Is the brown discharge before menstruation considered menstruation?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Is brown discharge before menstruation considered part of the period?

Doctor's answer:

Hello, dark-colored menstruation usually indicates blood stasis. It is generally caused by cold congealing and qi stagnation, leading to poor blood flow. It is recommended to use Motherwort Paste to promote blood circulation and treat the condition. You may also consider moxibustion on acupoints such as Guanyuan (CV4), Sanyinjiao (SP6), and Taichong (LR3). Your condition may be due to cold deficiency, causing dysmenorrhea. During the menstrual period and its surrounding days, pain may occur in the lower abdomen or lower back, sometimes extending to the lumbar-sacral region. The pain recurs with each menstrual cycle. In severe cases, it may be accompanied by nausea, vomiting, profuse cold sweat, cold hands and feet, or even fainting. Acupuncture, physical therapy, and massage are methods that can be considered for treatment.

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