Is a small menstrual flow a sign of insufficient qi and blood?

Patient's question:

I usually get cold easily, my complexion isn't very good, and I have many spots. Especially during my period, it's always late, the color is dark, and the amount is very little. May I ask: Is a small menstrual flow a sign of insufficient qi and blood?

Doctor's answer:

Hello: Under normal circumstances, the amount of blood loss during a menstrual period is approximately 60 milliliters, with less than 30 milliliters being considered too little and less than 80 milliliters being excessive. Generally, a low menstrual flow is due to low estrogen levels or uterine developmental issues. Estrogen can affect the fibrosis and thickening of the endometrium, preparing it for pregnancy. If pregnancy does not occur, the fibrotic endometrium peels off and breaks, forming the menstrual flow. Low estrogen levels in the body can cause the endometrium to not thicken sufficiently, resulting in less peeling during menstruation. This condition can later interfere with pregnancy. It is recommended that you identify the underlying cause and receive targeted treatment! Wishing you good health! B gynecological diseases are a gynecological condition that is prone to occur. During medication, women need to pay attention to their self-care, especially in terms of nursing care.

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