Irregular menstruation and uneven endometrial echo, what is the reason?

Patient's question:

Female, 31. I tend to be cold and my complexion isn't very good either. I have many spots, especially during my period, which is always irregular, dark in color, and with little flow. Please ask: What is the cause of irregular menstruation and uneven endometrial echo?

Doctor's answer:

Endometrial echo is uneven, which could be caused by endometritis or other endometrial inflammation. If there is currently irregular vaginal bleeding or excessive vaginal bleeding, it is recommended to undergo a diagnostic curettage, pay attention to hygiene, and maintain a regular lifestyle. The above is the answer to "Irregular menstruation, uneven endometrial echo still needs further re-examination. It is recommended that you go to the hospital for a follow-up ultrasound after your menstruation is clean to check the condition of the instantaneous endometrium. If the echo remains uneven, a diagnostic curettage and pathological examination will be necessary."

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