What are the reasons for dark menstrual flow?

Patient's question:

Hello, could you please ask about this disease? Why is the menstrual period normal but the amount is very dark?

Doctor's answer:

Menstruation is usually caused by the following reasons: endocrine disorders such as abnormal hormone secretion or anovulation; additionally, uterine endometrium abnormalities such as endometritis or uterine adhesions caused by artificial abortion or endometrial ablation due to endometriosis. In the uterus, endometrial adhesions may occur. When menstruation occasionally increases, it is often related to factors such as mental stress, fatigue, weight loss, and malnutrition. Once the menstrual volume persists, it is important to undergo a thorough examination to confirm the cause of the symptom and seek treatment.

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