I have really bad cramps stand sleep just cry and curl up into a ball And cannot go on birth control Please tell me what can do?

Here are some strategies that may help alleviate severe menstrual cramps without using birth control:

1. Over the counter pain relievers: take non-steroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen or Naproxen to reduce inflammation and pain.

2. Heat Therapy: Apply a heating pad or hot water bottle to your lower abdomen or back. Heat helps to relax the muscles and reduce spasms.

3. Gentle Exercise: Some light physical activity like yoga, walking, or stretching can help improve blood flow and reduce discomfort.

4. Relaxation Techniques: Practice deep breathing, meditation, or guided imagery to manage stress and find relaxation during the menstrual cycle.

5. Proper hydration: Stay well-hydrated as dehydration can worsen cramps.

6. Rest: Sufficient sleep and ample rest may reduce the intensity of menstrual cramps.

7. Dietary Changes: Incorporating certain foods like certain fruits, vegetables, and whole grains into your diet may provide some relief. Foods rich in magnesium and calcium are often recommended.

8. Supplements: Consult a healthcare professional or a registered dietitian to consider if certain supplements like vitamins B1, B6, or magnesium may be beneficial.

9. Herbal Teas: Some herbal teas such as chamomile, ginger, or peppermint may provide some relief. Avoid herbs like parsley or cinnamon as they may intensify menstrual bleeding.

10. Stress Management: Practice stress-reducing techniques like journaling, hobbies, or relaxation exercises to manage stress-induced cramps.

If the cramps are persistent, severe, or significantly impacting your life, it's essential to consult with a healthcare professional. They may recommend additional options like prescription medications, hormonal therapies, or other treatments tailored to your specific needs and medical history.