Source: from the Harvard Health Publications Family Health Guide, Copyright © 2007 by President and Fellows of Harvard College. All rights reserved.
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The Journey toward Recovery from Depression and Bipolar Disorder
Check a SymptomPainful Menstrual CrampsIf your menstrual cramps have developed recently this may indicate a new medical problem or a change in your hormones. For example, painful cramps that have had their start within the past six weeks may be caused by infection or pregnancy. Cramps that started more than six weeks ago are less likely to be from one of these problems. Did your cramps begin within the last six weeks? 
Yes, my cramps started less than six weeks ago.
No, my cramps started more than six weeks ago.
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