You are suffering from painful and heavy cycles of recent origin. The cause is most likely of uterine origin. We have to look for any fibroids in uterus
. You need an ultrasonogram of abdomen and pelvic to look for any uterine pathology as well as rule out the possibility of right ovarian cyst
. Besides, you also need to have blood tests for anemia
function and bleeding disorders. Owing to you age, symptoms and past history, a fractional curettage for study of tissue inside uterus is essential.