Hi Rakul, periods can get heavier and more painful for some women after the age of 40. The cramps you feel during perimenopause are related to your hormone levels. Prostaglandins are hormones released by glands lining your uterus. These hormones direct your uterus to contract during your period. The higher your prostaglandin levels, the worse your cramps will be. Primary dysmenorrhea is the cramping pain that comes before or during a period. This pain is caused by natural chemicals called prostaglandins that are made in the lining of the uterus. Prostaglandins cause the muscles and blood vessels of the uterus to contract. There are a number of pathological causes for Dysmenorrhoea includes; pelvic inflammatory disease, uterine fibroids, Infection, tumors, or polyps in the pelvic cavity etc. Homeopathic remedies for menstrual pain during periods are very effective in providing relief from the pain. These medicines are completely safe. Natural medicines work to end the root cause of the pain during periods. The aim of homeopathy is not only to treat dysmenorrhea but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat dysmenorrhea that can be selected on the basis of cause, sensations and modalities of the complaints. Please call on +918885920000 for more details. “There is no better time than now to start living healthy today”. Stay Healthy with one of the “Best Homoeopathic treatments” @ Dr. AnkiReddy’s clinic.