Is it serious for menstrual volume to be reduced and dark after vaginitis?

Patient's question:

Candidal vulvovaginitis treatment later menstrual period, amount is particularly small, and it is white. This condition is serious? Need to do what careful examination? Can come menstrual period? After vulvovaginitis menstrual amount is small and black is serious?

Doctor's answer:

It may be due to qi stagnation and blood stasis, resulting in dark-colored menstruation, irregular menstrual cycles, varying menstrual volume, purplish-red color with clots, and difficult menstruation. It may also be accompanied by lower abdominal pain and tenderness, or pain in the chest, sides, breasts, or lower abdomen, a feeling of fullness in the upper abdomen, dark purple tongue with petechiae, thin white or yellow tongue coating, and wiry or thready pulse.
Treatment should focus on invigorating blood, resolving stasis, and regulating qi to relieve pain. Alternatively, it may be due to kidney deficiency, resulting in dark-colored menstruation: irregular menstrual cycles, reduced volume, pale red or dark red color with thin texture. Symptoms may include soreness in the lower back and knees, heel pain, dizziness, tinnitus, or a cold lower abdomen, or frequent nighttime urination. The tongue is pale, and the pulse is deep and weak or slow.

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