Urinary frequency, short and reddish urine, incomplete urination, sore lower back and back pain - what could be the cause?

Patient's question:

Detailed medical condition and consultation purpose: I experienced short, reddish urine with incomplete emptying after my menstrual period in early August this year. After taking Sanjin tablets, the symptoms disappeared. Later, during a business trip, I became exhausted from overwalking and experienced lower back and back pain, feeling cold, and was unable to stand up immediately after maintaining a long posture. During this period, I took Wuji Baifeng pills and Liuwei Dihuang pills, but there was no significant improvement. The lower back symptoms have not improved in nearly five months. (I have had irregular menstruation for a long time.)
Could you please tell me what common causes might lead to these symptoms, how they should be treated and cared for, and what aspects should be paid attention to in daily life?
Sincerely

Doctor's answer:

Lower back pain on both sides, pain in the sacroiliac joint. This symptom is often considered to be related to gynecological diseases, such as pelvic inflammatory disease or adnexitis. It can also affect menstruation, leading to irregular periods. There are two main reasons for menstrual irregularities:
1. Neuroendocrine dysfunction: This can be caused by excessive stress, changes in environment or climate, malnutrition or metabolic disorders, gynecological inflammatory diseases, etc. The main issue is a defect in the hypothalamic-pituitary-ovarian axis, which is known as menstrual disorders.
2. Organic lesions or medication: This includes local inflammation, tumors, developmental abnormalities, and malnutrition of the reproductive organs.
It is recommended to first undergo ultrasound examinations and endocrine hormone tests to identify the factors affecting menstruation. Under the guidance of a doctor, appropriate measures should be taken to regulate and treat the condition.

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