Extreme cramps 3 days before i bleed happens every month. i'm so tired and depressed i'm always out of it for at least 4 to five days. i thought i had fibroids or cysts just left the doctor yesterday she found nothing... so lost i am vegan been vegan for

Primary dysmenorrhea: If your gyn exam and pelvic sonogram are normal, your most likely diagnosis is "primary dysmenorrhea", a bizarre condition of unclear cause often attributed by excess or abnormal prostaglandins produced by your endometrium. A 3 months trial of continuous contraceptive pills and/ or antiprostaglandin pills like ibuprofen, anaprox, naproxen, mefenamic acid; laparoscopy and other tests may help too.