A 23-year-old female pati...

A 23-year-old female patient presents with a history of uterine swelling in 2019, recurrent urinary tract infections (UTIs) in 2022, and current complaints of dysmenorrhea, scanty flow, ovulation cramps, as well as chronic fatigue, anxiety, depressive episodes, and palpitations. Investigations showed normal pelvic sonography, CBC, thyroid profile, and urine routine with 6-8 pus cells and trace ketones. Please identify the underlying cause for the patient's symptoms and suggest appropriate treatment.