What are the reasons for normal menstruation but less amount?

Patient's question:

Here is the translation of the provided text into English:
"Ever since June last year when I had my third miscarriage, it's been like this and hasn't improved......"

Doctor's answer:

Hello, if you have a light menstrual flow, there are several possible reasons, such as qi and blood deficiency, blood stasis, or abnormal hormone secretion. These can all lead to a reduced menstrual flow and are not harmful to your health. It is recommended to visit a hospital for an ultrasound examination to check for any abnormalities in the uterus and adnexa. You can also have a six-item sex hormone test on the third day of your period to see if your hormone levels are normal. Avoid eating cold foods before and during your period, and pay attention to keeping warm.

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