Varies from month to month, I have severe pms symptoms a week before and during. I also have PCOS which doesn't help currently have more painful ovulation due to the cyst on my ovaries, both are covered with them.
My symptoms usually vary but I always have migraines, nausea, bloating, severe lower back & stomach, that spreads to my legs and tend to have low blood sugar during which makes me extremely tired.
The rest is like a pick and mix of symptoms, swollen and painful boobs, mood swings (more on the anger or depressed side), painful gas, diarrhoea, severe acne like cysts, Had a torsion once which was painful...
I have a heavy flow which lasts upto 5 to 7 days max.
Painkillers and sleep usually is how I deal with it, its been happening for years so im semi use to it and quite thankful I have a higher pain torelance now.. I kinda just deal with it cause its so random with symptoms.
I was on a contraceptive pill in my teen years, however it really messed me up and there isn't others currently I can take due to other health issues and higher cancer risks.
I don't have endometriosis which was initially suspected just PCOS, my gyno said I had a really good womb, although what's a good womb without properly working ovaries lol
There are times where I miss a month which is nice However I know that it's also a problem and the reabsorbing the blood lining cause more problems for me....
I think the only time it wasn't an issue was during pregnancy and the first 2 years after birth, that was normal pain but not as much, then It just went back to how it is now.
Im just waiting for menopause honestly, but then I know thats gonna be a whole lot of different shit to deal with.