Patient's question:
Hello doctor, I am 39 years old this year. I have recently often felt a heavy and bloated sensation in my abdomen, and I also experience irregular menstruation and dysmenorrhea. After checking at the hospital, the doctor diagnosed me with endometriosis. I would like to learn about the most effective treatment for endometriosis before undergoing treatment, and hope the expert can help me solve this issue. Thank you.Doctor's answer:
Endometriosis-related dysmenorrhea is often secondary, meaning that after the onset of endometriosis, patients report that they previously had no pain during menstruation but began experiencing dysmenorrhea at a certain point. It can occur before, during, or after menstruation. Additionally, due to continuously elevated estrogen levels, the ectopic endometrium may proliferate and swell. If further influenced by progesterone, it may bleed, stimulating local tissues and causing pain. However, not all dysmenorrhea is caused by endometriosis; it could be due to irregular menstruation or normal dysmenorrhea.