How to solve the problem of decreasing menstrual flow

Patient's question:

Patient Gender: 27
Hello Doctor:
Recent imaging shows that both fallopian tubes are almost blocked. I am preparing to undergo laparoscopic surgery. My mycoplasma test is also not good, and I frequently suffer from candidal vaginitis. Previously, my menstrual flow was very heavy, lasting about five to six days. However, in recent years, it has become very light, disappearing after just two days. Is it due to a lack of estrogen, or is there another reason? What medication should I take to regulate it? Thank you!!

Doctor's answer:

Hello, medication for vaginitis must be taken under the guidance of a professional doctor. Do not self-medicate. Generally, 2 to 3 courses of treatment are required. To avoid re-infection, underwear and towels used for washing should be boiled for 5 to 10 minutes to eliminate pathogens. The doctor advises that there is a possibility of recurrence after treatment for vaginitis, so patients need follow-up. It can only be considered cured after three negative tests. Daily precautions: 1. Personal hygiene, maintain cleanliness of the external genitalia, change underwear frequently, and use personal external genitalia supplies. 2. Strengthen public health facilities, such as public toilets, swimming pools, and bathtubs. Take precautions against cross-infection in public places. 3. Both partners should receive treatment simultaneously and check if they have recovered. Avoid sexual activity during the treatment period. 4. Use vaginal suppositories correctly under the guidance of a doctor, and pay attention to the concentration when mixing topical liquids. 5. Disinfect contact items frequently during treatment, such as bath towels and underwear. Boiling for 5 to 10 minutes can eliminate parasites. 6. The standard for cure is a negative vaginal discharge test after three menstrual cycles. Below are some traditional Chinese medicine formulations for treating hypomenorrhea. You can try them to see the effect.
① Gynecological Yangrong Pills: Take 6 grams per dose, three times a day (suitable for those with insufficient qi and blood).
② Nübao Tablets: Take 4 tablets per dose, three times a day (suitable for those with blood deficiency).
③ Ziluo Ointment: Take 50 grams per dose, two times a day (suitable for those with kidney deficiency and insufficient essence).
④ Fuzhen Tablets: Take 4 tablets per dose, three times a day.
⑤ Menstrual Regulation and Blood Stasis Pills: Take 3 grams per dose, three times a day (the above are suitable for those with blood stasis obstruction).
⑥ Ai Fu Nuangong Pills: Take 6 grams per dose, three times a day (suitable for those with cold dampness).

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