Hi, According to your description the possible causes for your pain are: - Sometimes adhesions can develop due to previous pelvic surgery leading to the continuous sensation of pain - Previous pelvic procedures like surgeries or if you have undergone dilatation and curettage for previous miscarriage there is possibility of chronic pelvic infection leading to pain. Decreased menstrual flow or hypomenorrhea can be seen due to different causes like anemia, thyroid hormonal abnormalities, polycystic ovarian disease, etc. previous intrauterine procedures like dilatation and curretage can lead to adhesions in the uterus as in Asherman syndrome and can lead to less blood flow during the periods. As the problem is severe, better to get evaluated. By clinical examination and investigations like ultrasound, complete blood picture, thyroid profile, etc. the possible cause of your problem can be identified and treatment can be taken accordingly. If your doctor suggests you may need more specific investigations like diagnostic laparoscopy to rule out the possibility of adhesions. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN