What causes irregular menstruation?

Patient's question:

Detailed medical condition and consultation purpose: Menstruation has been irregular since the first period until now, and sometimes accompanied by menstrual cramps or lower back pain. In May of this year, a fibroid was found in the left breast. No surgery has been performed yet. Menstruation occurs approximately every one and a half or two months, sometimes even every three months. What could be the reason for this?
History of previous diagnoses and treatments, as well as their effectiveness: An ultrasound was performed, but no abnormalities were found. Chinese herbal medicine was also taken, but with limited effectiveness.

Doctor's answer:

Hello, there are many reasons for menstrual disorders. Clinically, they are usually divided into two major categories: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as pelvic inflammatory disease, endometritis, and endometriosis, which can also cause menstrual disorders. Additionally, menstruation is related to one's own endocrine, diet, lifestyle, and emotions! It is recommended to undergo an ultrasound, colposcopy, routine vaginal discharge examination, and six hormone tests to identify the specific cause and take targeted treatment measures! It is advisable to eat less spicy, irritating, and cold foods during the menstrual period and maintain a positive mindset, which is beneficial for the recovery of menstruation! I hope you recover soon!

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