Is it normal to have lower abdominal pain before and after menstruation?

Patient's question:

During menstruation, severe lower abdominal pain and back pain with blood clots have been present since the onset of menstruation.
Medical tests and examination results: Normal.
Previous treatment history and effectiveness: Ineffective.
What kind of assistance is desired: Is it a gynecological disease?

Doctor's answer:

Menstrual pain, characterized by abdominal and lower back pain during and around the menstrual period, often accompanied by pale complexion, cold sweat on the face, numbness in the limbs, nausea, and vomiting. In Traditional Chinese Medicine, it is also known as dysmenorrhea, which can be classified into four types based on clinical symptoms: qi stagnation and blood stasis type, cold dampness stagnation type, qi and blood deficiency type, and liver and kidney deficiency type. Below, the types of dysmenorrhea and additional medicinal diets will be explained separately, which can be used as needed. Generally, it is recommended to start consuming them 3-4 days before the period.

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