How to treat lower back pain before menstruation

Patient's question:

I got married last year.
My wife always has severe lower back pain before her menstrual period.
Especially at night when she sleeps. It has been happening for 3-4 months.
But once her period comes, the pain disappears, so she hasn’t gone to see a doctor.
Now, she has pain whether her period comes or not, and there are blood clots.
Doctor, what illness is this?
What should I do?
We have had a urine test, and it was normal.

Doctor's answer:

Is there pregnancy? You can have an ultrasound examination of the uterus or adnexa.

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