What are the reasons for thin endometrium and reduced menstrual flow?

Patient's question:

In the second half of 2017, during a thorough examination, it was found that the right side was suspected to be a functional cyst, and a painless induced abortion was performed. Approximately one month later, the menstrual cycle (around 6-7 days) and menstrual flow were both normal. Until January 2019, the menstrual period started normally for the first 3 days, followed by a small amount of brown discharge for the remaining days. An ultrasound revealed an endometrial thickness of 3mm, retroverted uterus, and a right functional cyst measuring 32mm32mm. The ultrasound did not show any uterine adhesions or abnormal ovarian menopausal volume.
Hello, is it due to the induced abortion that the endometrium is thin? Is it necessary to have a six-hormone test?

Doctor's answer:

If there are many times of or post-abortion uterine clearing, it may lead to endometrial thinning, because during the abortion process, the artificial abortion negative pressure aspiration procedure destroys the functional layer of the uterus and many decidua associations. However, it can generally gradually recover to the normal range. It is recommended to do a few sex hormone 6 tests. Then, treatment can be based on the specific cause. Gynecological diseases are a common gynecological condition, and during medication, women need to pay attention to their own care.

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