What i can take to relive these sharp pains having had a period in 6 months.then monday a wk. ago started with heavy bleeding and cramps that hurt so bad and cramps started 2 days ago.i need relieve. 49 yrs old

If : If you have not had a period in 6 months, and are now having heavy bleeding and severe cramping, this is an issue that needs to be addressed by your doctor right away. You may be dealing with a problem in your uterus (fibroids, cancer, etc). I dont want to scare you, but these things need to be ruled out. This will be done with appropriate diagnostic testing (i.e. Biopsy of your uterus, pelvic ultrasound). In the meantime your doctor or er physician will be able to treat your pain, and also make sure you have not lost too much blood. Please seek care right away. Good luck.

"menstrual pain" ? : At 49, long stretches without a period are common, and with constant stimulation of the ovary by the pituitary, high estrogen levels cause thickening of the lining of the womb, which eventually sheds and blood clots often occur, which cause severe pain when uterine contractions expel them. Ask your gyn physician about low dose oral bcp's, which stop ovarian estrogen production, w/ less bleeding.

To : To not have a period in six months and then to start re-bleeding with so much pain and cramping is abnormal. Women can get irregular periods when they are perimenopausal, but your symptoms sound severe. You need to have a medical evaluation including a complete pelvic exam, pap smear, blood testing and possibly an ultrasound. Please have an immediate medical evaluation.

Delayed menstruation: In late 40's, more stimulation is needed via the pituitary to create ovulation, which delays potential ovulation. In the interval, higher estrogen levels may thicken the lining of the uterus, resulting in much heavier bleeding, with associated increase in pain secondary to clots which need forceful contractions from the uterus to expel. Ask your gyn about low dose oral bcps, to alleviate this.