How to deal with irregular periods

Patient's question:

Married but no children. Irregular menstrual cycle (1-2 months apart), this time 3 months apart. Dark brown, watery "menstrual blood," no color, very minimal amount. It might be blood stagnation. What could be the cause? What aspects should be checked?

Doctor's answer:

Generally speaking, a small amount of menstrual blood is usually caused by low estrogen levels. Estrogen stimulates the proliferation and thickening of the endometrium. The proliferated endometrium detaches and bleeds, forming menstruation. Low estrogen levels in the body can lead to insufficient endometrial thickening, resulting in less bleeding during menstruation. For your condition, it is recommended to undergo an endocrine examination to check whether the hormone levels in your body are normal.

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