A girl aged 14 years was brought in by her grandmother for painful menstruation since 6 months. She has menstrual flow only at night; not much in the daytime. Flow lasts for 2 to 3 days and bleeding is dark and occasionally with clots. She complaints of severe pain with bearing down sensation during menses. She has diarrhea before and during menstruation. Her grandma narrates that she always avoids tight clothing around waist. She has awkwardness, while working she drops the things in her hands.
is your similimum?