What causes intense cramps, pain, and excessive bleeding early in my menstrual cycle?

Hi,

Welcome to icliniq.com.

I have read your query and understand your concern.

You suffer from adenomyosis. Adenomyosis involves the endometrium growing into the uterine muscular wall, causing enlargement and pain, especially during periods. While there is no cure, I suggest several treatments that can manage symptoms:

1. Hormonal contraceptives: Pills, patches, injections, or IUDs (intrauterine devices) can reduce bleeding and pain by thinning the endometrium and suppressing ovulation.

2. Anti-inflammatory drugs: I suggest taking Ibuprofen or Naproxen, which can relieve pain and inflammation by blocking prostaglandin production that causes cramps.

3. Surgery: Options like endometrial ablation (removes or destroys the uterus lining to treat abnormal bleeding), uterine artery embolization (blocking the blood vessels to the uterus to treat conditions such as fibroids or excessive bleeding), or hysterectomy (surgery to remove the uterus) aim to remove or destroy the endometrium or the entire uterus. These are reserved for severe cases or when other treatments fail.

The best treatment depends on age, fertility plans, medical history, and personal preferences. Discuss with your doctor to weigh the benefits and risks, deciding what is best for you.

I hope this helps.

Please revert in case of further queries.

Thank you.