What causes early menstruation

Patient's question:

Detailed medical condition and consultation purpose: Recently, my menstrual cycle has been coming about four to five days earlier each time for the past two years. This time, it was the most severe, coming nine days early. The amount of blood flow is light, and the color is dark red, even resembling soy sauce at the beginning, coming out in small amounts. I'm worried if it could be early menopause. I've been divorced for three years, could this be related? Thank you, doctor.
Duration and persistence of the current illness: Two days
Current general condition:

Doctor's answer:

Generally, a delay or advancement of one week in the menstrual cycle is considered normal. There are many reasons that can cause a delayed period, such as after sexual intercourse, stress, environmental factors, and more.
Normal menstrual blood is dark red and mixed with small fragments of shed endometrium, cervical mucus, and vaginal epithelial cells, without blood clots. If the menstrual blood is thin like water, with only a faint pink or dark purple color, it is abnormal.
Pay attention to a nutritious and light diet, maintain a regular lifestyle, keep a calm mood, avoid staying up late, excessive fatigue, and exposure to cold. Consider eating more jujubes and drinking ginger-soaked brown sugar water. It is recommended to visit a hospital for examination to identify the cause and receive targeted treatment.

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