If NSAIDs are ineffective, your patient can try non-medical treatments such as using a heating pad, hot water bottle or taking a hot bath. It's also important to exercise and avoid alcohol. Some alternative therapies include taking
ThiamineThiamine
Thiamine hydrochloride 100 mg and Calcium 1200 mg daily.
It is important to rule out underlying causes such as endometriosis or fibroids.