How to treat a small menstrual flow with dark color?

Patient's question:

I have been experiencing irregular periods for the past few months. Sometimes the flow is heavy, and the color is still black, occasionally the flow is light, and the color is white. What should I do?

Doctor's answer:

The reasons for dark menstrual blood are numerous, generally caused by low estrogen levels. When emotions are tense or the environment changes, it can temporarily disrupt the endocrine system, leading to an increase in menstrual blood volume or a change in color. Additionally, an overly hot constitution can also manifest as dark red or coffee-colored menstrual blood with a reduced volume, accompanied by symptoms such as abdominal pain. Changes in external environments and lifestyle habits can also cause temporary reductions in menstrual volume or changes in color.

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