What should be the reason for pelvic effusion?

Patient's question:

Every 3 to 4 days after menstruation, there is a slight pain in the left lower abdomen, not particularly severe, coming and going in waves, about 4 to 5 times a day. The pain stops when menstruation ends?

Doctor's answer:

Irregular menstruation and dysmenorrhea have troubled me for twenty years. Since my teenage years, my first menstrual period was irregular—sometimes heavy, sometimes light, with chronic pain. During menstruation, I experienced breast tenderness. In recent years, my periods have frequently been delayed, with dark, foul-smelling blood and clots. As I've aged, hormonal imbalance has led to increasingly noticeable facial pigmentation. I visited the hospital for thorough examinations, spending a lot of money, but no significant issues were found. The doctors didn't know what to do and kept prescribing progesterone, which provided temporary relief but was ineffective without it. Later, I heard that Western medicine has side effects, so I turned to traditional Chinese medicine. I took many herbal remedies, but they had no visible effect.

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