How to handle menstrual oligomenorrhea after multiple people flow

Patient's question:

Patient: Female, 32 years old, previously in good health
Started experiencing menstrual irregularity and general discomfort due to multiple miscarriages
The last miscarriage occurred in October 2009, after which the doctor mentioned a small amount of placenta implantation. Since then, she has had menstrual irregularity with a regular 28-day cycle, but each period lasts only 3-4 days with very little dark brown discharge.

Doctor's answer:

There are many reasons that can cause a decrease in menstrual flow, such as endocrine disorders, gynecological inflammation, changes in the mental environment, anemia, and others. Additionally, it may be due to issues with the endometrium itself, such as endometritis, endometrial tuberculosis causing endometrial lesions, or artificial abortion and D&C leading to thinning of the endometrium. The occurrence of female infertility not only affects a woman's physical health but also leads to the emergence of gynecological diseases. Therefore, it is best to undergo routine examinations in the gynecology department of a hospital to identify the cause and receive targeted treatment. In daily life, it is important to drink plenty of water and pay attention to personal hygiene.

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