Patient's question:
Detailed medical condition and consultation purpose: For the two days before each menstrual period after marriage, there is a small amount of brownish discharge, followed by the normal menstrual color. Before trying to have a child, the doctor at the hospital said it would not affect getting pregnant. Now it has been 10 months postpartum, in addition to the aforementioned symptoms, each menstrual period is also very irregular, always coming 5 to 10 days earlier than expected, and it takes about 10 days for the bleeding to stop. I had a cesarean section. In the first four months postpartum, each menstrual period lasted for about 20 days, with a 10-day break, and the amount of blood flow was very heavy. An ultrasound did not reveal any abnormalities. After five months, the menstrual period still discharged three black, surgical-like strings.Doctor's answer:
Hello: Menstrual cycle length refers to a basically normal cycle with a prolonged menstrual period of more than 7 days, also known as continuous menstruation. It is divided into the following types:Blood Stasis Type:
- General Symptoms: Lower abdominal pain and tenderness, menstrual period lasting more than 8 days with a small amount of flow, dark-colored blood with clots, a tongue with petechiae, and a wiry, (sluggish) pulse.
- Treatment Method: Promote blood circulation, remove stasis, and stop bleeding.
- Medication: Taohong Siwu Decoction plus Shixiao Powder and Leonurus cardiaca.
Yin Deficiency and Blood Heat:
- General Symptoms: Dry throat and mouth, night sweats, heat in the palms and soles, menstrual period lasting more than 8 days with a small amount of flow, bright red and viscous blood, a red tongue with little moisture, and a thready, rapid pulse.
- Treatment Method: Nourish yin, clear heat, and stop bleeding.
- Medication: Liangdi Decoction combined with Erzhi Pills, plus Rubia, Leonurus cardiaca, Ligustrum japonicum, and Eclipta prostrata.
However, Traditional Chinese Medicine emphasizes syndrome differentiation and treatment. It is best for you to consult a local traditional Chinese medicine hospital for a proper diagnosis. Wishing you a speedy recovery.