At the age of 43, menstrual disorders with a pink color, what are the reasons and how to treat them?

Patient's question:

My friend is 43 years old this year. Her menstrual cycle is very irregular, appearing pink. She has taken several sets of traditional Chinese medicine, but with little effect. The cycle lasts for 16 to 17 days, and the amount is not much, but it always occurs. What could be the reason, and how should it be treated? Thank you.

Doctor's answer:

Hello
Etiology
The exact cause is unclear, possibly related to excessively high estrogen levels in the body and long-term estrogen stimulation; it occasionally occurs in women after menarche but is more common in middle-aged women. Postmenopausal fibroids often stop growing and gradually shrink. Fibroids frequently coexist with endometrial hyperplasia; fibroids frequently coexist with endometrial hyperplasia; during pregnancy, when estrogen levels rise, fibroids often grow rapidly, and exogenous estrogen can accelerate their growth.
Symptoms
The typical symptom of uterine fibroids is menorrhagia, most commonly occurring in submucosal and intramural fibroids,、. The main reason for increased bleeding is: the enlarged endometrial area, due to estrogen-induced endometrial hyperplasia, fibroids hinder uterine contraction, and affect blood circulation, causing endometrial congestion. Due to prolonged bleeding from the lower abdominal mass, patients often have varying degrees of anemia.
Lower abdominal mass When subserosal or intramural fibroids grow beyond the pelvic cavity, patients can often feel the mass themselves and seek medical attention, which may be accompanied by a sensation of heaviness. Pressure symptoms: Fibroids located in the lower uterine body and cervix can compress pelvic tissues and nerves, causing lower abdominal pain and lower back pain. If fibroids grow forward or backward, they can compress the bladder, urethra, or rectum, causing frequent urination, difficulty urinating, urinary retention, or constipation. When fibroids grow laterally, they form broad ligament fibroids, which can cause hydronephrosis of the ureter or renal pelvis when they compress the ureter; if they compress pelvic blood vessels and lymphatic vessels, they can cause lower limb edema.
Pain, in addition to pain caused by pelvic nerve compression, submucosal fibroids with stalks can cause contractions in the uterine cavity, producing