What exactly is the cause of menstrual irregularity?

Patient's question:

I have always paid attention to my health. I never get a cold in a year. However, I have irregular periods, lower abdominal pain, and feel aching and bloated in my waist every time I have my period. I heard from others that taking medicine is not good. I would like to consult a doctor about what is going on and how to take care of it.

Doctor's answer:

Irregular menstruation and lower abdominal pain may be caused by endocrine disorders or gynecological inflammation. It is recommended to visit a hospital for an ultrasound examination and a six-hormone test to confirm the diagnosis. It is suggested that you have a blood test done on the third day of your next menstrual period, with full bladder preparation for the ultrasound. Once the diagnosis is confirmed, follow the doctor's guidance for symptomatic treatment, and it is also advisable to complement it with traditional Chinese medicine for overall regulation.

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