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Menstrual problems or worse??

My wife has one kidney, can麓t have kids and smokes about 5 cigerrets a day. 2 to 4 days prior to her period she experiences pain in her lower back and front pubic area (inside under her stomach). Her stomach gets big (inflamation) like if she was 3 months pregnant) and she feels a lot of preassure in her matriz.
her period won麓t come on time, like 5 days later, and when it comes down it comes out really bad, it smells really bad and cuagulated blood comes out. I say to her that somethig it麓s really wrong, maybe something is blocking the blood麓s outflow and gets stock inside and thats why it comes out like that. What can this be? Is this normal? Can somebody help me understand what麓s going on?

It could be endometriosis. That is where the "bloody" tissue is ectopic, or outside of the uteris. She should see a doctor because this condition can lead to infertility, not to mention can be extremely painful.

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