>>109000940if you really want it explained
she has what's referred to in the medical community as the terrible twins PMDD and endometriosis
tl;dr two surgery options both come with their own issues she may never actually be normal
long answer:
endometriosis is basically where tissue similar to the lining of the uterus (the endometrium) starts growing in places where it doesn't belon such as on the ovaries, the fallopian tubes, or even the outer surface of the bowels and bladder
and that tissue acts similar to the skin inside the uterus itself building up and breaking down each month
but the issue is it's outside the uterus so the blood has no place it can go to leave the body so you get essentially the mega period so intense pain, heavy cramping, heavy bleeding, and extreme fatigue because the body is constantly fighting off inflammation. The blood that's on the outside of the uterus irritates all your other organs around it which can cause scarring
so each month Mello starts with the PMDD
>two weeks before her period>severe rage, anxiety, and depressionthen the endometriosis
>now her period starts>all those symptoms I just listed actually begin she has around 1 good week out of the month free of pain and suffering
because the other weeks are nothing but agony
as for cures your only real option here is surgery
>Laparoscopic Excisionbasically they just cut the tissue out manually or they burn it off but if they burn it there's a high chance that pain will come right back
>Total Hysterectomy with Bilateral Oophorectomythe problem with PMDD isn't necessarily the uterus, it's mainly the ovaries and how the brain reacts to them
so the solution is to completely remove the uterus and the ovaries and that stops the menstrual cycle altogether putting her in surgically induced menopause
but doing that at her age has drastic ramifications. Because she's still young and going into menopause she will have to be on HRT to protect her heart and bones
the former is a slightly safe procedure and the latter is more of a last resort tried everything else option because of the consequences it has. Menopause happens naturally as women age, but if the uterus and ovaries are removed it happens literally overnight so her body now doesn't have those hormones anymore so it's basically like being on life support for the rest of your life and why it's seen as a last resort option
without estrogen being produced her bones can start to become brittle (osteoporosis) and she can get heart disease because the estrogen isn't there protecting the heart and blood vessels
there's also a balancing act because endo feeds off estrogen and if she has endometriosis that means the tissue can start to grow back
there's also the issue of her PMDD which can make her hyper-sensitive to synthetic hormones so being on HRT can make her feel just as bad as when she had her ovaries and uterus still
balancing act of pills and patches and such that can make her feel normal again that can actually take years to get right
