Severe menstrual cramping. i'm 36 years old?

Cramping: Menstrual cramping may be caused by quite a few conditions including endometriosis, adenomyosis, fibroids, primary dysmenorrhea or even an infection called endometritis. This space is too small to discuss it in detail. Have a thorough gynecologic check-up and ask questions about these conditions from your physician. You mar need an ultrasound or some other imaging studies done.

Menstrual cramps: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain. Ginger helps w nausea.