Does hyperpigmentation have a big relationship with menstrual volume?

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 fertility, and I also feel extremely cold and afraid of the cold. Is there a significant relationship between melasma and menstrual flow?

Doctor's answer:

Not very relevant. You can take oral erythromycin or tetracycline, and apply adapalene gel or tretinoin cream externally for treatment. Rest well, eat more fruits and vegetables, and avoid spicy, irritating, and greasy foods.
Hello, excessive menstrual bleeding or prolonged duration. Common causes include uterine fibroids, endometrial polyps, endometrial hyperplasia, endometriosis, etc. If no organic lesions are found during examination, consider functional uterine bleeding. This refers to abnormal uterine bleeding caused by endocrine regulatory system disorders, with no obvious organic lesions in the internal or external reproductive organs. It is the most common type of menstrual disorder. It is recommended to go to the hospital for examination to identify the cause and receive timely treatment.

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