Yes: Any excruciating pain of unknown cause has to be evaluated. It could all be muscle or costochondritis but i can't tell from your history. Women on contraceptive pills and who smoke are at higher risk for blood clots and there is a condition of lung collapse during periods (catamenial). From your short history, it is just impossible to make a diagnosis and you said severe or excruciating.
Answered 12/15/2013
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