Patient's question:
Hello! I am 27 years old. My menstruation started at the age of 12. Since then, it has been irregular, mainly, with only about one cycle a month, mostly around two months (approximately), sometimes even longer, but it never lasts more than three months (at most) without intervention. I have not used Western medicine, but have tried Chinese medicine a few times and one herbal medicine, but none of them worked. My menstrual flow is normal, the color is mostly normal, and the period usually lasts about 6 days. Except for the first day, when I experience lower back pain for half the day, there are no other abnormalities. I usually feel cold in my hands and feet. I have been married for two years but have been using contraception. Now, I want to have a child.Doctor's answer:
Hello: As long as there is ovulation, it does not affect pregnancy. In traditional Chinese medicine theory, this is called "delayed menstruation": Delayed menstruation refers to menstruation being delayed by more than 7 days, or even 40 or 50 days, also known as "menstruation occurring later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.Blood Cold Syndrome: Clinical characteristics: Delayed menstruation, less volume, dark color with clots. General symptoms: Cold pain in the lower abdomen, relieved by warmth, aversion to cold and cold limbs, white tongue, and deep, tight pulse. Treatment method: Warming the channels, dispelling cold, and regulating menstruation. Prescription: Warming the Channels Decoction.
Deficiency-Cold Syndrome: Clinical characteristics: Delayed menstruation, less volume, pale red color, thin and watery quality, no clots. General symptoms: pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and long urination, loose and watery stools, pale tongue with white coating, and slow or weak pulse. Treatment method: Supporting yang, dispelling cold, and regulating menstruation. Prescription: Ai Fu Nu Gong Wan.
Blood Deficiency Syndrome: Clinical characteristics: Delayed menstruation, less volume, no clots. General symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale red tongue with weak pulse. Treatment method:. Prescription: Da Bu Yuan Jiao.
Qi Stagnation Syndrome: Clinical characteristics: Delayed menstruation, less volume, dark red color with small clots. General symptoms: Fullness and distension in the lower abdomen, or distension pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, and wiry pulse. Treatment method: Regulating qi and regulating menstruation. Prescription: Wu Yao Tang.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combining the four diagnostic methods to prescribe the correct medicine for effective treatment. Wishing you a speedy recovery!