Patient's question:
Why is my menstrual period only two days this time, and it's even only one day more. What should I do? What is considered normal?Doctor's answer:
Hello:A normal menstrual cycle with bleeding lasting less than 2 days and a flow volume of less than 20 milliliters is typically considered hypomenorrhea. Hypomenorrhea, like menorrhagia, is an abnormal condition. The causes of hypomenorrhea are similar to those of amenorrhea, differing only in degree. The main reasons are as follows:
（1）Physiological: Due to genetic or environmental factors.
（2）Pathological:
① Congenital uterine underdevelopment, where the uterus is small and only a small amount of endometrium is shed, resulting in a reduced menstrual flow.
② Ovarian hypoplasia: In endometrial cells, there is a special type of granule called a lysosome, which is related to menstrual blood volume and bleeding duration. If estrogen and progesterone levels are high, lysosome complexes form well, leading to more bleeding and a longer bleeding duration. Conversely, if the ovaries are underdeveloped and sex hormone production is low, lysosome complexes form poorly, resulting in less bleeding and a shorter bleeding duration.
③ Endometrial tuberculosis: The endometrium is damaged by tuberculosis bacteria, forming scars, which reduces menstrual flow.
④ Married women may experience hypomenorrhea after uterine scraping, especially after multiple artificial abortions, which cause endometrial trauma and lead to uterine adhesions. Mild cases result in hypomenorrhea, while severe cases can lead to amenorrhea.
Hypomenorrhea should be diagnosed to identify the cause and treated promptly.
Chinese herbal medicines for treating hypomenorrhea include:
① Gynecological Yangrong Pills: Take 6 grams per dose, 3 times daily (suitable for those with qi and blood deficiency).
② Nübao Tablets: Take 4 tablets per dose, 3 times daily (suitable for those with blood deficiency).
③ Ziluo Ointment,