Why is the menstrual flow black when it's light?

Patient's question:

Two years ago, I had an induced abortion, and after that, my menstrual periods became very infrequent and dark. Later, I went to the hospital for a thorough examination, and the doctor said there was nothing wrong with me, but they prescribed medication. Last June, I had another minor abortion procedure. After that, on the first and third days of my period, the blood was red, but from the third to the fifth day, it was black, looking like a sticky substance without blood. Additionally, my menstrual flow has always been very light.
Past treatment and effectiveness: No significant treatment has been administered.
Help needed: How should this be treated? My boyfriend and I are getting married and want to have children—is this affecting my ability to conceive?

Doctor's answer:

Some reasons that can lead to a decrease in menstrual volume include endocrine disorders, gynecological inflammation, changes in the mental environment, cold exposure, anemia, and others. Long-term menstrual volume reduction may lead to amenorrhea or infertility. It is recommended to visit a hospital for a thorough examination to identify the cause and actively treat the gynecological condition. Gynecological diseases are prone to occur, and during medication, women need to pay attention to their own care, especially in terms of hygiene. It is advised that patients pay close attention to vaginal hygiene and maintain a light diet as the foundation. Finally, we wish female patients a speedy recovery.

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