Irregular menstruation and lower back pain, what's going on?

Patient's question:

Detailed medical condition and consultation purpose:
I am 28 years old. I had my first menstrual period at the age of 13, but it has always been irregular, often delayed. There were instances where I didn’t have a period for three or four months, and I frequently experienced lower back pain but never menstrual cramps. Back then, because I was young, I took some medication, but it had no effect. After getting married, my periods only occurred once every two months, and there was no regularity at all. Since we don’t want children for now, we have been using contraception. Last year, I had acute abdominal pain and high fever and was diagnosed with acute pelvic inflammatory disease at the hospital. An ultrasound revealed fluid accumulation, but after treatment, it didn’t recur. Recently, during a physical checkup organized by my workplace, I was diagnosed with adnexitis. Additionally, both my partner and I are very hygienic, but sometimes my external genital area becomes red.

Doctor's answer:

Irregular menstruation, also known as menstrual disorder, is a common gynecological condition. It is characterized by abnormal menstrual cycles or bleeding amounts, or by abdominal pain and systemic symptoms before or during menstruation. The causes may be due to organic lesions or functional disorders. Blood diseases, hypertension, liver disease, endocrine disorders, miscarriage, ectopic pregnancy, molar pregnancy, reproductive tract infections, tumors (such as ovarian tumors, uterine fibroids), and other conditions can all lead to menstrual disorders. In daily life, it is important to maintain cleanliness in the private area and use cleaning solutions that can effectively inhibit and kill pathogens causing gynecological diseases. These solutions not only clean the private area but also help enhance the natural resistance of the area.
Women are considered Yin in nature, and the female physiological structure is relatively complex, with organs that are more fragile. Even slight carelessness can lead to physiological and structural disorders of the gynecological organs, potentially triggering gynecological diseases. Common chronic conditions such as pelvic inflammatory disease, endometriosis, cold limbs and body, dysmenorrhea, reduced menstrual volume, menstrual disorders, and cold uterus infertility can all be treated through appropriate therapies combined with traditional Chinese medicine massage and foot baths to achieve therapeutic goals.

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