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Menstrual disorders include: Dysmenorrhea refers to painful cramps during menstruation. Premenstrual syndrome refers to physical and psychological symptoms occurring prior to menstruation. Menorrhagia is heavy bleeding, including prolonged menstrual periods or excessive bleeding during a normal-length period. Painful or irregular periods can have causes that aren't due to underlying disease. Examples include physical stress, psychological stress, medication side effects or herbs such as ginseng and motherwort.