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Menstrual pain starts 20 days prior date
My menstrual cramps starts atleast 20 days before my periods date and the pain is at extreme level which I cannot bear.
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Reach Practo profile for further assistance. Consultant Obstetrician and Gynaecologist.
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Get an ultrasound done to find out the reason
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Get investigations done rule out endometriosis
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Hi Consult
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better to rule out endometriosis, 
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.