What is the reason for irregular menstruation for two years?

Patient's question:

Female, 24. I'm usually quite cold-sensitive, 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 a small amount of flow. Please ask: What could be the reason for my irregular period for two years?

Doctor's answer:

You are 46 years old, and you have had irregular vaginal bleeding for 2 years. On the fifth day of your period, the endometrium was 1.1 cm thick. In this case, it is advisable to perform a diagnostic curettage on the other side to confirm the diagnosis and treat accordingly. The endometrium is slightly thick, which may suggest the presence of endometrial polyps or inflammation. Diagnostic curettage can be performed to re-examine the endometrium to understand whether there is inflammation. The above is a response to "I am 46 years old, my period has been irregular for two years, and recently my period has been lingering and not coming to an end."

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