What can be done about the presence of many black spots on the body caused by irregular menstruation?

Patient's question:

I have had irregular menstruation for nearly two years. Sometimes it delays by half a month, and sometimes by a whole month. Later, I consulted a traditional Chinese medicine practitioner, who diagnosed it as menstrual irregularity. I took traditional Chinese medicine for a while, but it didn't seem very effective. Recently, I noticed some dark spots on my body, and the doctor said it was caused by menstrual irregularity. I want to ask the doctor what to do about the dark spots caused by menstrual irregularity?

Doctor's answer:

Irregular menstruation does not cause the body to have black pigmentation. If menstruation is irregular and the delay is relatively long, it is necessary to have a six-hormone test and a gynecological ultrasound to check the endometrial thickness to confirm the type of menstrual disorder. If traditional Chinese medicine has no effect, pay attention to whether the current black pigmentation is due to the use of traditional Chinese medicine or related to abnormal hormone levels in the body. Be aware that delayed menstruation may lead to increased endometrial thickness, and progesterone may be needed to promote endometrial shedding. Gynecological diseases are a common gynecological condition that is prone to occur. During treatment, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients pay more attention to maintaining external genital cleanliness and changing underwear frequently.

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