What is the reason for the advance of menstruation with a small amount?

Patient's question:

Detailed medical condition and consultation purpose: Menstruation always comes earlier, sometimes 5 or 6 days early, sometimes 7 or 8 days early; the first two days are okay, but by the third day, it stops, and very little is left by the fourth day. The color is very dark. Is there any problem if you want to have children?
Medical history: Had an induced abortion.

Doctor's answer:

The main factors affecting early menstruation include endocrine disorders, uterine diseases, gynecological inflammation, psychological factors, emotional fluctuations, environmental changes, drug effects, fatigue, excessive stress, and nutritional status, etc. For example, taking birth control pills, imbalances in certain trace elements in the body, or unstable emotions can all cause early menstruation. Long-term travel away from home can also lead to menstrual disorders because menstruation is influenced by time and environment. Unstable living conditions, just like without sexual activity, can also result in menstrual disorders. Therefore, once early menstruation is detected, it should not be taken lightly. It is recommended to have an ultrasound and six sex hormone tests at the hospital to identify the cause before symptomatic treatment.

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