Patient's question:
Got brown spots on the face, less menstrual flow, and menstrual pain—is it related to endocrine issues? If the endocrine system is not functioning well, how should it be treated? Please answer for the experts, thank you.Doctor's answer:
??????There are many reasons for a reduced menstrual flow. In addition to possible luteal insufficiency, abnormal thyroid and prolactin function, or a history of induced abortion or endometrial adhesion, malnutrition is also a possible factor. Additionally, it may be related to poor nutrition.Causes of reduced menstrual flow
A dark menstrual flow generally does not indicate a problem. It may be due to the blood staying in the uterine cavity for a longer time or the presence of gynecological inflammation. Since menstrual blood contains detached endometrial fragments, cervical mucus, and vaginal epithelial cells, it appears darker and less bright red than the blood from skin damage. Small thin fragments are also mixed in the menstrual blood. If the menstrual flow is relatively light and stays in the uterine cavity for a longer time, the color becomes even darker.
The etiology and pathology of reduced menstrual flow can be either deficiency or excess. Deficiency is often caused by a weak constitution, major illness, prolonged illness, blood loss, or dietary and physical exhaustion that damages the spleen, or sexual overexertion that damages the kidneys, leading to a deficiency in the "blood sea" and a reduction in menstrual flow. Excess is often due to stagnant blood, phlegm-dampness stagnation, blocked meridians, or poor blood circulation, resulting in reduced menstrual flow.
A prolonged reduction in menstrual flow may lead to amenorrhea or infertility. It is recommended to seek medical attention promptly, identify the underlying cause, and receive active symptomatic treatment to avoid affecting overall health.