If you are experiencing severe pain during cycles it may be
due to endometriosis, you must consult local gynaecologist. Diagnosis of endometriosis is usually done with pelvic ultrasound which may show chocolate cysts in the ovaries.
It is always better to undergo a laparoscopy to check
patency of tubes at this stage if you are trying to conceive.
If you are diagnosed as mild to moderate case of
endometriosis you should regularly follow up with AMH
levels as it can indicate extent of destruction of ovaries.
Severe endometriosis needs immediate attention for
fertility preservation, you may need IVF at this stage for