I know how you feel, cramps suck! And, I also know what you mean when you say that gyne exams hurt, I had one and actually got bad cramps after I had it done. I'm not sure if it's because I was so tense that it made my muscles cramp up or not, but I know what you mean. The only thing that made my cramps ease up a Lot was cutting way down on caffeine (chocolate, coffee and tea). I still get them, but they aren't nearly as bad as they used to be. I do have to admit I'm not one to go to the doc either. I also take Orudis (an OTC) which helps with cramps. I also have a hot water bottle, that will sometimes help when nothing else will. Believe me, I know what you're going through, sometimes they would get so bad I'd try to choke myself out of consciousness. I hope something helps. But, if they are getting so bad that you can't stand them anymore, maybe you should go to the doctor. Think of it this way, what hurts worse, an pap smear or your cramps?