What are the reasons for dark menstrual blood?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Also, what causes dark menstrual blood?

Doctor's answer:

Irregular menstruation with black blood. This could be considered as luteal phase deficiency. Luteal phase deficiency refers to insufficient progesterone secretion by the corpus luteum, which is not enough to support the full development of the secretory phase endometrium. Additionally, there are issues like incomplete luteal phase regression, endometrial inflammation, polyps, and so on. Based on your description, the cause of your condition might be menstrual irregularity. It is recommended to use progesterone and oral menstrual regulation granules for treatment. Avoid spicy, irritating, and cold foods.

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