Patient's question:
Testosterone: 1.75 nmol/L, Estradiol: 2315 pmol/L, FSH: 7.2 IU/L, LH: 2.8 IU/L, Progesterone: 1.5 NMOL/L, Prolactin: 490.6 MIU/L. I am 34 years old, and everything was fine after giving birth, but after undergoing laser treatment for cervical erosion in August last year, I started experiencing brown discharge two days before my period, and it still hasn't stopped even after my period ended. In January this year, I had an artificial abortion, and the doctor advised me to rest for a month. However, due to work reasons, the job has been very demanding and exhausting. After the month was up, I got an intrauterine device (IUD) inserted, and since then, everything has been...Doctor's answer:
Hello, the following treatment methods can provide you with appropriate advice:Irregular menstruation refers to a category of diseases characterized by abnormalities in the menstrual cycle, duration, or volume. This includes early menstruation, delayed menstruation, irregular menstruation, prolonged menstruation, excessive menstrual flow, and insufficient menstrual flow. The etiology and pathogenesis of irregular menstruation are primarily caused by emotional distress (seven emotions), external pathogens (six evils), insufficient innate kidney qi, multiple pregnancies, excessive sexual exertion, or overwork, which damage the zang-fu organs, disrupt the functions of the kidneys, liver, and spleen, lead to imbalances in qi and blood, and ultimately injure the Chong and Ren meridians, resulting in irregular menstruation.
Qi and blood deficiency type: Menstrual cycle is advanced or delayed, menstrual volume increases or decreases, menstruation extends in duration, color is pale, and quality is thin. May also include lower abdominal pain, dizziness and blurred vision, fatigue and weakness in limbs, pale or sallow complexion, poor appetite, and loose stools. Tongue appearance is pale-red, and pulse is fine and weak. Treatment should focus on replenishing both qi and blood. Medications that can be used include Bu Zhong Yi Qi Wan (Strengthen the Middle and Replenish Qi Pill), Shi Quan Da Bu Wan (Ten Herbs Tonifying Pill), Wu Ji Bai Feng Wan (Black Chicken White Phoenix Pill), Ba Zhen Yi Mu Wan (Eight Herbs Invigorating Menses Pill), Ba Bao Kun Shun Wan (Eight-Jeweled Women’s Comfort Pill), Nu Jin Wan (Women’s Gold Pill), Dang Gui Diao Jing Wan (Angelica Sinensis Regulation Pill), Dang Gui Hong Zao Ke Li (Angelica Sinensis Jujube Granules), Gui Pi Wan (Spleen Invigorating Pill), and Si Wu He Ji (Four Ingredients Mixture).
Blood cold type: Menstruation is delayed, volume is small, color is dark with blood clots. Lower abdominal pain with coldness, which alleviates with warmth, and aversion to cold with cold limbs. Tongue appearance is white, and pulse is deep and tight. Treatment should focus on warming the meridians and dispelling cold. Medications that can be used include Ai Fu Nu Gong Wan (Mugwort and Aconite Warming Palace Pill), Tian Qi Tong Jing San (Tian Qi Pain Relieving Powder), and Jin Gui Wen Jing Wan (Golden Cabinet Warming Meridian Pill).
Excess heat type: Menstruation is advanced, volume is large, color is deep red or purple, quality is thick and sticky, with blood clots. Accompanied by irritability, flushed face, dry mouth, short and yellow urine, and dry constipation. Tongue appearance is red, with yellow coating, and pulse is rapid. Treatment should focus on clearing heat, cooling blood, and regulating menstruation to stop bleeding. Medications that can be used include Feng Lun Zheng Xue Pian (Wind Wheel Hemostatic Tablet) and Si Hong Dan (Four Red Powder).