How to determine if it is endometriosis

Patient's question:

It's just that every month when I have my period, it's very painful, my lower abdomen feels very cold, my waist aches, my legs feel weak, and there are blood clots.

Doctor's answer:

Dysmenorrhea is a common and frequently occurring gynecological disorder with multiple etiologies and complex pathogenesis, characterized by high recurrence rates, especially among unmarried young women and adolescent girls during their initial menstrual periods. It manifests as cyclical lower abdominal pain, including distending, cold, burning, stabbing, dull, heavy, cramping, spasmodic, and tearing pain. The pain may extend to the sacro-lumbar region, and even involve the thighs and feet. It is often accompanied by systemic symptoms such as breast tenderness, rectal fullness, chest tightness, irritability, sadness, anxiety, palpitations, insomnia, headache, dizziness, nausea, vomiting, stomach pain, diarrhea, fatigue, pallor, cold extremities, profuse sweating, and even collapse or fainting.
Treatment should first involve physical exercise to strengthen the body. Daily life should follow a regular routine, balancing work and rest, with appropriate nutrition and sufficient sleep. Public education about the physiology of menstruation should be emphasized to eliminate fear, anxiety, and mental burdens. Hygiene during menstruation should be strengthened, avoiding strenuous exercise, excessive fatigue, and exposure to cold.

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