Pain in lower abdomen and low back before starting the period; and relief after the period starts; are typical symptoms of pelvic congestion. This type of painful menstruation
is known as Congestive or Secondary Dysmenorrhoea.
Your description suggests that you are having chronic pelvic infection
. However, pelvic infection usually increases the blood flow during menstruation. However, tuberculosis
is one infection of the genital organs which may decrease the menstrual flow. Your symptoms of felling low, tiredness, etc. also are suggestive f tubercular infection
Please get your X-ray of the uterus and sonography
done which will give you some clue about it. Also get X-ray of the chest done. Please report to your Gynaecologist ASAP.
I hope you got the message.
Dr. Nishikant Shrotri