Dark menstrual blood and poor menstrual flow, what disease is it?

Patient's question:

Hello Dr. Chen: I would like to consult about dark menstrual blood, poor menstrual flow, and some blood that resembles the internal organs of a stinking fish. Could you please tell me what this is and how to treat it?

Doctor's answer:

The dark color of menstrual blood may be related to inflammation. In fact, the menstrual blood that comes every month is the blood flowing in the body's blood vessels, which should be bright red. However, because the menstrual blood is mixed with fragments of shed endometrium, cervical mucus, and vaginal epithelial cells, it appears darker and is not as bright red as the blood flowing from skin damage. Additionally, some small thin fragments are mixed in the menstrual blood. For some people with relatively less menstrual blood, if it stays in the uterine-vaginal area for a longer time, the color becomes even darker. Therefore, while paying attention to the color of menstrual blood, it is also important to note the menstrual cycle, the duration of menstruation, the amount of menstrual flow, and whether you have any discomfort. It is recommended to undergo a simple gynecological ultrasound examination at the hospital and not to take medication blindly.

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