Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
If you don't have any
pregnancy yet than the
pain during menstruation is mostly due to spasm of
cervix (mouth of
uterus). So, you have to take antispasmodic tablets or injection for pain relief. You can have that tablet every time in your menses.
Secondly, if you both are HIV positive that doesn't mean you cannot conceive. Yes it is true that there is a chance of transfer to the baby. And also it is a high risk pregnancy. You just have to continue your treatment medicines and continue pregnancy also. For detail you have to consult a nearby gynecologist and may be
pediatrician for chances of pregnancy, chances of transfer to baby, and other pros and cons of that.
Now for your pain,
Dicyclomine like Antispasmodic will do. And if it remains for long time and you don't want pregnancy at all than cervical dilatation is one option after which your pain will be very less and bearable. It is a minor operation you can ask your doctor about it. And if you are planning for pregnancy then one pregnancy happens and the problem is gone so no pain. Once delivery or
abortion takes place the source of pain is also gone due to natural cervical dilatation.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Jimesh H Mavani