopamine, and serotonin levels surge during climax. This both significantly increases your pain tolerance, and acts as a pain-killer.

Those pain-killing endorphins don’t just disappear after orgasm – they stay in your system, dulling your pain response long after the fact.

Some sources also claim that the smooth muscle contraction of the uterus that occurs during orgasm expedites the shedding process – which means more prostaglandins are shed as well. Less prostaglandins means less contracting, which means less pain.

In fact one study found

that [women] with less dysmenorrhea had higher coital frequency and nearly twice the frequency of orgasm as that of [women] suffering severe pain


So there is clearly evidence to suggest that orgasm (not necessarily penetration) could potentially relieve the symptoms of menstrual cramps – unless the cramps are caused by something like endometriosis or pelvic inflammatory disease. If you have persistent and debilitating cramps, see your healthcare provider.


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