### Patient: Doctor, I have been experiencing heavy menstrual flow, unpredictable menstruation, pelvic pain, and painful menstruation. What could be the reason for these symptoms?
### Doctor: Based on your symptoms, it is possible that you have polycystic ovarian syndrome (PCOS). It is a hormonal disorder that affects women of reproductive age, and it can cause irregular periods, heavy bleeding, pelvic pain, and painful periods.