What causes heavy menstrual bleeding

Patient's question:

Hello, may I ask if my period is five days late this month and I haven't tested for pregnancy. On the sixth day, I had vaginal bleeding, and it was quite heavy. I would like to ask if it's just my period or something else?
First follow-up question: To add, I've never had a period like this before—my abdomen was very swollen and painful. Yesterday morning, I had some abdominal and lower back pain, but it was gone by the afternoon. Last night, I had a little brownish discharge from my vagina, and this morning I started bleeding.

Doctor's answer:

According to your description, the possibility of pregnancy in this situation is relatively high. It is recommended to use a pregnancy test kit to test first morning urine. If there are two lines, it means you are pregnant. If there is only one line, test more times. Pay attention to dietary nutrition. You can check blood HCG to see if it is not pregnancy, then you can try taking Motherwort Granules to regulate your menstrual cycle. The occurrence of menstrual disorders not only affects the patient's body but also leads to the occurrence of gynecological diseases. Therefore, it is best to go to the gynecology department of the hospital for an ultrasound examination to identify the cause and then treat accordingly. You should also drink more water and pay attention to personal hygiene.

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