What are the reasons for a small menstrual flow?

Patient's question:

I have a normal menstrual cycle, but the amount of blood flow each time is very little, almost gone within a day. When it comes, it's normal. Last year, I worked in a different city for a year, and my menstrual flow decreased, and I also broke out a lot on my face. I visited a Chinese medicine doctor once, who said it was due to blood heat. Now that I have a boyfriend, I want to ask, in my case, will this affect my ability to conceive in the future? Thank you!

Doctor's answer:

Hello, a normal menstrual cycle is generally around 28 days with each period lasting about 5 days, dark red in color, without blood clots, and with an approximate volume of 50ml. The menstrual cycle may advance or delay by no more than one week. There are several reasons that can lead to a decrease in the quality of menstruation, such as endocrine disorders, imbalances in female hormone levels, gynecological infections (e.g., vaginitis, cervicitis, endometritis, pelvic inflammation), tubal adhesions, misuse of contraceptives, weight-loss medications, miscarriage, or IUD insertion, which can cause damage to the endometrium. Gynecological tumors and malnutrition are also causes of menstrual changes. Gynecological diseases are a common condition that can easily occur. During treatment, women need to pay attention to their self-care, especially in terms of hygiene. It is recommended that patients maintain clean external genitalia and change underwear frequently. Finally, we wish female patients a speedy recovery!

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