Key points for Diagnosis:
(1) Progressive secondary dysmenorrhea is the typical symptom. But in some cases there is no dysmenorrhea.

(2) The commonly seen symptoms are changes of menstruation marked by profuse menorrhea and prolonged menstruation.

(3) Pelvic examination indicates even enlargement of the uterus, hard texture with tenderness, obvious tenderness of the uterus before menstruation, shrinkage after menstruation, difference in size, number and location with the complication of hysteromyoma.

(4) Type B ultrasonic examination indicates even spherical enlargement of the uterus and low echo of multiple follicle-like in the muscular wall of the uterus.

(5) Iodized oil roentgenograph of the uterus suggests enlargement of the uterine cavity, appearance of diverticulum-like spherical prominence with the iodized oil flowing into the muscular layer.

(6) Pathological examination shows thickening and hardness of the uterine wall, especially the posterior wall, thick myofiber zone and small cysts in the superior wall of the section, occasional appearance of old blood.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.