How should irregular menstruation be handled?

Patient's question:

7 days since the menstrual period, it hasn't arrived yet. During this time, I took Duanliu blood medicine. I also took some medicine for treating pelvic inflammation. Past treatment history and effectiveness: Ultrasound findings: The uterus is retroverted, with a size of 46x47x37mm. The uterine cavity line is clear, the endometrium is 9mm thick (double layer), the uterine wall echoes are uniform, and no lesions are seen. The bilateral ovaries are of normal size, with no abnormal echoes. The rectouterine pouch shows a 6mm hypoechoic area. Ultrasound impression: No obvious abnormal echoes are seen in the uterine adnexa. There is a small amount of fluid accumulation in the pelvis. What kind of help do you need: Please help me take a look.

Doctor's answer:

There are many reasons for menstrual disorders, which are typically classified into two major categories in clinical practice: one is functional, such as menstrual disorders caused by endocrine dysfunction; the other is organic, such as conditions like pelvic inflammatory disease, endometritis, and endometriosis, which can also lead to menstrual disorders.
Treatment for menstrual disorders first requires an ultrasound and a check of the six sex hormones to determine the cause, followed by symptomatic treatment. Additionally, appropriate use of traditional Chinese medicine can be very effective. Insufficient qi and blood, qi deficiency, blood deficiency, or qi and blood stagnation can lead to menstrual disorders, irregular menstrual cycles, and reduced menstrual volume. In your case, it is best to take traditional Chinese medicine to regulate and treat the root cause. In this situation, it is recommended to take blood-nourishing and blood-activating herbs to regulate menstruation. These herbs can replenish qi and blood, alleviate stagnation, and regulate menstruation. They are particularly effective for menstrual pain, menstrual disorders, and reduced menstrual volume. During treatment, it is essential to avoid cold, greasy, and irritating foods.

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