Do you need to regulate a too long menstrual cycle?

Patient's question:

Just changed to normal 31 days, and now it's 38 days this month. Moreover, a few days before menstruation, there's breast tenderness and pain, and after menstruation, there's lower back pain and lower abdominal pain.
Past treatment history and effectiveness: No specific treatment.
What kind of help is desired: Please let me know if this is normal? What could be the reason? How should it be regulated? Will it affect pregnancy? Thank you!

Doctor's answer:

Hello. It might be due to endocrine disorders. You need to go to the hospital for a sex hormone test. After the ultrasound examination determines the type of sex hormone secretion, medication can be adjusted accordingly. However, diet alone is not sufficient. Pay attention to a nutritious and light diet, maintain a regular lifestyle, keep a calm mood, avoid staying up late, and avoid excessive fatigue. These can help restore normal menstruation.
During the menstrual period, there is significant loss of iron. Therefore, it is important to supplement with iron-rich foods. Fish, lean meat, animal liver, and animal blood are rich in iron and have high bioavailability, making them easily absorbed and utilized by the body. In contrast, plant-based iron found in soybeans and spinach has a lower absorption rate. Thus, during the menstrual period, it is important to balance a diet with both animal and plant-based foods, consuming more animal-based products to meet the special iron needs of this phase.

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