Why does endometriosis not have a clean menstruation?

Patient's question:

Menstrual volume is excessive, accompanied by dysmenorrhea, along with symptoms of cold and headache. In 2007, a detailed vaginal ultrasound examination revealed endometriosis. (From 2005 to the present, there have been three instances where the pain was so severe that I had to go to the children's hospital for medication to promote blood circulation.)
History of Treatment and Effects:
I have taken many herbal medicine prescriptions and have also used painkillers in combination. The condition has been better at times and worse at other times. This month, I have been taking herbal medicine, which has been working well (as the abdominal pain has subsided). However, it has been eleven days since my period started, and it is still not clean. I am very worried about whether my uterus can be preserved.
Desired Help:
Please ask the experts to speculate on how to treat my condition and whether it can be cured.

Doctor's answer:

If the skin has already broken for 11 days, it is definitely necessary to apply medication for treatment. First, use some common hemostatic medications, such as: Gongxuening, Fuyao Ling, and Yunnan Baiyao. If medication cannot be applied, then consider using steroid-based topical treatments. Endometriosis can be treated with hormone-induced pseudopregnancy therapy, which involves preventing menstrual cycles from recurring to suppress the growth of the endometrium and cause the ectopic endometrium to atrophy, thereby achieving the goal of treatment. However, stopping the medication may lead to a recurrence. For patients, if gynecological conditions are severe, timely symptomatic treatment and appropriate medication should be administered.

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