What causes a light menstrual flow?

Patient's question:

The menstruation is almost the same as if it didn't happen, with only a little bit of blood. Sanitary pads are hardly used. When using toilet paper to wipe in the toilet, it can be seen that there is a bit of blood. What is going on? Am I pregnant? I have never had this situation before. Medical history and treatment effectiveness: No treatment has been received. What kind of help do you want: When using toilet paper to wipe in the toilet, it can be seen that there is a bit of blood. What is going on? Am I pregnant?

Doctor's answer:

There are many ways to treat uterine fibroids, with traditional surgical treatment being the most common. This includes total hysterectomy, subtotal hysterectomy, myomectomy, uterine artery embolization, and ultrasound ablation, among others. Surgical approaches include open surgery with large incisions, hysteroscopy, or laparoscopy. Hysterectomy can lead to loss of the uterus, abdominal scars, vaginal dryness, decreased libido, osteoporosis, perimenopausal symptoms, and ovarian dysfunction. It is recommended to choose this option cautiously.
There is a 50% recurrence rate after laparoscopic surgery, and 1/3 of patients may require a second operation. There is also a risk of severe bleeding and damage to surrounding organs during the procedure. Currently, the most ideal treatment for uterine fibroids is non-invasive ultrasound ablation. This method does not require surgery or anesthesia, preserves the uterus, and eliminates surgical and anesthetic risks. The procedure is short, recovery is quick, and the overall cost is relatively low (for example, treating uterine fibroids only takes 1-2 hours, and patients can return home after resting for half an hour post-treatment. All fees, including examination costs, are around 10,000 yuan). This treatment can be performed on an outpatient basis.

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