What are the reasons for menstrual disorders?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal and pelvic pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please explain what it means when I have shoulder and back pain sometimes accompanied by a slight fever, like a high fever?

Doctor's answer:

Back and shoulder pain generally requires consideration of cervical spine diseases or periarthritis of the shoulder. It is unrelated to the menstrual cycle. If menstrual irregularities reappear, it may be due to reasons such as qi stagnation, blood stasis, blood deficiency, or uterine cold. For back and shoulder pain, it is necessary to perform local X-rays of the cervical spine and shoulder joints for a thorough examination to identify the condition. For menstrual irregularities, it is generally recommended to conduct a sex hormone six-item test and an abdominal ultrasound, or consult the department of traditional Chinese medicine to determine the cause and provide symptomatic treatment.

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