What is the reason for less menstrual flow when taking birth control pills?

Patient's question:

I took birth control pills and noticed that my menstrual flow this month is particularly light. What could be the reason for having a light menstrual flow while taking birth control pills?

Doctor's answer:

Hello, a decrease in menstrual flow after taking birth control pills is also caused by the pill. Common side effects of birth control pills include irregular spotting and amenorrhea. Currently, the decrease in menstrual flow is also due to the side effects of birth control pills. You can have a gynecological ultrasound to confirm whether the thinning of the endometrium is causing the decrease in menstrual flow. In that case, you should first stop using birth control pills and carefully observe whether the menstrual flow can gradually increase.

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