What is the reason for a small menstrual flow and delayed period?

Patient's question:

I used to have very regular periods, but recently, for some reason, they've been getting more and more off. There are issues with the timing, flow, and color. Could it be that I'm getting some kind of illness? Please ask: Why have my last two periods been light in flow and delayed in timing?

Doctor's answer:

Hello, menstrual volume is generally considered low when it is less than 30ml. This is often caused by deficiencies in qi and blood, kidney deficiency, or other factors. If a woman has been taking birth control pills for a long time, practicing extreme dieting, engaging in physical exercise, or experiencing high levels of stress, she may also experience symptoms of gradually decreasing menstrual volume.
If a woman experiences a recurrence of low menstrual volume, she should actively seek medical attention to undergo a thorough examination to identify the underlying cause. Treatment should then be administered based on the specific symptoms.
Menstrual delays can be influenced by various factors, including the environment, climate, emotions, gynecological infections, and more. A delay or advancement of 2 to 7 days in the menstrual cycle is considered within the normal range.

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