Menstrual Irregularities: Causes and Remedies - Traditional Chinese Medicine

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Menstrual issues


Hello, doctor! My menstrual cycle is usually about 23 days, but this time it has been 27 days, and I started experiencing some dark-colored bleeding.
Currently, on the fifth day, the flow has been very light; sometimes there is blood, and sometimes there isn't.
In the past five days, I passed a fairly large blood clot a few days before the bleeding started.
I also had gastroenteritis and a fever, and I haven't eaten much, resulting in a sudden weight loss of 4 kilograms.
Could this be related? Are there any foods or teas that can help with this? I am currently not in Taiwan, but I have Si Wu Tang, Si Shen Tang, and Motherwort tea with me.
Are these suitable for me to drink? Thank you for your response, doctor!

Hua, 20~29 year old female. Ask Date: 2021/03/15

Dr. Yan Sumei reply Traditional Chinese Medicine


Hello Hua, the condition of your menstruation is related to your previous gastroenteritis.
The gastroenteritis has weakened your body's energy, causing irregularities in your menstrual cycle.
If the gastroenteritis has not completely resolved, it is advisable to first use Four Gods Soup to regulate your gastrointestinal health, and then use Four Substances Decoction to nourish your Qi and blood.
If your gastrointestinal condition is stable, you can proceed with the Four Substances Decoction alone.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2021/03/15

More Info


Menstrual irregularities can be a source of concern for many women, and understanding the underlying causes and potential remedies is essential for managing these issues effectively. Based on your description, it appears that you are experiencing a change in your menstrual cycle, which has included a longer cycle than usual, blackish discharge, and a significant weight loss due to gastrointestinal issues and fever.
Firstly, menstrual cycles can vary significantly among individuals and can be influenced by a variety of factors including stress, illness, hormonal imbalances, and changes in weight or diet. A typical menstrual cycle ranges from 21 to 35 days, and variations can occur due to numerous reasons. In your case, the shift from a 23-day cycle to a 27-day cycle, along with the presence of unusual discharge and blood clots, may indicate a hormonal fluctuation or an underlying health issue that warrants further investigation.

The blackish discharge you mentioned could be old blood that is taking longer to exit the body, which is not uncommon at the beginning or end of a menstrual period. However, if this is accompanied by other symptoms such as significant weight loss, gastrointestinal distress, or fever, it is crucial to consider these factors collectively. Weight loss of 4 kilograms, especially if unintentional, can indicate an underlying health issue, and the gastrointestinal symptoms could also be contributing to your menstrual irregularities.
Regarding dietary remedies, traditional herbal teas such as "四物湯" (Si Wu Tang) and "益母草茶" (Yi Mu Cao tea) are often used in traditional Chinese medicine to help regulate menstrual cycles and support women's health. "四物湯" is known for nourishing the blood and regulating menstruation, while "益母草" is commonly used to promote blood circulation and alleviate menstrual discomfort. However, it is essential to consult with a healthcare provider before starting any herbal remedies, especially since you are currently experiencing gastrointestinal issues and have lost weight.

In terms of dietary adjustments, focusing on a balanced diet rich in iron, vitamins, and minerals can be beneficial. Foods such as leafy greens, lean meats, legumes, nuts, and whole grains can help replenish nutrients that may be lacking due to your recent health issues. Staying hydrated and consuming light, easily digestible foods may also aid in recovery from gastrointestinal distress.

Given your symptoms and recent health history, it is advisable to seek medical attention to rule out any serious conditions. A healthcare professional can conduct a thorough evaluation, including blood tests and possibly imaging studies, to determine the cause of your menstrual irregularities and any associated symptoms. They can also provide personalized recommendations based on your specific health needs.

In summary, while some menstrual irregularities can be benign and self-limiting, your recent symptoms, including weight loss and gastrointestinal issues, suggest that a more comprehensive medical evaluation is warranted. Traditional remedies may offer some support, but they should be used cautiously and ideally under the guidance of a healthcare provider. Prioritizing your health and seeking professional advice will help ensure that any underlying issues are addressed appropriately.

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