Patient's question:
My period is always delayed, and the amount of blood each time is getting less and less. The last two times, I still needed to use large sanitary pads. This time, my period started two days ago, and it's almost gone today. I couldn't even use sanitary pads; I only used liners, and two per day were enough. It's not red, just dark. What's wrong with me? Is there something wrong with my health? I used to have the same issue, but after taking traditional Chinese medicine, it improved. During my period after taking the medicine, there was something the size of a small finger, long and stringy, which came out, and after that, my period became normal. But that was three years ago. Now it's still the same. Could this be a medical condition?Doctor's answer:
Hello, if there is a lack of menstrual flow, a blood test is usually performed to check the levels of Follicle-Stimulating Hormone (FSH), Luteinizing Hormone (LH), estrogen, prolactin, and progesterone to determine whether the issue lies with the ovaries or the pituitary gland. Additionally, tracking basal body temperature can help identify signs of menopause or a progesterone deficiency. An ultrasound examination can also be conducted to measure the thickness of the endometrium and assess the likelihood of menopause. If the condition is caused by uterine adhesions leading to cervical blockage, a hysteroscope can be used to separate the adhesions and insert a lactation device, followed by hormone treatment for three months.