Hello dear I understand your concern Cramp and heavy bleeding during the menstruation could be due to hormonal imbalance, pelvic inflammatory disorder, infection, endometriosis, adenomyosis, hereditary cause. I would suggest to consult the gynecologist and undergo vaginal examination, reproductive hormone anlaysis, USG scan to rule out the cause. Specific treatment will depend on the cause Progesterone pill can be used to reduce the bleeding Tablet meftal spas will help to reduce the cramp Proper rest, warm pad application Drink plenty of water, eat healthy diet Hope this may help you Contact HCM for further health query Best regards Dr. Sagar