What is this gynecological disease?

Patient's question:

I have been experiencing irregular menstruation recently, with two periods a month. Every month, there is continuous spotting, and I have slight bleeding every day. Additionally, apart from the black discharge, it has a particularly strong odor. I would like to ask the doctor what gynecological condition this might be, and what specific tests are needed.

Doctor's answer:

The menstrual cycle has returned to be irregular, occurring twice a month. This may be related to menstrual irregularities during menopause. Considering your current age, you are already in the perimenopausal stage. The recurrence of menstrual disorders suggests a relationship with insufficient estrogen. It is recommended to promptly visit a hospital for a detailed examination of the six sex hormones and to take estrogen regulation for conditioning. Additionally, you can take oral medications for menstrual regulation and closely monitor the situation.

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