Irregular menstruation, excessive blood clots - what should I do?

Patient's question:

I had a child and stopped breastfeeding after a year. I stopped breastfeeding on May 1, 2005. My period came on June 8 and ended on June 13. Every month, it arrived a few days earlier. Each time, it lasted for six or seven days. Before having children, my period was usually on time every month.
June 7 came and ended on June 12. July 5 came and ended on July 11. August 5 came and ended on August 11. September 1 came and ended on September 6. September 30 came and ended on October 4. October 26 came and ended on November 3. This month, it came on November 26.
I had a cesarean section, and the doctor said they removed a lentil-sized uterine fibroid during the surgery. My period has a lot of clots, but the amount is average. It is not

Doctor's answer:

Irregular menstruation is a clinical manifestation of certain diseases, and many infertile patients also exhibit this symptom. You should seek medical attention early for a thorough examination to identify the primary causes of irregular menstruation.
There are two major categories of causes for irregular menstruation:
1. Neuroendocrine dysfunction: This primarily involves instability or defects in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or medication: This includes local inflammation, tumors, or developmental abnormalities in the reproductive organs; malnutrition; intracranial disorders; and other endocrine dysfunctions such as thyroid disorders, adrenal cortical dysfunction, diabetes, and Sheehan's disease.
You can visit the hospital early for blood tests to evaluate endocrine and ovarian function, thereby clarifying the specific condition. Early and effective treatment should be initiated.

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