I am always bloated during my period and have pain in my lower back and pain when urinating on the most active day of my period?

Many options: Evaluation for painful periods is the first step. There are multiple options. Hormonal treatments such as birth control pills, Progesterone treatments and the Mirena (levonorgestrel) iud are effective reversible treatments that will help many people. There is also a drug called Lysteda that contains no hormones which will help others.