Premenstrual cramping and endometriosis
Statistically, endometriosis is a growing problem and a cause of
sub-fertility problems among women. Endometriosis could potentially
cause premenstrual pain, but more typically, it causes pain with
the menses as the implants respond and bleed.
The best diagnostic tool for determining if a woman has
endometriosis is a laparoscopy. This is a surgical technique where
a small lens is used to inspect the pelvic cavity. As you have no
strong history, or even suspicion, of infertility, you would not
be a good candidate for a surgical diagnosis.
If you wish to become pregnant immediately after marriage, then,
by all means, go ahead and try right away. You may benefit from
testing cervical mucus, position and basal body temperatures so
you can better pinpoint when ovulation is occurring and, therefore,
maximise your chances.
Remember that the bowel lies immediately over the uterus and
ovaries. If you are constipated or have diarrhoea, the uterus will
sympathetically contract and cramp. Therefore, pay attention to
your diet during the premenstrual time. Also, because semen is
high in prostaglandins, which can make the uterus contract, avoid
intercourse - or use a condom - right before your period for a
couple of cycles to see if this helps. If you wish to delay
conception for a few months after marriage, you might want to
consider oral contraceptives as this quiets the endometrium.
