Severe uterus/pelvic pressure

I haven't had a period for 9 months and in April was diagnosed with PCOS and put on Metformin. I also just yesterday finished my 10th provera and yesterday had light pink spotting, today a little heavier but still spotting. Earlier I had some pelvic pressure, a little uncomfortable but not bad. After walking around a store for an hour, the pressure has intensified and now it's extremely painful , like a 7/10 pain that has me on the verge of tears. It's nothing like period cramps, it's a constant severe pressure in my uterus on both sides. I tried a hot water bottle and it didn't help the pain whatsoever. Has anyone else experienced this before? Should I get medical attention? I'm very nervous as I've never felt anything like this before