Adolescent girl with low menstrual flow

Patient's question:

Doctor, hello. My daughter is 17 years old. For several months, her menstrual flow has been increasing. This time, it was slightly heavier for only 2 days, but not too much, and on the third day, it was just a few spots. She experiences menstrual cramps. She took one course of traditional Chinese medicine and stopped after a month. Now, before the second course of medicine was finished, her period started, so she had to stop. How should she be cared for in this condition?
Test results: A recent ultrasound examination showed that the uterus is retroverted, with an anteroposterior diameter of about 3.7 cm; the endometrium is on the left side, about 0.5 cm thick. The adnexa are normal.
Previous treatment and effectiveness: She took one course of traditional Chinese medicine, but it was not very effective.
What kind of help is needed: How should she be cared for? Should she go to the hospital for an examination—gynecology or internal medicine, or traditional Chinese medicine? Which tests should be performed?

Doctor's answer:

Hello, if your menstrual flow is light, it is recommended to have a thorough examination of the six sex hormones and an ultrasound to confirm the cause. If it is due to a lack of progesterone, oral or anesthetic progesterone can be taken. Additionally, it is important to consider insufficient qi and blood, and you may consult a traditional Chinese medicine practitioner. Taking motherwort and White Chicken White Phoenix Pill orally can be helpful. Gynecological diseases are a common condition that can easily occur. During medication, women should pay attention to their own care, especially in terms of hygiene. It is recommended that patients pay close attention to the hygiene of the vulva, with a light diet as the foundation. Finally, we wish female patients a speedy recovery.

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