What are the reasons for delayed menstruation and lower left abdominal pain?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Why do I have lower abdominal pain on the left side when my period is delayed?

Doctor's answer:

In your case, it may be due to deficiency cold with menstrual blockage or delayed menstruation caused by blood deficiency and insufficient nourishment. The deficiency of Qi and blood in the Chong and Ren meridians leads to emptiness of the blood sea after menstruation. Combined with Qi deficiency and blood stagnation, there is a lack of power to circulate, which triggers menstrual blockage. It is recommended to use Weng Jing Granules for treatment.
A low amount of menstrual flow is generally caused by low estrogen levels. Estrogen stimulates the proliferation and thickening of the endometrium to prepare for pregnancy. If pregnancy does not occur, the thickened endometrium sheds, resulting in menstruation. Low estrogen levels in the body can lead to insufficient endometrial thickening, causing less bleeding during menstruation. For your condition, it is advised to undergo an endocrine examination to check whether your hormone levels are normal.

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