What is the reason for a small amount of menstrual flow with black material?

Patient's question:

Patient: Female, 23 years old. Menstruation has been light in volume with dark color and brownish discharge since high school. Previous treatment history and effectiveness: No treatment has been administered. Desired help: What causes the light volume and dark color of menstruation?

Doctor's answer:

Hello: There are several reasons that can lead to a decrease in menstrual volume, such as endocrine disorders, gynecological inflammation, changes in the mental environment, anemia, and others. Additionally, it may be related to the condition of the endometrium itself, such as endometrial tuberculosis causing endometrial inflammation or conditions like artificial abortion and curettage leading to thinning of the endometrium. Long-term menstrual volume reduction may result in amenorrhea or infertility. It is recommended that you visit a hospital for a thorough examination to identify the underlying cause and receive targeted treatment to avoid affecting your health. Find the cause and treat it accordingly.

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