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

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 conditions that are prone to occur. During medication, women should pay attention to their self-care, especially in terms of hygiene. It is recommended that patients avoid sexual activity during treatment and maintain good hygiene.

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