When I read your post, I thought "that was me!" before I finally was referred to a doc that gave me back my life during my period. I do have endometriosis with very high pain. Other responses have address this and the possibility of fibroid tumors. The one thing I will say is that you should definitely go to your OB/GYN. If they tell you that it's "just bad cramps" and normal, go to a different doctor. I was told by one doc that I couldn't have endometriosis based on his exam, however, he was wrong and old school docs tend to think that unless they can feel adhesions that nothing exists.
I have had two laparoscopic outpatient surgeries which were so successful that I was pain-free for a couple years after. Also, my doctor uses different hormone treatments depending on my symptoms (they do change over time for me) and what's happening with my body (breakthrough bleeding, heavier periods, higher pain, etc.) There is a fabulous pain killer/anti-inflammatory called Ponstel that is used to really knock out the worst pain and other aches during your period. You start it the day before and it's really made me functional even during the phases when I otherwise would be in excruciating pain.
Since you are local, I would highly recommend my OB/GYN - she's in Alexandria but SO worth the slight drive. She's Dr. Alice McKnight, www.physiciansforwomen.net - ###-###-####. She was the first doctor who really listened when I explained my symptoms and how it affected (negatively) my life, and she did something about it. 11 years later she delivered our first child (Dec. 2009) - she specializes in gynecological issues and is a skilled surgeon. Her approach is thoughtful and neither overly aggressive or lazy. She follows up and is open to hearing how her patients are progressing. When my symptoms change, she wants to know, and she stands behind that statement. The nurses in the practice are also great that work with her.
A couple things you can do in the meantime:
~Avoid caffeine and salty things a couple days ahead and during your period
~Frontload on anti-inflammatories (up to 800mg of motrin) starting 12-24 hours prior to your period, then take that dose every 4-6 hours as needed - the key is to stay AHEAD of the pain, so take the meds even if the pain isn't back to the highest levels
~be as gentle to yourself as you can. Using the larger muscles in our body (thighs, trunk, etc.) can make the symptoms worse. Ask for help with the kids during that time, put your feet up (literally) as often as possible, and rest if at all possible when you feel the need.
~Moist heat on the aching areas (inner thighs, lower back, buttocks) is often very therapeutic. I have the microwaveable seed filled bags that you can mist, or a simple heating pad (on low or medium) will help, too.
~laying on your side with a pillow between your legs to support your body (like when you were pregnant) is sometimes helpful for a while
~Restorative yoga poses (such as supported bound ankle - if you're not a yogi, don't worry, just find out how to do it from someone who knows - it makes you feel really good and alleviates some of the aches and also helps you to relax)
The support of my husband is also key - as when I deal with this I simply sometimes cannot function. He's known me for 15 years, and I've had this the entire time. If your partner is open to learning, a good doctor can help explain in layman's terms what happens and why it's so debilitating, and how they can help you. The mental side goes a long way to helping me deal with the chronic nature of this disease.
One last thing, endometriosis (if that is what you have) is manageable but not curable (yet.) Most women go an average of 8 years without being correctly diagnosed. It requires a proactive doc and educated patient to find a successful balance. I am proof that the balance does exist, so encourage you to seek out a good doctor who listens AND acts to make you feel better each and every month.
Sorry for the long reply, feel free to contact me and if you would prefer to talk on the phone I'm open to that, just send me your #. I also live in Vienna and am 36 with a 7 month old.
Be well, and best wishes,
J
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