Why is the menstrual period brown?

Patient's question:

Recently, I don't know what's going on, but my menstrual cycle has become very irregular, always delayed. Moreover, when I have my period, the flow is relatively light, and the color is coffee-like. It is also accompanied by lower abdominal pain. I am very worried. Doctor, what should I do about an irregular menstrual cycle with a coffee-like color?

Doctor's answer:

This situation could be due to gynecological inflammation, such as endometritis, fibroids, or uterine adhesions with polyps. All of these could potentially cause this issue again, and it may be necessary to consider visiting a hospital for relevant examinations. If it is caused by endometritis, anti-inflammatory treatment can be administered. If it is due to fibroids or polyps, surgery may be required to remove them. If it is caused by uterine adhesions, a hysteroscopy surgery combined with treatment may also be necessary.

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