What are the reasons for a small menstrual volume at 13 years old?

Patient's question:

What are the reasons for a small menstrual volume at 13 years old? Is it because the uterus is not developed enough? Will it be better when it gets bigger?

Doctor's answer:

Two years before menarche, incomplete development of the endocrine axis growth and development may lead to incomplete uterine development, which may result in abnormal menstrual flow, such as excessive menstrual bleeding, reduced menstrual flow, and abnormal bleeding intervals. Reduced menstrual flow has little impact on the body and does not require treatment; it will return to normal in the future. If the menstrual flow is excessive, it may lead to anemia, increased susceptibility to illness, and frequent infections, generally requiring active treatment.

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