Patient's question:
Severe menstrual cramps, irritability before menstruation, abdominal bloating, breast pain, sweating profusely, less menstrual flow, constipation, the first two days before menstruation the color is like chocolate, the third day there are blood clots, continuous pain for three days, accompanied by lower abdominal pain. It has been nearly 12 years.Doctor's answer:
Hello: Based on the symptoms, it cannot be determined whether endometriosis is present. Endometriosis occurs when normal endometrial tissue grows outside the uterine cavity. With changes in hormone levels in the body, it behaves similarly to normal endometrium, undergoing cyclic shedding and bleeding. Due to the lack of an exit channel, this can lead to conditions such as dysmenorrhea or the formation of cysts, which significantly impact fertility. Clinical treatment methods include conservative medication or surgical removal, with the specific approach determined based on individual circumstances. Generally, it does not worsen, but severe cases may require surgical removal of the uterus to effectively alleviate symptoms like dysmenorrhea. Wishing you good health!