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It can, all NSAID's work well for menstrual cramps. It is however better to prevent menstrual cramps to begin with, most women can prevent cramps with simple dietary changes and regulating hormones.

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Tramadol is not the good choice. But it may help. You should select one of the NSAID. Tramadol is not NSAID.

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Q: Will tramadol help with period cramps?
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