Does menstrual irregularity affect fertility?

Patient's question:

I am 20 years old this year, but as I get older, I've noticed that my menstrual periods have become particularly infrequent, and the number of days hasn't been as many as before. I'm worried that infrequent menstruation might affect my ability to have children in the future. So, I want to ask: does menstrual irregularity affect fertility?

Doctor's answer:

If the menstrual flow is too little, it may affect fertility because the reasons that lead to a small menstrual flow may have a certain impact on follicular development. In addition to implantation, conditions such as anemia, intrauterine adhesions, or abnormal sexual hormone secretion can also affect delivery. It is better to carefully examine the specific cause. Blood tests can be conducted, and it is also necessary to check the cervix and sexual hormone secretion. If it is anemia, the impact is relatively small, and some iron supplements can be prescribed to gradually adjust it.

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