Wondering what causes a light menstrual flow?

Patient's question:

It's like there's no period at all, only a tiny bit, hardly any need for sanitary pads. When using toilet paper in the restroom, I can only notice a slight amount of blood. What's going on? Am I pregnant?
Medical history and treatment:
No treatment has been administered.
Desired help:
Using toilet paper in the restroom to notice a slight amount of blood. What's 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 abdominal 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 failure, so it should be chosen with caution. After laparoscopic surgery, there is a 50% chance of recurrence, and 1/3 of patients require a second surgery. 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 a uterine fibroid only takes 1-2 hours, and after treatment, a 30-minute rest is sufficient to go home. All costs, including examination fees, are around 10,000 yuan). The treatment can be done on an outpatient basis.

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