How to properly handle the issue of less menstrual flow and prolonged duration

Patient's question:

Normal menstruation, next month it will be very little, or even stop, except that every time after it comes, the vagina feels very itchy. This situation has lasted for three years. Now it's worse. This month it came, but the amount is very little, and it has been a month, but it hasn't stopped. The discharge is black or dark red, very dirty. Now I feel tired and can't do anything when organizing personal things. I always feel very tired. Six months ago, I went to see a doctor once. The doctor said I had too much leukorrhea and a yeast infection. I don't have sex, and the doctor said it was because my underwear wasn't dried in the sun that led to the yeast infection. Now I'm very annoyed. It has been a month, but it hasn't stopped, and the amount is still very little. What should I do?
Past Treatment and Effectiveness: It improved a little, and the itching stopped.
Kind of Help Needed: What is the actual cause? What kind of tests should I undergo?

Doctor's answer:

Hello. The normal duration of a menstrual period is 3 to 7 days, with very few cases lasting only 3 to 5 days. If the menstrual period lasts less than 7 days, it is considered prolonged. There are several reasons for menstrual prolongation, such as uterine fibroids, endometritis, endocrine dysfunction-related uterine shedding, ovarian diseases, and endocrine disorders. It is recommended that you visit a hospital for an ultrasound and hormone level tests to determine the cause and receive appropriate treatment. For gynecological patients, in addition to timely treatment, it is also important to pay attention to self-care.

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