Does a small uterus affect fertility?

Patient's question:

Hello! I would like to ask if a small uterus can affect fertility. My uterus is relatively smaller than that of ordinary people, and I am very scared. I just got married and haven't had children yet, worrying that a small uterus will affect fertility.

Doctor's answer:

The size of the uterus does not change with the cycle.
Does a small uterus affect fertility—Based on your description, your wife's uterus is slightly smaller than the normal range but otherwise develops normally. Generally, it does not affect pregnancy. Moreover, since you mentioned she had a miscarriage and undergone a D&C procedure before, it indicates that her fertility conditions are likely still viable.
Is a 3-4 day menstrual period normal—The current issue may be due to multiple D&C procedures damaging the endometrium, leading to reduced menstrual flow. A 3-4-day cycle is generally normal, but if no other problems are detected, it is important to regulate the menstrual cycle to restore it to its previous standard.
A small uterus causing a shorter menstrual period—No, a small uterus is unrelated to the endometrium. Multiple miscarriages can cause the endometrium to thin, leading to reduced menstrual flow. The menstrual period is formed by the shedding of the endometrium expelled from the body each month.

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