Well, I dumped 40k into "you appear healthy according all metrics except self-reported pain, but given that COCP work to prevent that we suggest you just carry on with them. Oh, you might remove the uterus for 9k$, but we don't guarantee it will actually improve your experience"
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I've spent several years and 40 kilobux trying to discover the actual cause of my dysmenorrhea, or as one swiss woman insisted on framing it, "dysmenorrhea-like symptoms".
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I kind of eventually just gave up because that's way too much money and effort into some weird fucked up biochemistry thing that can be hacked around via cheap-ass generic pills
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This seems fairly typical re: workarounds. One is usually one's own best expert. I have had better results for most chronic issues from simply trying every option that looked like it might potentially be useful myself than by playing expensive gatekeeper games.
End of conversation
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