Can a lack of menstrual flow be irregular?

Patient's question:

Doctor, I've been experiencing some irregular menstrual symptoms these past few months. My menstrual flow has been less than before, and the timing is also off. Last month, it arrived a week early, and this month, it's delayed by 10 days. What should I do about my reduced and irregular menstrual flow?

Doctor's answer:

It is recommended to first buy a pregnancy test kit from a regular pharmacy to check for pregnancy. If there is none, it is suggested to visit a regular hospital's gynecology department on the third day after your period to have a blood test for six sex hormones and thyroid function. After your period ends, you should have an ultrasound to check the condition of your uterus and appendages. The doctor will then prescribe medication and provide treatment based on the examination results. Treating irregular periods is a long process, so it is essential to follow the doctor's advice, take medication consistently, and have regular follow-up check-ups.

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