Patient's question:
I have been to the hospital for a check-up, and the doctor said it was normal.Doctor's answer:
A normal menstrual cycle with bleeding lasting less than 2 days and a volume of less than 20 milliliters is typically considered hypomenorrhea. Hypomenorrhea, like menorrhagia, is an abnormal phenomenon. The causes of hypomenorrhea are similar to those of amenorrhea, differing only in degree. The reasons are generally as follows:（1）Physiological: Due to genetic or environmental factors.
（2）Pathological:
① Congenital uterine underdevelopment, where the uterus is small and only a small amount of endometrium is shed, resulting in a low menstrual flow.
② Ovarian hypoplasia: In endometrial cells, there is a special type of granule called a lysosome, which is related to menstrual blood volume and bleeding duration. If estrogen and progesterone levels are high, lysosome complexes form well, leading to heavier bleeding and a longer bleeding duration. Conversely, if the ovaries are underdeveloped and sex hormone production is low, lysosome complexes form poorly, resulting in less bleeding and a shorter bleeding duration.
③ Endometrial tuberculosis: The endometrium is damaged by tuberculosis bacteria, forming scars, which reduces menstrual flow.
④ Married women may experience hypomenorrhea after a D&C procedure, especially after multiple induced abortions, which cause endometrial trauma and lead to uterine adhesions. Mild cases result in hypomenorrhea, while severe cases may lead to amenorrhea.
Hypomenorrhea should be diagnosed to identify the underlying cause and treated promptly.
Chinese herbal medicines for treating hypomenorrhea include:
① Gynecological Yangrong Pills: Take 6 grams per dose, 3 times daily (suitable for those with insufficient qi and blood).
② Nübao Tablets: Take 4 tablets per dose, 3 times daily (suitable for those with blood deficiency).
③ Ziluo Ointment: Take 50 grams per dose,