What should I do if my menstrual period is irregular, has a small amount of blood, and is dark in color?

Patient's question:

It's just that every menstrual period is not on time, sometimes with very little amount and dark in color, and the duration is long, and the breasts also hurt:

Doctor's answer:

Irregular menstruation, also known as menstrual disorder, is a common gynecological condition characterized by abnormal menstrual cycles or bleeding volume, or abdominal pain and systemic symptoms before or during menstruation. The causes may be due to organic lesions or functional disorders.
Recommendations: Different treatment plans should be adopted based on the patient's condition.
Bleeding and Anemia: Caused by prolonged periods and excessive bleeding. In addition to general hemostatic measures, hormones or uterine scraping may be used as appropriate.
Irregular Cycles: Estrogen, progesterone, single or combined cycle therapy can be used. Traditional Chinese medicine treatment is also an option.
Infertility: Dysfunction in one or more links of the hypothalamic-pituitary-ovarian axis can lead to anovulation, which is one of the pathological physiological bases of menstrual disorders and a contributing factor or cause of infertility. It is also an urgent issue many patients seek to resolve. Some patients may ovulate but have luteal phase deficiency, which can also cause infertility. Different ovulation-inducing drugs should be selected based on the patient's condition to improve ovarian function or replace partial functions of the pituitary and hypothalamus.

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