After an abortion, having a menstrual period every fifteen days, what is the reason?

Patient's question:

Hello doctor, I had an abortion on November 5th, but my period came on November 22nd. It has been coming every 15 days on average since then. Why is that?? Additional question: By the way, this time bleeding started on January 9th and has been dark brown, still ongoing until now. Pads are sufficient.

Doctor's answer:

Hello: In traditional Chinese medicine theory, this is classified as "Menstruation Coming Too Early," which refers to: menstrual periods occurring 7 days or more earlier than usual, or even occurring every 10 days. It is also known as "Menstruation Occurring Prematurely" and is divided into:
- Qi Deficiency: Symptoms include early menstruation, excessive menstrual flow, pale color, and thin, watery texture. General symptoms: fatigue, a hollow feeling in the lower abdomen, poor appetite, loose stools, pale tongue, and a weak, thready pulse. Treatment: Strengthen qi, arrest bleeding, and regulate menstruation. Prescription: Modified Bu Zhong Yi Qi Tang.
- Yang Excess and Blood Heat: Symptoms include early menstruation, excessive flow, deep red or purple color, and thick, sticky texture. General symptoms: restlessness, flushed face, dry mouth, short, dark urine, red tongue with yellow coating, and a rapid pulse. Treatment: Clear heat, cool blood, and regulate menstruation. Prescription: Modified Qing Jing San.
- Liver Qi Stagnation and Blood Heat: Symptoms include early menstruation, variable flow amount, purple-red color with clots. General symptoms: lower abdominal pain, stuffy chest, costal fullness, irritability, and dry mouth and throat. Treatment: Clear the liver, resolve stagnation, and regulate menstruation. Prescription: Modified Dan Zhi Xiao Yao San.
- Blood-Related Yin Deficiency and Heat: Symptoms include early menstruation, variable flow amount, red color, and thick texture. General symptoms: flushed cheeks, heat in palms and soles, red tongue with little coating, and a thin, rapid pulse. Treatment: Nourish yin, clear heat, and regulate menstruation. Prescription: Modified Li Dui Tang.
However, traditional Chinese medicine emphasizes syndrome differentiation and treatment. You should visit a traditional Chinese medicine hospital for diagnosis and treatment based on your specific symptoms to achieve the best results. Wishing you a speedy recovery.

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