Wow, talk about the mother of all menstral cycles!! Whenever I go to the doctor, I write down a list of all symptoms, and a list of all questions, also any medications including over the counter. That way you're prepared. I'd also write out your medical history and the family history also. It always pays to be as prepared as possible when going to the doc. I'd definetly get in as soon as possible, not only to rule out something serious, but I'm sure there is something to improve your quality of life! I'm the same way when it comes to kids, don't want them. Most docs won't perform any kind of surgery that will kill chances of reproduction unless you have 2 kids or are 35. How fair is that!! The only birth control I've been on was the pill years ago, and the Depo shot.....did NOT like Depo at all, but it affects every woman differently. If money is an issue for you, check out your local health department. They have great clinicians and work on a sliding fee scale. They can do annual exams and prescribe birth control. I'd definetly get a PAP test. They'll so helpful in the early detection of any problems. Ask your doc if they use the ThinPrep PAP test, it's the best, second best is the SurePath. In the mean time, maybe try some Yoga or Pilates to help strengthen the abdominal area, this can help with menstral cramps. Drink plenty of milk and try Estroven. I used to use the generic of this when I was on Depo. It helps with natural hormones we need to get through the monthly. And see the Doc!!!!