Severe dysmenorrhea at the age of 50 can be caused by endometriosis, pelvic inflammatory disease or cervical stenosis. The cause should be identified and then treated with medication or general treatment, etc. It can be treated by oral ibuprofen and other prostaglandin synthase inhibitors, levonorgestrel and other contraceptives, and attention to rest, moderate exercise and other general treatment. 1. Medication. Oral ibuprofen, diclofenac, naproxen and other prostaglandin synthase inhibitors can be used to reduce prostaglandin production, preventing excessive uterine contractions and reducing dysmenorrhea; oral levonorgestrel and other contraceptives to reduce the content of prostaglandins and relieve dysmenorrhea. 2. General treatment. Dysmenorrhea need to supplement adequate sleep, moderate exercise, and eliminate tension to relieve pain, with hot compresses also have a certain effect. When dysmenorrhea is severe, you need to apply medication under the guidance of a doctor.