What are the reasons for brownish menstrual blood?

Patient's question:

This year, my menstruation turned coffee-colored, and the amount was relatively small. This time, it was all coffee-colored; there was a little during the day, but none at night.

Doctor's answer:

Hello, there are many reasons that can cause reduced menstrual flow, such as medications, endocrine disorders, gynecological inflammation, D&C procedures, or multiple induced abortions. Additionally, it could be due to issues with the endometrium itself. Long-term reduced menstrual flow may lead to amenorrhea or infertility, and it is important to consider visiting a hospital for timely examination to identify the cause. After the cause is identified, active treatment should be pursued. Taking Chinese herbal medicine and deer placenta ointment can be very effective.

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