22 years old, there are tissue clots during menstruation, is this normal?

Patient's question:

22 years old, with a history of dysmenorrhea, severe abdominal pain during menstruation, sensitive to cold, and an urge to defecate during pain. This menstrual period had tissue clots expelled. What could be the reason for this? Is it normal?

Doctor's answer:

In your case, the pain during menstruation may be caused by cold deficiency. During the menstrual period and its surrounding days, it can cause lower abdominal or waist pain, sometimes even extending to the lumbar-sacral region. The pain recurs with the menstrual cycle, and in severe cases, it may be accompanied by nausea, vomiting, profuse cold sweat, cold hands and feet, or even fainting. Acupuncture, physical therapy, and massage are methods that can be considered for treatment.

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