Menstrual stomach pain, dysmenorrhea, dark blood - what is the problem?

Patient's question:

Detailed medical condition and consultation purpose:
My girlfriend has stomach pain every time she has her period. Sometimes it's very painful, but she can endure it, and it always starts 2 days early. This time, it started 5 days early, and the first day was quite dark in color. Could you please tell me what the problem might be? We have never had sexual activity with each other!

Doctor's answer:

Hello, occasional changes in menstrual color are nothing to worry about. It is recommended to pay attention to the following aspects:
(1) Avoid heavy labor and intense activities during the premenstrual period and menstrual period.
(2) Avoid spicy foods such as chili peppers, garlic, chives, lettuce, cinnamon, coffee, pepper, mutton, dog meat, venison, and alcohol, as they can exacerbate heat and inflammation. Limit the intake of foods that promote blood circulation, such as shark, crabs, hawthorn, peaches, and brown sugar.
(3) It is advisable to consume more fresh fruits and vegetables. Foods with cooling and blood-cooling effects, such as chrysanthemum leaves (young chrysanthemum buds), taro, cucumber, raw lotus root, celery, bitter gourd, eggplant, persimmon, pomelo, pear, mung beans, and softshell turtle, can be chosen for those with excess-heat conditions. Foods that strengthen qi, nourish the kidneys, and tone the lower body, such as black-bone chicken, sea cucumber, clams, hazelnuts, and lotus seeds, can be selected for those with weak constitutions.
(4) Irritability can hinder menstrual regulation, so it is best to maintain a calm, open-minded, and optimistic attitude.

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