For severe or repeated pain during menses, a qualified healthcare professional should be consulted. Use this formula prior to the actual menstrual cramping. It is difficult for some women with cramping and severe pain to ingest the liquid due to nausea, especially in tea form. If the woman feels nausea prior to using this formula, start slowly with small amounts. If the formula produces nausea, discontinue or decrease the amount. This formula is contraindicated in pregnancy.