What can be done about irregular menstrual cycles?

Patient's question:

Hello! My menstrual cycle is really irregular. Sometimes it comes once a month, and sometimes it comes every two months. Moreover, the amount is extremely minimal. I wonder if it will affect my fertility, and how should I regulate it properly. Please reply, thank you!

Doctor's answer:

Hello, Precautions for Irregular Menstruation:
1. Maintain a positive mood and avoid mental stress and emotional fluctuations. Some individuals may experience lower abdominal distension, back pain, breast tenderness, mild diarrhea, fatigue, drowsiness, emotional instability, irritability, or tendency to depression during their menstrual period, which are all normal and should not cause excessive anxiety.
2. Pay attention to hygiene to prevent infection. Keep the external genital area clean. Abstain from sexual intercourse during menstruation. Stay warm and avoid cold exposure. Avoid overexertion. Those with heavy menstrual flow should avoid consuming brown sugar.
3. Underwear should be soft, made of cotton, with good ventilation and breathability. Wash and change underwear frequently, and dry the washed underwear in the sun.
4. Avoid cold, sour, spicy, and other stimulating foods. Drink plenty of warm water to maintain regular bowel movements. Those with blood heat should consume more fresh fruits and vegetables before menstruation and avoid stimulating foods like garlic, scallions, chives, and ginger. Individuals with poor blood circulation and qi deficiency should increase their nutritional intake, such as milk, eggs, soy milk, pork liver, spinach, pork, chicken, and lamb, while avoiding cold fruits and vegetables.

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