What should I do if I have a small amount of menstrual flow, cold abdominal pain, and infertility?

Patient's question:

Before and during the pre-ovulation period, I often get pimples on my chin. Sometimes during intercourse, I experience lower abdominal pain that feels like needing to have a bowel movement, accompanied by nausea. My menstrual flow is light, with only a bit on the first day. In the past, it was mostly dark blood clots, and I also felt cold hands and feet. I really enjoy warm things, but my lower abdomen still aches with coldness. Ovulation test strips don't show ovulation, but ultrasounds have confirmed that I do ovulate. My fallopian tubes are clear. I've taken a lot of traditional Chinese medicine, but none of it has been effective. I haven't been able to get pregnant. In the past few years, when I had my period, I also experienced lower abdominal pain accompanied by bowel movements and diarrhea.

Doctor's answer:

Hello, there are many reasons that can cause a decrease in menstrual flow, such as medications, endocrine disorders, gynecological inflammation, D&C procedures, or multiple induced abortions. Additionally, it could be due to issues with the endometrium itself. Long-term menstrual irregularity may lead to amenorrhea or infertility. It is important to consider visiting a hospital for timely examination to identify the cause. Once the cause is determined, active treatment should be initiated. Taking Chinese herbal medicine and deer placenta ointment can be very effective.

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