What are the reasons for a small menstrual flow and prolonged dysmenorrhea?

Patient's question:

Menstrual volume is small, dysmenorrhea duration is long, lower abdominal cold pain, is this a symptom of endometriosis?

Doctor's answer:

Endometriosis is a common condition characterized by lower abdominal pain, dysmenorrhea, sexual discomfort, and infertility. The best way to diagnose endometriosis is through a laparoscopic examination. Based on your symptoms, it doesn't seem likely, so I recommend applying cold compresses to your lower abdomen during your period, paying attention to your diet, and avoiding spicy and irritating foods as well as cold and cooling foods. Wait and see—If your symptoms improve, there may be no need for a hysteroscopy. Gynecological diseases are prone to occur, and during medication, women should pay attention to their own care, especially in terms of hygiene. It is advised that patients avoid sexual activity during treatment and maintain good hygiene.

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