[46F] With recurrent premenstrual stomach and lower back cramps

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Premenstrual Syndrome (PMS): PMS is a common condition that affects many women in the weeks leading up to their period. Symptoms can include cramps, bloating, mood swings, and fatigue. Your description of cramps occurring off and on a couple of weeks before your period is consistent with PMS.

  • Treatment: Over-the-counter pain relievers like ibuprofen can help manage the pain. Regular exercise, a balanced diet, and stress management techniques can also be beneficial.

• Ovulation Pain (Mittelschmerz): Some women experience pain during ovulation, which occurs about two weeks before their period. This pain can be felt in the lower abdomen and back.

  • Treatment: Pain relief can be achieved with over-the-counter pain medications like ibuprofen. Applying heat to the affected area can also help.

• Endometriosis: Although less likely given your normal pap smear and lack of other symptoms, endometriosis can cause similar cramping and pain. It involves the growth of endometrial tissue outside the uterus, leading to pain and sometimes infertility.

  • Treatment: Treatment options include pain relief medications, hormonal therapies, and in some cases, surgery. A healthcare provider can help determine the best course of action.

What you can do

1. Continue with Ibuprofen: Since ibuprofen helps alleviate your cramps, you can continue to use it as needed. Just make sure to follow the recommended dosage instructions.
2. Exercise: Regular physical activity, especially cardio, can help reduce the severity of cramps.
3. Heat Therapy: Applying a heating pad or hot water bottle to your lower abdomen and back can help relieve cramps.
4. Diet and Hydration: Maintain a balanced diet and stay hydrated. Reducing caffeine and alcohol intake may also help.
5. Monitor Symptoms: Keep a symptom diary to track the frequency, duration, and severity of your cramps. This information can be useful for your healthcare provider.

What you should look out for

While your symptoms do not appear to be life-threatening, you should seek medical attention if you experience any of the following:

• Sudden, severe abdominal pain
• Heavy or unusual vaginal bleeding
• Blood in your stool
• Persistent nausea or vomiting
• Significant changes in your menstrual cycle

Remember, while this information can be helpful, it is not a substitute for professional medical advice. If you have concerns or if your symptoms worsen, please consult a healthcare provider for a formal diagnosis and appropriate treatment.