What are the reasons for less menstrual bleeding?

Patient's question:

Hello:
What are the causes of hypomenorrhea?
  A menstrual cycle is considered normal if the bleeding duration is less than 2 days and the volume is less than 20 milliliters. Hypomenorrhea, like menorrhagia, is an abnormal condition. The causes of hypomenorrhea are similar to those of amenorrhea, but the extent differs. The main reasons are as follows:
  (1)Physiological: Due to genetic or environmental factors.
  (2)Pathological:
  ① Congenital uterine malformation, where the uterus is very small, with only a minimal amount of

Doctor's answer:

Menstrual volume may be reduced due to reasons related to the endometrium itself, such as endometritis, endometrial tuberculosis causing endometrial lesions, or thinning of the endometrium due to artificial abortion scraping. Additionally, factors like poor constitution, dieting, anemia, qi and blood deficiency, and endocrine disorders can contribute to this. From a traditional Chinese medicine perspective, reduced menstrual volume is often associated with deficiency of the liver and kidneys, as well as insufficient qi and blood.
Based on your description, as I cannot conduct a face-to-face consultation or take your pulse, a preliminary assessment suggests it may be related to qi and blood stagnation. I recommend consulting a traditional Chinese medicine practitioner. You may also consider taking Xuefu Zhuyu Pills and Wuji Baifeng Pills for regulation. It is best to seek medical advice and diagnosis before starting any treatment.

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