What tests should be done for irregular menstruation?

Patient's question:

Doctor, what are the detailed examination methods for irregular menstruation? Previously, I read about irregular menstruation in a book. This condition seems very serious. I would like to understand this disease first and also learn about the examination methods for irregular menstruation so that I can prevent it in the future. I hope the doctor can give me an answer. Thank you!

Doctor's answer:

High-heat type: Before menstruation, large volume, dark red or purple, viscous, with blood clots. Accompanied by irritability, flushing, dry mouth, pale yellow urine, and dry stools. Red tongue, yellow skin, and pulse. Treatment should clear heat and cool blood, regulate menstruation, and apply topical medication. Windmill topical patches, Sihong (Four Reds), etc., can be used.
Low-heat type: Early menstruation, long period, large volume, red color, thick texture. Or flushing, hands and feet are very hot. Red tongue, little skin, good pulse. Clear heat, nourish yin, regulate menstruation, and apply topical medication. Gujingwan (Ancient Well Pill) can be used.

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