40yrs old woman with abdomen pain since 2yr

Nam_xxx
Age/sex__40yr /F
Occupation_ former
Add_xx

_40yr old woman with abdomen pain since 2yr
C/O
Pain in lower abd since 2yr...severe pain in abd relief after rest and medication
Leucorrhoea since 2yr.....profuse discharge with itching...
Shoulder and neck pain...
Breathlessness since 1yr.....aggravation from winter and walking....
Burning micturation....
M/H....
early menses and profuse bleeding
7day/25d cycle /regular
Obs/history __
P3 L3
LCB_ 16YRS
LTT__ 15yr back
Past/history ___