What effect do drugs have on the menstrual period?

Patient's question:

I have been taking medication for urticaria since November, including anti-inflammatory drugs like amoxicillin, as well as a seven-day traditional Chinese medicine prescription consisting of: Saposhnikoviae Radix, Cicada Shells, Angelica Sinensis Root, Moutan Cortex, Scutellariae Radix, and Licorice Root, etc. After taking the medicine, my menstrual period arrived on December 6th, with a slightly reduced flow compared to usual (it was on November 2nd, and I had also taken some antihistamines before that). Today, on December 25th, my menstrual period suddenly returned again. I would like to ask if these medications could have caused the disruption? Or could this be a sign of miscarriage after pregnancy, happening so quickly? Would an ultrasound be accurate in determining this? My menstrual periods have always been very regular in the past.

Doctor's answer:

Irregular menstruation is often caused by the dysfunction of internal organs, imbalance or deficiency of qi and blood. Women with irregular menstruation often exhibit changes in lip color or facial complexion. Based on experience, the facial manifestations in women with irregular menstruation generally include the following changes, also known as early symptoms of irregular menstruation: a subtle bluish hue in the face, faint blue veins appearing on the cheeks and between the nose, dark lip color, and dark eye circles. These are more commonly seen in women with a depressed mood and those prone to irritability.

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