Symptom Description: Menstruation on January 9th, lasted for 7 days, but on January

Patient's question:

Medical Description:
Menstruation started on January 9th and lasted for 7 days. However, on January 26th, she experienced light bleeding again, which only required the use of sanitary pads. According to her personal menstrual cycle of 25 days, she should have had her period on February 4th, but it did not arrive. After taking progesterone, her period came on February 26th. Now, her period is due again, but it has not arrived. She has not had sexual intercourse since January, so pregnancy should be ruled out, right? Is it possible she has entered menopause?
Patient Age: 43
Patient Gender: Female

Doctor's answer:

In your case, the bleeding may be caused by qi deficiency failing to control blood. This is often due to prolonged illness, exhaustion, or spleen deficiency leading to qi deficiency. When qi is deficient, it cannot properly regulate blood circulation, causing blood to overflow outside the vessels. Alternatively, it may result from chronic blood loss, where qi is consumed along with the blood, turning into qi deficiency that cannot grasp the blood. It is recommended to take a large dose of Astragalus root decoction to invigorate qi and stop bleeding.

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