Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I'm also extremely sensitive to cold and coldness. Could you please tell me how to treat the symptoms of endometriosis?Doctor's answer:
The typical symptoms include lower abdominal pain, dysmenorrhea, discomfort during masturbation, and infertility. Lower abdominal pain and dysmenorrhea are characterized by secondary onset and progressive relief. Specifically, there is no dysmenorrhea in the first two years after menarche, and it reappears after several years or more than ten years, with a gradually increasing intensity. The pain is often located in the deep lower abdomen and lumbosacral region, most commonly in the central pelvic area, and can radiate to both sides of the pelvis and pelvic walls, as well as to the vagina, perineum, anus, or thighs. The pain typically recurs after the onset of menstruation and persists throughout the entire menstrual period. The severity of the pain is not proportional to the size of the lesion. Approximately 20% to 35% of patients may experience no dysmenorrhea. There are also cases where the timing of abdominal pain is not synchronized with menstruation. In very few cases, patients experience chronic lower abdominal pain, with the pain becoming even more intense during the menstrual period.