Is it normal for the first menstrual flow after childbirth to be less?

Patient's question:

After the crowd, the first menstrual period was less than usual. Three days after the menstrual period was clean, I went to the hospital for examination. It was suggested that the uterine cavity line was unclear, the intrauterine echo changed, and the bilateral adnexa had polycystic changes. What is the matter?

Doctor's answer:

Generally speaking, a light menstrual flow is usually caused by low estrogen levels. Estrogen stimulates the proliferation and thickening of the endometrium, preparing it for pregnancy. If pregnancy does not occur, the thickened endometrium sheds and bleeds, forming a menstrual period. Low estrogen levels in the body can lead to insufficient endometrial thickening, resulting in less bleeding during menstruation. For your condition, it is recommended to undergo an endocrine examination to check whether your hormone levels are normal.

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