How to regulate menstruation when the menstrual flow is very little and the color is dark?

Patient's question:

Detailed medical condition and consultation purpose:
I have had two induced abortions in the past. At that time, my menstrual flow was very heavy, lasting about 7 days. Now, my menstrual flow is very light and dark in color. I have had dysmenorrhea since my first menstrual period and it has persisted until now.
Duration and course of the current illness:
My last menstrual period was on October 17th of last month, and this month it was on November 20th, lasting only two days.
Current general condition:
Light menstrual flow, dull color.
Medical history:
I have had two induced abortions.
Previous diagnoses, treatments, and outcomes:
Dysmenorrhea has been treated, but it has never been fully cured.

Doctor's answer:

The causes of reduced menstrual flow in women are commonly the following:
1. Induced abortion:
a. Incomplete abortion: If the abortion is incomplete, residual tissue remains in the uterine cavity, which can lead to reduced menstrual flow in women, or even amenorrhea (absence of menstruation).
b. Excessive abortion: Overly aggressive abortions can damage the endometrial lining of the uterus, resulting in reduced menstrual flow.
c. Improper abortion: Improperly performed abortions may cause cervical stenosis or gynecological infections, leading to abnormal menstruation and reduced menstrual flow.
2. Endocrine disorders: If women suffer from certain gynecological conditions, such as premature ovarian failure, luteal phase deficiency, polycystic ovary syndrome (PCOS), or hypothalamic dysfunction, they may experience reduced menstrual flow.
If menstrual flow is reduced, it is important to seek medical treatment promptly. When reduced menstrual flow is detected, actively identify the underlying cause and receive targeted treatment.

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