What is the reason for the small amount and dark color of menstruation on the second day?

Patient's question:

Recently, I've noticed that my menstrual flow isn't very heavy, the color is also quite light, and it often comes later. Is this a case of irregular menstruation? Could you please explain: What could cause the menstrual flow to be light and dark on the second day?

Doctor's answer:

Hello, if you have a light menstrual flow, if you have had sexual activity, first take a urine pregnancy test or blood hCG to rule out the possibility of pregnancy. If you are not pregnant, have a gynecological examination to see if there is any inflammation, do a color Doppler ultrasound to check the thickness of the endometrium, and check if there are any abnormalities in the ovaries. If necessary, check the six endocrine tests and three thyroid function tests to see the hormone levels. Only by clarifying the situation can targeted treatment be carried out. For gynecological disease patients, in addition to symptomatic treatment, it is also necessary to pay attention to self-care training, such as paying attention to maintaining cleanliness, avoiding sexual activity, and eating less spicy and irritating foods. Finally, remind female patients to have regular follow-up examinations!

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