Extreme pain in periods. Advice?

Hi, Dysmenorrhea refers to the symptom of painful menstruation. It can be divided into 2 broad categories: primary (occurring in the absence of pelvic pathology) and secondary (resulting from identifiable organic diseases). A low-fat vegetarian diet has been reported to reduce menstrual pain in some women. Certain dietary supplements may be effective, Thiamine, fish oil,pyridoxine, magnesium, and vitamin E... A patient whose history and clinical presentation clearly suggest primary dysmenorrhea may be treated symptomatically and provided with appropriate follow-up. A patient whose presentation is less clear or whose vital signs or physical findings are abnormal deserves a more thorough workup, including full laboratory studies, pelvic ultrasonography, and potentially an obstetrics/gynecology consultation.