<s>[INST] I had a pelvic ultrasound n the results were a bulky uterus my dr is referring me to a specialist my cycle usually last 6-7 days my cramps make me feel like I m in labor feels like a knife being stabbed in my abdomen pain relievers don t work I cramp a week before I come on while I m on n three to four days afterwards since two months ago I m now staying on 8-9 days I ve always had heavy cycles but the pain kills me every month it gets worse my tubes are tied I ve had three csections [/INST] Helloyou might be suffering from endometriosis and it would be appropriate to visit a gynaecologist asap </s>