Does irregular menstruation affect fertility?

Patient's question:

I always have blood clots and some debris in my menstrual bleeding, and the blood color is quite dark. Previously, my bleeding volume was very small, but this time, for some reason, the bleeding volume is much heavier. Is this normal? Will it affect future fertility?

Doctor's answer:

Hello, the time interval between the first days of two menstrual periods is called a menstrual cycle, which is generally 28-30 days, but sometimes a delay or advance of one week is considered normal. The length of the menstrual cycle varies from person to person, and each woman has her own regularity in her menstrual cycle.
Ovulation occurs on the 14th day before the next menstrual period, but sometimes irregular menstruation does not significantly affect pregnancy because it also has its own regularity. The ultrasound report says the endometrium is thin because it is not yet the time for ovulation. It is recommended that you stabilize your emotions and relax.

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