Menstruation is four days early, and the amount of bleeding is abnormal. What is the reason?

Patient's question:

On the 18th, I had my period. On the 13th of this month, I had sexual intercourse with my husband, and there was a bit of bleeding due to excessive force. On the 14th morning, I had my period again, and the bleeding was different from usual—sometimes it was just a trickle of blood. This month, I didn't take any contraceptive measures during ovulation, but I didn't get pregnant.
Treatment situation:
Desired help: Is it gynecological inflammation? What tests should I do at the hospital?

Doctor's answer:

Analysis of the condition: Generally, most women have a menstrual cycle of 37 days, with a total cycle length of 2336 days. A delay or advancement of up to 37 days within this cycle is considered normal, as the onset of menstruation can be influenced by various factors such as environment, climate, and emotions.
Advice: If the cycle extends beyond this time frame, it is recommended to visit a hospital for relevant examinations to determine the cause. Breast tenderness occurring 12 days before menstruation or during the menstrual period is a normal phenomenon. However, if pain occurs, it is advisable to consult the relevant department at the hospital for examination.
Currently, your cycle is advanced by 4 days, which falls within the normal range and does not require concern. You may continue to monitor the situation.

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