What problems are there with a small menstrual flow?

Patient's question:

26 years old, with a history of low menstrual flow for several years, with a regular cycle around 28 days, which I never paid attention to. Now, I've been trying to conceive intermittently for a year without success and have started to panic. I went to the hospital for estrogen and ultrasound tests. The ultrasound showed everything normal, and the estrogen levels were within the normal range. I had an abortion in 2006 and once used vaginal wipes during my period in 2007, which led to urethritis and postmenstrual bleeding. I'm not sure if it's related to that.
What kind of help: I have reviewed your estrogen and ultrasound results, and both are normal. Your cycle is also normal, but why is the flow still low? What further tests are needed? You and your partner have been trying to conceive for a year without success.

Doctor's answer:

Hello: Based on your condition, a decrease in menstrual flow is a clinical manifestation of irregular menstruation. Since menstrual disorders can affect the growth and development of follicles and lead to ovulatory dysfunction, they can directly result in infertility. However, this is not the only cause of infertility. Both partners must have the basic conditions for conception. Childbirth is a very complex physiological process that requires the following basic conditions: normal ovulation from the ovaries, patent and functional fallopian tubes, a receptive endometrium for implantation of the fertilized egg, and normal male sperm and semen. Any disruption in these stages can lead to infertility.
It is recommended to visit a specialized hospital for a thorough examination to identify the underlying cause and receive appropriate treatment. The recurrence of gynecological diseases poses a serious threat to women's health. Patients should pay attention to follow-up examinations after menstruation, maintain a light diet, and avoid spicy and irritating foods.

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