What is the reason for stomach pain and small blood clots every time during menstruation?

Patient's question:

My girlfriend has pain every time she has her period, and it gets worse each time. Additionally, on the third day, she discharges small cyst-like blood clots, sometimes one at a time, sometimes two. Each discharge is accompanied by pain, and she does not have a hymen. After searching online, it seems like it might be endometriosis. I would like to ask about this condition. Is it dangerous? Is it easy to treat? If treatment is needed, what is the approximate cost? How long does the treatment last? Are there any aftereffects? Does this condition affect fertility after treatment, preventing pregnancy? I hope experts can provide detailed answers.

Doctor's answer:

Pain during menstruation is caused by uterine and pelvic congestion, which is a normal menstrual period symptom. It is recommended to drink more brown sugar water and motherwort granules to promote the discharge of menstrual blood, reduce the formation of blood clots, and apply heat to the abdomen to relieve pain.
If you have dysmenorrhea, it is possible that it is secondary. An ultrasound examination is needed to determine if there is a possibility of adenomyosis. If the test results are normal and the pain is not severe, there is no need to worry. During menstruation, pay attention to keeping the lower abdomen warm and apply heat to the abdomen. You can also drink some brown sugar water.

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