Patient's question:
I haven't had my period for almost a year, and it's been dark in color. From June to August, I didn't have it for two and a half months, and then it came back. Last week, it was almost non-existent again—just a little dark, thin blood. What's wrong with me? I've been married for two years, and how can I get pregnant? I was previously diagnosed with a slightly smaller uterus and cysts in the cervix. I don't know if they've improved now. Besides morning back pain before getting up (which goes away after I stand up), I feel fine. What's going on with me? How can I get pregnant? Please help me think of a way to get pregnant.Doctor's answer:
Hello, this is a condition of reduced menstrual flow according to traditional Chinese medicine theory, which refers to: a generally normal menstrual cycle with significantly reduced menstrual volume, or even a minimal amount of bleeding, or a shortened menstrual period of less than two days with reduced volume. It can also be referred to as excessive menstrual volume reduction.It is divided into: blood deficiency syndrome, kidney deficiency syndrome, blood stasis syndrome, and phlegm-dampness syndrome.
Blood Deficiency Syndrome:
Clinical features: Reduced menstrual volume, or minimal bleeding, with pale color and no clots. Systemic symptoms: Dizziness and blurred vision, palpitations, a hollow sensation in the lower abdomen, pale pink tongue, and thin pulse. Treatment method: Nourishing blood and regulating menstruation. Medication: Zixue Decoction.
Kidney Deficiency Syndrome:
Menstrual volume is reduced, with pale red or dark red color and thin texture. Systemic symptoms: Lower back and knee weakness, heel pain, dizziness and tinnitus, cold lower abdomen, frequent nighttime urination, pale tongue, and deep, weak pulse. Treatment method: Tonifying the kidneys, nourishing blood, and regulating menstruation. Medication: Guishen Pills.
Blood Stasis Syndrome:
Clinical features: Reduced menstrual volume, dark purple-black color, with blood clots. Systemic symptoms: Painful and resistant lower abdominal distension, reduced menstrual pain after blood clots are expelled, purple or dark tongue with petechiae, and wiry or thready pulse. Treatment method: Promoting blood circulation and resolving stasis to regulate menstruation. Medication: Taohong Siwu Decoction (modified).
Phlegm-Dampness Syndrome:
Clinical features: Reduced menstrual volume, pale red color, with sticky and phlegmy texture. Systemic symptoms: Obesity, stuffy chest, nausea, or excessive sticky leukorrhea, pale tongue with greasy white coating, and slippery pulse. Treatment method: Resolving phlegm, drying dampness, and regulating menstruation. Medication: Cangfu Daotan Pills.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. It is best to consult a traditional Chinese medicine practitioner for a comprehensive clinical diagnosis (the four diagnostic methods) to prescribe the correct medication for effective treatment. Wishing you a speedy recovery.