Please ask if it always starts with a small amount of bleeding before each menstrual period (using

Patient's question:

Please ask if every time before your period starts, you will begin to have light bleeding (enough for a panty liner), which lasts until the normal period, and then returns to normal. Since September, I have kept detailed records and found that this happens every month, which makes me very worried. My menstrual cycle is as follows: I usually have a period for 3-4 days, with a cycle of 27-29 days. Generally, on the second day, the flow is heavier, and I have a stomach ache. The bleeding amount is not much, and this situation always occurs, which makes me very concerned. My menstrual cycle is as follows: I usually have a period for 3-4 days, with a cycle of 27-29 days. Generally, on the second day, the flow is heavier, and I have a stomach ache.

Doctor's answer:

Hello, according to your description, your menstrual cycle is relatively regular, and the amount of blood flow is also normal. However, there is a small amount of bleeding before your period starts, which is considered to be caused by luteal phase deficiency.
Suggestions: It is recommended that you take medication under the guidance of a doctor to regulate your condition. Generally, progesterone or other progestogen treatments can be used; alternatively, traditional Chinese medicine can be used for regulation based on syndrome differentiation.
Doctor's inquiry:

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