What are the reasons for light, thin, and pale menstrual flow?

Patient's question:

I have very little menstrual flow when I have my period, and the color is also very light. What is the reason for the little, thin, and pale menstrual flow?

Doctor's answer:

The reduced menstrual flow is likely caused by thin endometrium. Check if there is a history of miscarriage or D&C. If not, you can undergo a six-hormone test and a gynecological ultrasound to determine the cause. If there is a history of miscarriage, it is related to the miscarriage. You can first wait and see, allowing symptoms to gradually improve. If the menstrual cycle is irregular, estrogen needs to be taken to thicken the endometrium and increase menstrual flow.

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