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