The management of abnormal uterine contractility depends on the underlying cause. For dysmenorrhea, nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed to reduce pain and inflammation. In cases of preterm labor, medications like tocolytics may be used to inhibit contractions. Uterine atony is commonly managed with uterotonic agents like oxytocin to promote contractions. Surgical interventions or hormonal therapies may be necessary for conditions like fibroids and endometriosis.