Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice. These are called pre-menstrual / menstrual tensions, and this is very rare at the age of 50 years. To me it looks to be more of pre-menopausal changes wherein the patient's response to
hormonal changes is severe. Rarely this can be due to increase in congestion in pelvic area, suggestive of pelvis inflammatory disease.
I would suggest to have recheck of
thyroid status , may be we need to modulate the dose of thyroid medicine which may help to improve the symptoms. Also to go for female hormone estimations on day one of pain.
Another suggestion would be to reduce salt intake just before the anticipated days of pain and/ or to take
diuretic to flush out extra salt. May be there is a need to add an anxiolytic medicine. HRT if your Gynecologist feels so.
Meftal Spas has an additional medicine of dicyclomin (antispamodic). Taking
Ponstan forte for a long time is not going to have any problem as I suppose she takes these only during the pains.
There are some rare problems of inflammation of the muscles of the
uterus, not easily diagnosed. Even you can think of
Hysterectomy as a permanent treatment for this problem.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant