Hello dear,
Understand your concern.
Following are the causes of your problem :
Hormonal imbalance, Depression,
Excessive weight gain and weight loss, PCOS,
Endometriosis, Thyroid problem,
Pelvic inflammatory disease, Diabetes, Excessive smoking,
Precancerous condition of cervix and Atrophic vaginitis
Consult the gynecologist
Go the following test
1. Pelvic examination
2. USG
3. Hormone profile: LH,FSH, Estrogen, Progesterone, thyroid profile, prolactin
Take following advice:
1.Limit caffeine, salt and nicotine
2. Healthy lifestyle
3 Stretching and regular exercise routines will reduce cramping and
menstrual pain.
4. Yoga can be extremely helpful to reduce both the physical and mental symptoms
5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks.
6. Hot baths help with cramping, back pain and relaxation.
7. Sleep of at least 8 hours
8. Maintain hygiene in pelvic area,wear loose pure cotton underwear.
Hope this may help you
Best regards
Dr. Sagar