What factors cause dark menstrual color with blood clots?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What factors can cause dark-colored menstrual blood with clots?

Doctor's answer:

Hello, a decrease in menstrual flow is caused by low estrogen levels, which can stimulate the proliferation and thickening of the endometrium. You should undergo hormone testing to determine the cause. If it is indeed due to low estrogen levels, it is recommended to follow medical advice and use estrogen-containing medications for treatment. Do not self-medicate before the cause is identified. Pay attention to keeping warm during your period.

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