What is the situation when coughing up blood before menstruation?

Patient's question:

Coughing up blood before menstruation, it has happened once before. Every time it's just a small amount of blood. I've been to the throat department and internal medicine department, and there were no problems. A chest X-ray was also taken, and the doctor said there were no abnormalities. What could this be? Can you help me?

Doctor's answer:

Hello: Based on the situation you described, it cannot be confirmed at this time what specific cause is leading to the symptoms you mentioned. Therefore, what you need to do first is to go to the hospital for a check-up to rule out whether it is oral bleeding or respiratory bleeding. If both can be ruled out, then it may be necessary to consider the possibility of endometriosis, as this condition can occur in any part of the body, including the respiratory tract. It is therefore recommended that you actively go to the hospital for examination and confirmation. Then, you can determine the specific treatment and medication.

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