What is the reason for menstruation four days early and abnormal bleeding volume?

Patient's question:

On the 18th, I had my period. On the 13th of this month, I had intercourse with my husband, and due to excessive force, there was a bit of bleeding. On the morning of the 14th, I started my period again, and the bleeding was different from usual—sometimes it was just a trickle of blood. This month, I didn't use any contraception during ovulation, but I didn't get pregnant. Treatment situation: Desired help: Is it gynecological inflammation? What tests should I do at the hospital?

Doctor's answer:

Analysis of the condition: Generally, most women have a menstrual cycle of 37 days. The cycle length is 2336 days, and a delay or advancement of 37 days within this range is considered normal, as the onset of menstruation can be influenced by various factors such as the environment, climate, and emotions.
Advice: If the period extends beyond this time frame, it is recommended to visit a hospital for relevant examinations to determine the cause. Breast tenderness occurring 12 days before menstruation or during the period is a normal phenomenon. However, if pain is present, it is advisable to consult the relevant department at the hospital for examination.
Currently, your 4-day advance falls within the normal range and does not require concern. Continue to monitor the situation.

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