Am I experiencing menopause or menstrual irregularity?

Patient's question:

Previously, my menstruation was normal. In the past four years, this feeling has been very slight. For 2-3 days, it was okay. I have been using ultra-thin sanitary pads, a pack of 10, which are inexhaustible. Six months ago, I had an ectopic pregnancy surgery. After each surgery, I felt it was less than before. Last month, I was pregnant for two months and had an abortion. This time, I clearly knew. But I used a pad for a whole day, and when I washed it, I saw the blood inside was very red, but there wasn't much blood flowing out. On the third day, the pad was completely filled, but not at all. However, after wiping the vagina, it was obvious that there was blood again. This month, the weather seems to be clearing up again.

Doctor's answer:

Based on your situation, it is suggested to eat less cold food and more meat if you have a light menstrual period. On the first or third day of your period, try cooking ginger with chicken liver or pork liver, and consume more foods that boost qi.
Irregular menstruation can be caused by neuroendocrine dysfunction, organic inflammation, or medication. Additionally, factors such as mental stress, environmental changes, and malnutrition can also lead to menstrual irregularities. Only through a thorough examination can the cause of menstrual disorders be confirmed, such as whether the ovaries and uterus are functioning normally, and how hormone secretion is regulated.

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