What is the reason for the gradual decrease in menstrual flow?

Patient's question:

Patient Age: 24
24 years old, menstrual volume is small, I have a cold constitution, very painful on the first day, the volume decreases on the second day, no longer painful, the menstrual volume gradually decreases, is this abnormal? How should it be treated?
Duration of this illness and its persistence: half a year

Doctor's answer:

There are many reasons that can cause reduced menstrual volume, such as endocrine disorders, gynecological inflammation, changes in the mental environment, anemia, and so on. Additionally, it may be related to the condition of the endometrium itself, such as endometrial tuberculosis causing endometrial lesions or artificial abortion, scraping the uterine cavity leading to thinning of the endometrium, etc. Long-term reduced menstrual volume may result in amenorrhea or infertility. It is recommended to visit a hospital for examination to identify the cause and actively treat it accordingly to avoid affecting your health. Find the cause and treat it specifically.

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