Does a small amount of menstrual flow and a small uterus affect pregnancy?

Patient's question:

I am 25 years old, and I have had very little menstruation for two years. When I did have my period, it only lasted for two days, and the flow was extremely light—never filling a pad. Two years ago, an ultrasound showed that my uterus was of normal size, but I never did anything about it. Recently, I started herbal medicine regulation, and the ultrasound indicated that my uterus is slightly smaller? Today is the 9th day of my period, and there is only a little brown discharge. This month, my period has been unusually long, as it usually lasts only 4-6 days. The ultrasound also showed poor bladder filling. Could it be that the ultrasound was not accurate? I have also had six hormone tests, which revealed low progesterone. Could this interfere with getting pregnant? I have never given birth and have not had an abortion.

Doctor's answer:

If the amount has always been low, it does not necessarily mean there is a problem with your body, but low progesterone can interfere with delivery. After adulthood, the size of the uterus will not change significantly. You can find a better hospital to re-examine. If you have a plan to conceive, you can have a pre-pregnancy check-up. Do some physical conditioning, maintain a regular diet and lifestyle, and avoid cold and spicy foods during menstruation while paying attention to keeping warm.

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