Hello dear, Understand your concern Following are the causes of your problems: Endometrial dysplasia Cervical dysplasia cancer cervical or vaginal atrophy Hormonal imbalance, perimenopausal state Excessive alcohol, caffeine, tea and stress Take following advice 1.Limit caffeine, salt and nicotine from a few days before your period until two weeks after it 2. Healthy lifestyle 3 Stretching and regular exercise 4. Yoga can be extremely helpful to reduce both the physical and mental symptoms 5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks. 6. Hot baths help with cramping, back pain and relaxation. 7. Sleep of at least 8 hours Consult the gynecologist and take proper treatment Investigation shold be done: pelvic examination. endometrial biopsy, full hormonal profile Take care Best regards Dr. Sagar