Why is the blood black on the first day of menstruation

Patient's question:

Detailed medical condition and consultation purpose: Understanding how abnormal menstruation affects physical health.
Duration and current status of the illness: One day
Current general condition: Currently the first day
Medical history: Half a year
Previous diagnoses and treatment history and effectiveness: Not diagnosed
Ancillary tests: Taken Xiaoyao Pill

Doctor's answer:

The reasons for dark menstrual blood are numerous: first, gynecological inflammation; second, cold body temperature. The most common cause is the "uterine cold" as described in traditional Chinese medicine, with the main clinical manifestations being: reduced menstrual volume, accompanied by abdominal pain, blood clots, and in some cases, cold limbs and sweating. Additionally, an overly hot constitution can also lead to similar clinical manifestations, where patients may experience reduced menstrual volume, darker color (dark red or coffee-colored), and occasionally abdominal pain. Another factor is a thin endometrium, which can also cause reduced menstrual volume. Furthermore, certain medications, changes in external environment, and lifestyle habits can also lead to temporary reductions in menstrual volume or changes in color.
An ultrasound and a six-panel sex hormone test can help identify the underlying cause for symptomatic treatment. Pay attention to mood regulation and consider traditional Chinese medicine for (regulation).

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