What is the situation when menstruation is delayed, with a large amount and bright red color?

Patient's question:

This period was delayed by a few days, and then the flow became particularly heavy with bright red blood. I needed 4-5 pads a day, and the cramps were severe. I experienced upper and lower abdominal pain with a sensation of heaviness, pain in the lower back and left side, and felt very tired. However, for the past 5 days, I have been drinking a lot of hot water and avoiding cold and raw foods. Normally, my period lasts only 4-5 days, and it has never been this painful and heavy. Today is the 4th day, and the flow is still heavy, even though I have been avoiding cold foods and using warm pads, drinking hot water every day, but still have lower back pain, left side pain, and abdominal discomfort.

Doctor's answer:

Menstrual volume is excessive, and dysmenorrhea may be associated with uterine cold, blood stasis, and endometriosis. It is recommended to undergo relevant examinations in a formal hospital for diagnosis and symptomatic treatment. You can also consult a traditional Chinese medicine practitioner and take herbal medicine for better regulation. Additionally, I don't know if you have had sexual activity. If you have, it is possible to be pregnant or experience a miscarriage. It is advised to visit a hospital for an examination, undergo a color Doppler ultrasound, and test blood early pregnancy and progesterone.

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