For which types of endometriosis is it difficult to relieve?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I also feel extremely cold and afraid of coldness. Could you please tell me what causes endometriosis?

Doctor's answer:

Okay, here is the translation following your instructions:
I. Uterine malposition, where the uterus is anteflexed and antiproposed, such an anatomy makes it easy for menstrual blood to flow out.
II. Menstrual disorders, such as irregular menstruation, dysmenorrhea, and hypomenorrhea.
III. Gynecological surgery operations, multiple induced abortions make it extremely difficult to prevent endometrial fragments and blood from entering the pelvic cavity through the fallopian tubes. Additionally, non-strict surgical procedures and improper handling of postoperative complications can also lead to the same consequences.
IV. Reproductive tract abnormalities, congenital malformations and postoperative surgical errors can both cause adhesions, preventing menstrual blood from being expelled outside the body.
Since the etiological factors for endometriosis are numerous, the treatment methods are not necessarily the same. Patients should seek medical examination in the hospital to identify the cause. Different causes require different treatment methods. Only a personalized treatment plan is the most effective.

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