A member asked:

Hi dr. i have got my painful periods always to settle i take meftal spas. however, this time even with painkillers my pain is not reducing. i have regular periods and a 28 day cycle. my hemoglobin is over 12 too. what can be the reason of my cramps?

A doctor has provided 1 answer

Severe menstrual cramping with menstruation may be caused by endometriosis, which are caused by endometrial cells in the abdominal cavity, which bleed with menstruation, causing pain. Consult your GYN physician about endometriosis, and ask about low dose oral contraceptives, which will reduce the cramping and protect fertility.

Answered 3/30/2023

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