Patient's question:
I would like to ask if there are any other tests besides ultrasound for checking if there are any abnormalities in the uterus, such as endometrial polyps. I have had an ultrasound examination, but it did not reveal any problems. I am married and have not given birth, yet I still experience severe menstrual cramps. If it is not caused by a disease, can taking Xiaoyao Pill help alleviate the symptoms? The symptoms are as follows: a few days before menstruation, I start to feel a dull pain in my lower abdomen, along with brownish discharge. The first and second days of my period are the most painful (cramping). I also experience vomiting, diarrhea, frequent urination, and aching waist and knees. The menstrual blood is very clear, and I can see detached pieces of endometrium, which are about the size of meat pieces. After they flow out, the pain completely stops. There are no abnormalities otherwise, and my sexual life is also normal.Doctor's answer:
Hello: Based on your symptoms, it is recommended to consider qi stagnation and blood stasis. You can take some herbal medicines such as Xiaoyao Pills, Qizhi Xiangfu Pills, Cihang Pills, Shaofu Zhuyu Pills, Yueyue Shu Chongji, Shixiao San, Danggui Imprint Tablets, Fuke Desheng Pills, and Tiaojing Buxue Pills for regulation.Precautions:
1. Maintain a positive mood and avoid mental stress and emotional fluctuations. Some individuals may experience lower abdominal distension, back pain, breast tenderness, mild diarrhea, fatigue, drowsiness, emotional instability, irritability, or tendency to depression during menstruation, which are all normal and should not cause excessive concern.
2. Pay attention to hygiene to prevent infection. Keep the external genital area clean. Intercourse is absolutely forbidden during menstruation. Maintain warmth and avoid cold exposure. Avoid overexertion. Those with heavy menstrual flow should avoid consuming brown sugar.
3. Underwear should be soft, cotton, and well-ventilated. Wash and change it frequently, and ensure that the underwear is dried in the sun.
4. Avoid cold, sour, spicy, and other stimulating foods. Drink plenty of warm water to maintain regular bowel movements. Those with blood heat should consume more fresh fruits and vegetables before menstruation and avoid stimulating foods like scallions, garlic, chives, and ginger. Individuals with qi and blood deficiency should increase their nutrition regularly, such as milk, eggs, soy milk, pork liver, spinach, pork, chicken, and mutton, while avoiding cold fruits and vegetables.