Managing Irregular Menstruation and Reduced Flow: Traditional Chinese Medicine Insights - Traditional Chinese Medicine

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Irregular menstruation and decreased menstrual flow?


Hello, doctor.
Last year, I visited a gynecologist to adjust my menstrual cycle and reduce menstrual pain in preparation for an exam.
The doctor prescribed me a medication called "Yueji," which I took for almost a year.
During that time, my condition was good, and I did not experience any issues with reduced menstrual flow.
After finishing my exam, I decided to stop taking the medication, and it has been four months since I stopped.
My cycles have been regular, but over these four months, my menstrual flow has decreased significantly.
The flow is normal and bright red for the first two days, but by the third day, it becomes very minimal and appears brownish, like at the end of a period.
I would like to know if seeing a traditional Chinese medicine practitioner would be helpful in adjusting this situation, or if I should return to the gynecologist.
Thank you, doctor.

Sandy, 20~29 year old female. Ask Date: 2022/12/16

Dr. Zhang Chunfang reply Traditional Chinese Medicine


Menstrual flow is smooth, with a cycle length of 28 to 35 days, lasting 5 to 7 days, and no discomfort during menstruation.
Your symptoms are within the normal range and can be managed with traditional Chinese medicine.
If further examination is needed, a visit to a Western medicine specialist is recommended.
Chiayi Hospital, Department of Traditional Chinese Medicine, cares about your health.

Reply Date: 2022/12/16

More Info


Managing irregular menstruation and reduced flow can be a complex issue, and Traditional Chinese Medicine (TCM) offers various insights and treatment options that may be beneficial. It’s important to understand that menstrual health is closely tied to the balance of Qi (energy), blood, and the overall health of the organs involved in reproduction, particularly the liver, spleen, and kidneys in TCM.

From your description, it seems that after stopping the medication, your menstrual cycle has become regular, but the flow has significantly decreased, particularly after the first two days. The presence of bright red blood initially followed by a reduced flow that appears brownish could indicate a few things in TCM terms. The bright red blood suggests a good flow of Qi and blood at the beginning of your cycle, while the subsequent brownish discharge may indicate stagnation or a deficiency of blood.

In TCM, irregular menstruation and changes in flow can be attributed to several patterns:
1. Qi and Blood Deficiency: This is often characterized by a pale complexion, fatigue, and a weak pulse. If your body lacks sufficient Qi and blood, it may not be able to sustain a healthy menstrual flow.

2. Liver Qi Stagnation: Stress and emotional factors can lead to liver Qi stagnation, which may disrupt the flow of menstrual blood. Symptoms may include irritability, mood swings, and a feeling of fullness in the chest or abdomen.

3. Spleen Deficiency: The spleen plays a crucial role in the production of blood. If the spleen is weak, it may not be able to transform food into Qi and blood effectively, leading to reduced menstrual flow.

4. Kidney Deficiency: The kidneys are considered the source of reproductive health in TCM. A deficiency here can lead to irregular cycles and reduced flow.

Given your situation, consulting a qualified TCM practitioner could be very beneficial. They can provide a thorough diagnosis based on your symptoms, tongue, and pulse examination. Treatment may include herbal remedies tailored to your specific condition, acupuncture to help regulate the flow of Qi and blood, and dietary recommendations to strengthen your spleen and nourish your blood.

In terms of herbal remedies, some commonly used herbs in TCM for menstrual health include:
- Dang Gui (Angelica sinensis): Known for its blood-nourishing properties, it can help regulate the menstrual cycle and improve blood flow.

- Chuan Xiong (Ligusticum chuanxiong): Often used to invigorate blood circulation and alleviate pain.

- Shu Di Huang (Rehmannia glutinosa): A key herb for nourishing blood and supporting kidney health.

While TCM can be effective, it’s also important to maintain communication with your gynecologist, especially if you have concerns about your menstrual health. They can provide insights into any underlying conditions that may need to be addressed, such as hormonal imbalances or other gynecological issues.

In summary, TCM offers valuable insights and treatment options for managing irregular menstruation and reduced flow. A holistic approach that includes both TCM and conventional medicine may provide the best outcomes for your menstrual health. Always ensure that any herbal treatments or acupuncture sessions are conducted under the guidance of qualified practitioners to avoid any potential interactions with medications or underlying health issues.

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