My friend is 43 years old this year, her menstruation is very irregular, and it is pink. Please ask if it is

Patient's question:

My friend is 43 years old this year. Her menstrual cycle is very irregular, appearing pink. She has taken several sets of traditional Chinese medicine, but with little effect. The cycle lasts for 16 or 17 days, and the flow is not heavy but constant. What could be the reason, and how should it be treated? Thank you.

Doctor's answer:

Hello
Etiology
The exact cause is unclear, possibly related to excessively high estrogen levels in the body and long-term estrogen stimulation. It occasionally occurs in women after menarche but is more common in middle-aged women. Postmenopausal fibroids often stop growing and gradually shrink. Fibroids frequently coexist with endometrial hyperplasia; fibroids frequently coexist with endometrial hyperplasia. During pregnancy, when estrogen levels rise, fibroids often grow rapidly, and exogenous estrogen can accelerate their growth.
Symptoms
The typical symptom of uterine fibroids is heavy menstrual bleeding, most commonly occurring in submucosal and intramural fibroids,、. The main reason for increased bleeding is: the enlarged endometrial area, due to estrogen-induced endometrial hyperplasia, fibroids hinder uterine contraction, and affect blood circulation, causing endometrial congestion. Due to prolonged bleeding from the lower abdominal mass, patients often have varying degrees of anemia.
Lower abdominal mass When subserosal or intramural fibroids grow beyond the pelvic cavity, patients can often feel the mass themselves and seek medical attention, accompanied by a sensation of heaviness. Pressure symptoms: Fibroids located in the lower uterine body and cervix can compress pelvic tissues and nerves, causing lower abdominal pain and lower back pain. If fibroids grow forward or backward, they can compress the bladder, urethra, or rectum, causing frequent urination, difficulty urinating, urinary retention, or constipation. When fibroids grow to both sides, they form broad ligament fibroids, which can compress the ureters, causing hydronephrosis or pyelonephrosis of the ureters; if they compress pelvic blood vessels and lymphatic vessels, they can cause lower limb edema.
Pain, in addition to pain caused by pelvic nerve compression, submucosal fibroids with pedicles can cause contractions in the uterine cavity, producing