Is a small menstrual flow a disease?

Patient's question:

The day of menstruation is very regular each month, with a cycle of about one week. There are no significant pain symptoms. I have had one natural miscarriage and had a D&C procedure afterward. I also had a painless abortion under visual guidance, which took only a few minutes. After the painless abortion, there was no bleeding. Now, if there is bleeding, is it because something went wrong? Additionally, does uterine retroversion affect fertility?
Medical History and Treatment Effects:
I haven’t seen a doctor recently, but I’m concerned about my condition. What medicine can help me recover?
Laboratory and Examination Results (Please create a medical record below):
I want to have a child—does this affect me? What kind of medicine should I take to support treatment?

Doctor's answer:

Hello: There are several reasons that can lead to a decrease in menstrual flow, such as endocrine disorders, imbalances in female hormone levels, and gynecological infections, such as vaginitis, cervicitis, endometritis, and pelvic inflammatory disease, as well as conditions like tubal adhesions. It is best to promptly visit a hospital for a thorough examination to identify the underlying cause and take targeted measures. Gynecological diseases are conditions that are prone to occur, and during treatment, women need to pay attention to their own care, especially in terms of hygiene. It is recommended that patients pay close attention to maintaining external genital cleanliness and changing underwear frequently. Finally, we wish female patients a speedy recovery.

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