What Causes Painful Menstruation?
possibe adenomyosis or fibroid uterus
Detailed Answer:
Hello,
Thanks for the query to HCM,
The most likely cause for your painful menses at your age could be ADENOMYOSIS or fibroid uterus. So it is important that an ultrasound pelvis be done to establish the uterine size and rule out the above causes. The irregularity of menses can be attributed to possible high insulin resistance due to obesity and /or PCOD, which can be ruled out with a hormonal profile.
Craving to eat powdered chalk is indicative of possible helminthiasis with possible vitamin b12 or calcium deficiency. Please get a stool culture done as well and take a course of antihelminth medication like albendazole , available on prescription.
Please meet your PCP and discuss the above possible causes to take an informed decision.
Regards