What are the reasons for lower abdominal pain during a short menstrual cycle?

Patient's question:

I am 44 years old. In the past two years, my menstrual flow has been very light, dark red in color. Previously, it took a week to clean up, but now it's gone in just three days. It's also very light now, and the total amount over three days is less than what used to be in one day. Additionally, I have lower abdominal bloating and pain, as if something won't come down. What is going on with this?

Doctor's answer:

Irregular menstruation is a common gynecological disorder, characterized by abnormal menstrual cycles or bleeding volume, or abdominal pain and systemic symptoms during the premenstrual period or menstrual period. The cause may be organic lesions or functional disorders. Blood diseases, hypertension, liver disease, endocrine diseases, ectopic pregnancy, hydatidiform mole, reproductive tract infections, uterine fibroids, and other conditions can all cause irregular menstruation. It is necessary to identify the specific cause for targeted treatment.

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