Can irregular menstruation affect having children?

Patient's question:

Female, 28 years old, experiencing reduced menstrual flow after medication-induced abortion, with dark-colored blood. Had an ultrasound performed, and the uterus and adnexa were normal. Visited the hospital, where the doctor prescribed medication for 22 days. On the last five days of the medication, I received an injection of luteinizing hormone-copper. I have been on this treatment for two months, but the results are not very significant. Additionally, I am very eager to have a child now. What could be the reason for my abnormal menstruation, and how should I treat it? I am very anxious and afraid of not being able to have children in the future.
First follow-up question: I had the medication-induced abortion two years ago. I would like to ask the chief physician for an answer. Thank you!

Doctor's answer:

Irregular menstruation can affect a woman's normal fertility, and there are multiple causes that can lead to menstrual irregularities, such as polycystic ovary syndrome (PCOS), etc. It is necessary to undergo timely examinations to rule out the causes of menstrual irregularities, identify the underlying issues, and then provide targeted treatment to restore a normal menstrual cycle.
It is recommended that you first visit a hospital for a color Doppler ultrasound and a six-hormone test. This will help determine the cause of your menstrual irregularities, followed by appropriate treatment.

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