Patient's question:
My menstrual cycle is normal, but it is heavy and abundant. I have undergone ultrasound and blood tests, and everything is normal. I am not anemic either. Last winter, I had two menstrual periods in twenty days. Could you please explain what is happening to me? Thank you for your answer!!!Doctor's answer:
Normal menstrual blood volume in women is generally 50~80ml, with the highest flow on the 2-3 days of menstruation. If the daily blood loss exceeds 80ml, or if the menstrual volume is significantly heavier than usual, it is referred to as excessive menstrual bleeding.1. In most cases, excessive menstrual bleeding is due to physical weakness or insufficient qi after a prolonged illness, resulting in pale red blood with a thin, watery consistency. Symptoms may include pale complexion, shortness of breath, fatigue, weakness in limbs, lower abdominal drooping, palpitations, dizziness, and irregular bowel movements. For qi deficiency-related excessive menstrual bleeding, Bu Zhong Yi Qi Wan (Strengthen the Middle and Invigorate Qi Pills) can be used.
2. Excessive menstrual bleeding may be caused by internal heat or excessive consumption of spicy foods, leading to bright red or dark red, thick, viscous blood with clots. Symptoms often include irritability, thirst, yellow urine, and dry stools. For blood heat-related excessive menstrual bleeding, He Ye Wan (Lotus Leaf Pills) can be chosen.
3. Excessive menstrual bleeding may result from unregulated liver qi, emotional distress, or retained blood stasis after induced abortion or medication procedures, leading to prolonged, intermittent bleeding with dark purple or black blood, clots, and abdominal pain that worsens with pressure. For blood stasis-related excessive menstrual bleeding, Ba Zhen Yi Mu Wan (Eight Treasure Motherwort Pills) or Tiao Jing Wan (Regulating Menstruation Pills) can be used.