Severe abdominal and back pain during menstruation can be eased with a warm heating pad, gentle exercise, and adequate rest. Pain-relieving medicines and staying hydrated may also help. You should consult your doctor if the pain is severe, persistent, or affects your daily activities.

When discomfort returns quickly after taking Meftal Spas (mefenamic acid and dicyclomine), it usually suggests the underlying cause needs a different treatment. In a young woman, recurring abdominal and back pain could stem from severe menstrual cramps, conditions like endometriosis, a urinary tract infection, or occasionally digestive issues like gallbladder irritation. Because the medication isn't keeping you comfortable, it is very important to consult a healthcare professional for a proper evaluation. Please seek immediate medical care if the pain worsens significantly, or if you experience fever, nausea, or vomiting.

Mefenamic acid is generally not recommended in early pregnancy as it may pose risks to your developing baby. Regular stomach pain during these early weeks should always be evaluated by your obstetrician to ensure you and your baby are safe and healthy. Please consult your doctor before taking any medication so they can recommend a safe, gentle alternative for your comfort.

Meftal Spas (which contains mefenamic acid and dicyclomine) is generally safe to take for a few days each month to manage cramps. However, because your pain is severe and spreads to your back, thighs, and head, it is best to consult a gynecologist. They can help evaluate the root cause of this severe pain and discuss the safest long-term management plan for you.

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While having intercourse on the fifth day of your cycle carries a lower risk of pregnancy, it is still possible, especially if you have a shorter cycle. Symptoms like fatigue, body aches, and mild abdominal pain can sometimes mimic early pregnancy due to hormonal shifts. Since your symptoms haven't responded to antispasmodics or proton pump inhibitors, I recommend taking a home pregnancy test, which is highly accurate 14 days after intercourse. If symptoms persist or worsen, please consult your healthcare provider to explore other potential causes and help you find relief.