Patient's question:
I have always paid close attention to hygiene in this regard, so will it lead to gynecological inflammation? What are the general causes of gynecological inflammation? Besides irregular menstruation, are there other symptoms of gynecological inflammation? How should it be treated?First follow-up question: Specifically, what are the symptoms of irregular menstruation? My period started on October 14th, and my usual menstrual cycle is 27 days. Based on this, I expected it to end around November 10th. However, on October 9th, I had a little brown discharge, which stopped by October 10th. On October 11th, I had some yellow liquid—was this irregular menstruation? Seven days after intercourse, I tested with a pregnancy test and it came back negative. So, does this mean I...
Doctor's answer:
Irregular menstruation refers to a category of diseases characterized by abnormalities in the menstrual cycle, duration, or volume. It includes conditions such as early menstruation, delayed menstruation, irregular menstrual cycles, prolonged menstruation, excessive menstrual flow, and insufficient menstrual flow. The etiology and pathogenesis of irregular menstruation are primarily caused by emotional distress (seven emotions), external pathogens (six evils), insufficient innate kidney qi, frequent childbirth or overexertion, and excessive fatigue, which damage the zang-fu organs, disrupt the functions of the kidneys, liver, and spleen, lead to imbalance in qi and blood, and ultimately injure the Chong and Ren meridians, resulting in irregular menstruation.Qi and blood deficiency type: Menstrual cycle is advanced or delayed, menstrual volume increased or decreased, prolonged menstruation, pale color, thin and watery texture. May also include lower abdominal pain, dizziness, blurred vision, fatigue, limb weakness, pale or sallow complexion, poor appetite, and loose stools. Tongue has a pale red coating, and pulse is fine and weak. Treatment should focus on replenishing both qi and blood. Medications such as Bu Zhong Yi Qi Wan, Shi Quan Da Bu Wan, Wu Ji Bai Feng Wan, Ba Zhen Yi Mu Wan, Ba Bao Kun Shun Wan, Nu Jin Wan, Dang Guiiao Jing Wan, Dang Gui Hong Zao Keli, Gui Pi Wan, and Si Wu He Ji can be used.
Blood cold type: Delayed menstruation, reduced volume, dark color with blood clots. Lower abdominal cold pain, pain alleviated by warmth, aversion to cold, and cold limbs. White tongue coating, deep and tight pulse. Treatment should focus on warming the meridians and dispelling cold. Medications such as Ai Fu Nu Gong Wan, Tian Qi Tong Jing San, and Jin Gui Wen Jing Wan can be used.
Blood heat type:
1. Excess heat type: Advanced menstruation, increased volume, deep red or purple color, thick and sticky texture with blood clots. Accompanied by irritability, flushed face, dry mouth, short and yellow urine, and dry constipation. Red tongue with yellow coating, rapid pulse. Treatment should focus on clearing heat, cooling blood, and regulating menstruation. Medications such as Feng Lun Zhong Jing Pian and Si Hong Dan can be used.
2. Deficiency heat type: Advanced menstruation, prolonged menstruation, increased volume, red color, thick texture. May also include flushed cheeks and heat in palms and soles. Red tongue with little coating, fine and rapid pulse.