Is irregular menstruation a sign of illness?

Patient's question:

Previously, my menstrual period lasted 5-6 days, and it was very regular. But in recent months, it has been lasting 8-9 days without any significant change. However, the period is still very regular, and there is no dysmenorrhea. Is this a disease? How can it be treated?

Doctor's answer:

Hello: You have mild menstrual irregularities.
Menstrual irregularities refer to a category of diseases characterized by abnormalities in the menstrual cycle, duration, or volume. This includes conditions such as early menstruation, delayed menstruation, irregular menstrual cycles, prolonged menstruation, excessive menstrual flow, and insufficient menstrual flow.
General precautions to follow:
1. Maintain a positive mood and avoid emotional stress or mood swings. Some individuals may experience lower abdominal bloating, back pain, breast tenderness, mild diarrhea, fatigue, drowsiness, emotional instability, irritability, or tendency to depression during menstruation, all of which are normal and do not require excessive concern.
2. Pay attention to hygiene and prevent infections. Keep the external genital area clean. Abstain from sexual intercourse during menstruation. Ensure warmth and avoid cold exposure. Avoid overexertion. Those with heavy menstrual flow should avoid consuming brown sugar.
3. Underwear should be soft, cotton, and well-ventilated. Wash and change underwear frequently, and dry the exchanged underwear in the sun.
4. Avoid cold, sour, spicy, or irritating foods. Drink plenty of warm water to maintain regular bowel movements. Individuals with blood heat should consume more fresh fruits and vegetables before menstruation and avoid foods that stimulate fire, such as garlic, scallions, chives, and ginger. Those with poor qi and blood should increase their nutritional intake, such as milk, eggs, soy milk, pork liver, spinach, pork, chicken, and mutton, while avoiding cold fruits and vegetables.

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