What is the reason for bleeding before menstruation but still not arriving?

Patient's question:

I am 23 years old this year. Previously, my menstruation was always very normal, but this month there was a little blood. What should I do if there is bleeding before menstruation but it is delayed?

Doctor's answer:

The reasons for a small menstrual flow are numerous, such as endocrine disorders, gynecological inflammation, changes in the mental environment, cold exposure, and anemia. Additionally, it may be due to issues with the endometrium itself, such as endometrial tuberculosis causing endometrial inflammation or artificial abortion leading to thin endometrium. Long-term menstrual irregularity may result in amenorrhea or infertility. It is recommended to seek medical attention promptly, undergo a thorough examination to identify the underlying cause, and receive active symptomatic treatment to avoid affecting overall health. Find the cause and treat it accordingly.

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