Endometriosis, what is this disease?

Patient's question:

Irregular menstruation accompanied by severe dysmenorrhea has been ongoing since I was about 20 and has continued until now. What is endometriosis?

Doctor's answer:

Endometriosis is one of the common gynecological diseases among women, which can lead to infertility. Its main clinical manifestation is dysmenorrhea. However, relying solely on dysmenorrhea, women find it difficult to determine if they have endometriosis. The symptoms of endometriosis often manifest as an increasing amount of menstrual flow, prolonged menstrual periods, and in rare cases, spotting before or after menstruation. This is due to the reduction in uterine volume, the expansion of the endometrial area within the uterine cavity, and the influence of ectopic endometrium on uterine muscle fiber contraction.

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