[18F] Experiencing severe menstrual pain and associated symptoms

What might be happening

Based on the symptoms you've described, there are a few possibilities:

• Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside the uterus. It can cause severe menstrual cramps, nausea, and changes in bowel movements during periods. It's also associated with pain during bowel movements and intercourse, although you didn't mention the latter.

  • Diagnosis usually involves a pelvic exam, ultrasound, or laparoscopy. Treatment can involve pain relievers, hormone therapy, or surgery in more severe cases.

• Dysmenorrhea: This is the medical term for painful periods. There are two types: primary dysmenorrhea (painful periods without an underlying health condition) and secondary dysmenorrhea (painful periods due to a medical condition). Endometriosis can cause secondary dysmenorrhea.

  • Treatment usually involves over-the-counter pain relievers, hormonal birth control, or prescription medications.

• Premenstrual syndrome (PMS): This is a group of symptoms that occur 1-2 weeks before your period. Symptoms can include cramps, headaches, nausea, and mood swings. However, PMS usually resolves with the start of menstrual bleeding, and you've mentioned that your symptoms continue during your period.

  • Treatment can involve lifestyle changes, over-the-counter remedies, or prescription medications.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They can provide a formal diagnosis and treatment plan.
2. In the meantime, over-the-counter pain relievers like ibuprofen can help manage your cramps.
3. Applying a heating pad to your lower abdomen may also help with cramps.
4. Regular exercise and a healthy diet can help manage PMS symptoms.

What you should look out for

Seek immediate medical attention if:

• Your pain becomes severe or unbearable.
• You experience sudden, sharp abdominal pain.
• You have a fever or chills.

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.