Hello and welcome to HCM,
The symptoms of aches, pain,
headaches and fatigue are suggestive of anemia.
Anemia is common in menstruating females.
Hemoglobin levels, a complete hemogram and peripheral blood smear examination needs to be done.
In case the anemia is present (due to low hemoglobin level), treatment for the anemia should be taken.
Most common cause of anemia in menstruating females is
iron deficiency anemia.
Besides anemia symptoms of cramping pain, low back ache,
bloating, water retention, breast tenderness can also occur before
menstruation.
These symptoms are called pre-menstrual symptoms.
Analgesics / pain killers and NSAIDs (e.g. mefenemic acid) can be used for pre-menstrual symptoms.
Thanks and take care
Dr Shailja P Wahal