Painful periods

Sa

Okay so little back story I have very irregular periods. Usually range 40-50 cdays but every now and then I go past 100 and have to take provera to jumpstart it. Recently my last 2 periods have been EXTREMELY painful. Like I have never had cramping this bad in my life. I’ll wake up in the middle of the night and basically have to just sit and cry on the toilet. (The cramps are so bad it has been causing me to have bad diarrhea). So I’m on my period again now and here come the bad cramps again. I’m kinda scared honestly to go through this yet again.

Now when I went to the doctor in the past we couldn’t figure out why my periods were abnormal. (Did blood work and scan) nothing pointed out that I had something wrong although I feel like I might have PCOS.

I’m trying to figure out a few things. 1) what these painful cramps each period that just started could be from? 2) what can I do to help me through them so I don’t have to miss work when it’s so bad. 3) At what point should I go to the doctor? I’m worried if I go it will seem like I just don’t take pain well and she will want me to start BC which I don’t wanna do cause I’m TTC.

I’m welcome to any and all thoughts.