Patient's question:
Age 31, married, have children for over 2 years, haven't had a period yet. During menstruation, there is urgency and pain when urinating. Usually, there are no symptoms, and this condition has lasted for half a year. Have had menstrual pain for over 10 years.Doctor's answer:
Based on the ultrasound and symptoms of dysmenorrhea, endometriosis cannot be ruled out. It is recommended to recheck CA125 and CA199. Regarding symptoms and tests related to the urinary system, you should consult a urology specialist, as this is not within our area of expertise. If it is endometriosis and infertility has persisted for 1 year, IVF treatment can be considered, but surgical treatment is not mandatory; surgical treatment is possible, but there is a risk of recurrence. The abnormal sperm rate in the male is not high. Currently, it is suspected that the main cause of infertility is related to endometriosis.