Why does it still hurt after endometriosis during menstruation?

Patient's question:

Medical History (main symptoms, onset time): The pain started subtly in 2004 with menstrual cramps that gradually improved. By 2007, the pain became severe enough that I had to take pain medication each month to be able to work normally. By 2008, the pain became so intense that even pain medication no longer helped, and the menstrual pain was accompanied by rectal pain—it was unbearable!
Tests and Examination Results: Uterus size: 60mm; Endometrial thickness: 9mm.
Previous Treatment and Effects: In 2008, I received six injections of a hormone shot (I don’t know the exact name, possibly Dafenglin) that slightly reduced the pain but then subsided again. I also tried breastfeeding medication, which stopped working on its own. Currently, I take herbal pills for pain relief and blood circulation, but the pain has been worsening.
Desired Help: Please help me—I can’t take it anymore. I don’t know what other treatments are available.

Doctor's answer:

Endometriosis falls under the categories of "dysmenorrhea," "lumps and accumulations," and "infertility" in Traditional Chinese Medicine (TCM). TCM generally employs a syndrome differentiation and treatment approach, adhering to the principle of treating both the root cause and symptoms. It involves warming the kidneys to boost yang energy, promoting blood circulation and resolving blood stasis, thereby re-establishing the body's internal environment and eliminating the internal factors that contribute to the disease. Simultaneously, warming the meridians, promoting blood circulation, and resolving blood stasis help normalize menstruation, gradually alleviate dysmenorrhea, and dissolve, absorb, and disappear endometriotic cysts, nodules, and chocolate cysts, which are known as "lumps and accumulations" in TCM. During medication, menstruation becomes regular, and the treatment also enhances follicular growth and promotes ovulation, making pregnancy possible.

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