How long is it normal for bleeding during the first night?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect my fertility, and I also feel extremely cold and afraid of the cold. Could you please tell me how long it's normal for there to be bleeding on the first night?

Doctor's answer:

In your case, the bleeding may be caused by qi deficiency failing to control blood, often resulting from prolonged illness, exhaustion, or spleen deficiency leading to qi deficiency. When qi is weak, it cannot properly regulate blood circulation, causing blood to overflow from vessels. Alternatively, chronic blood loss may deplete qi, turning it into qi deficiency that fails to hold blood.
It is recommended to take a large dose of Astragalus root decoction to invigorate qi and stop bleeding.
Hello, if you did not have sexual intercourse after your last menstrual period, you would not be pregnant. This situation may be due to menstrual irregularities caused by birth control pills, which you need not worry about. Generally, your menstrual cycle can return to normal after stopping the medication for 2-3 months.

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