Patient's question:
Patient Age: Previously had 3 medical abortions. Has given birth to children. After the last medical abortion, it has been more than 2 years since the menstrual flow started to decrease. The color is light, and there is basically no menstrual cramps. It only takes 3 days at most to not need sanitary pads. Desired help: Wants the color to be normal. Wants the flow to return to normal. Worried about affecting future pregnancy. Thank you.Doctor's answer:
Generally speaking, a light menstrual flow is usually caused by low estrogen levels or uterine developmental issues. Estrogen stimulates the fibrosis and thickening of the endometrium to prepare for pregnancy. If pregnancy does not occur, the fibrotic endometrium sheds and peels off, forming menstruation. Low estrogen levels in the body can prevent the endometrium from thickening sufficiently, resulting in less peeling during menstruation. This condition can later affect fertility. It is recommended to identify the underlying cause and treat accordingly. You may also consult a traditional Chinese medicine practitioner, as general treatment often includes herbs that promote blood circulation, resolve blood stasis, and replenish qi and nourish blood. For gynecological patients, in addition to medication, it is also important to pay attention to self-care.