If cramping is not easily relieved by these medicines the a visit to the gynecologist is recommended. Chronic pelvic pain can be one of the most frustrating problems for women, because the pain can be debilitating. Sometimes a definite cause can be determined, such as endometriosis. At other times no cause can be found. This does not mean that the pain is psychosomatic, but rather means that science has not progressed to the point of being able to diagnose all pain.
Stress can aggravate pain, but can also be caused by pain.
Management of chronic pain requires evaluation of all possible organ systems that could be causing the pain, and should also include an assessment of lifestyle and stress. If you have chronic pain you should seek out a physician who is both an expert in gynecology and who is willing to see you regularly to help you with your problem.