Patient's question:
Medical history: Taken emergency contraception for about a year, once a month.Onset and duration of the current illness: Since June 2005.
Detailed condition and consultation purpose: The menstrual period has been prolonged to about 12 days, and there is vaginal bleeding before and after ovulation, usually lasting two to three days. The menstrual cycle is generally around 30 to 35 days, and there are mild urinary tract infections and vaginal diseases. I want to know what could be causing this. Can sexual intercourse occur during the time of bleeding before and after ovulation?
Doctor's answer:
Hello, this is referred to as "delayed menstruation" in traditional Chinese medicine theory: Delayed menstruation refers to menstruation being delayed by more than 7 days, or even 40-50 days or more, also known as "menstruation occurring later." It is divided into: blood deficiency, blood cold, deficiency-cold, and qi stagnation.Blood Cold Syndrome:
Clinical features: Delayed menstruation, reduced amount, dark color with clots.
Systemic symptoms: Cold pain in the lower abdomen, pain with warmth, aversion to cold, 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 features: Delayed menstruation, reduced amount, pale red color, thin and watery quality, no clots.
Systemic symptoms: Mild pain in the lower abdomen, preference for warmth and pressure, lower back soreness and weakness, clear and copious urination, loose and watery stools, pale tongue with white coating, deep and slow or weak pulse.
Treatment method: Supporting yang, dispelling cold, and regulating menstruation.
Prescription: Ai Fu Nu Gong Wan (Moxa-Fu Warm Palace Pill).
Blood Deficiency Syndrome:
Clinical features: Delayed menstruation, reduced amount, no clots.
Systemic symptoms: Empty pain in the lower abdomen, dizziness and blurred vision, pale or sallow complexion, pale red tongue with weak pulse.
Treatment method: ( and ).
Prescription: Da Bu Yuan Jiao (Great Tonifying Decoction).
Qi Stagnation Syndrome:
Clinical features: Delayed menstruation, reduced amount, dark red color with small clots.
Systemic symptoms: Distension in the lower abdomen, or pain in the chest, abdomen, both sides of the waist, and breasts, normal tongue coating, wiry pulse.
Treatment method: Harmonizing qi and regulating menstruation.
Prescription: Wu Yao Tang (Davana Decoction).
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner, combining the four diagnostic methods (inspection, auscultation/olfaction, inquiry, and palpation) for accurate diagnosis and treatment to achieve the best results. Wishing you a speedy recovery!