Less blood during menstruation

Every normal woman in life will experience menstruation, and menstruation is a difficult time for female friends. Most female friends will feel uncomfortable when they have their period. Some women have less menstrual blood during menstruation. This phenomenon is very abnormal. Frequent less menstrual blood must be checked. So what should I do if there is less blood during menstruation?

Be careful if your menstrual blood volume is too small

If the menstrual cycle is basically normal but the menstrual flow is significantly reduced, or even stops with a few drops, or the menstrual period is shortened to less than two days and the menstrual flow is also small, it is called oligomenorrhea (small menstrual flow), also known as scanty menstruation. It is generally believed that menstrual volume less than 30 ml is equivalent to scanty menstruation in Western medicine.

Under normal circumstances, the amount of menstrual bleeding is about 60 ml. Less than 30 ml is too little, and more than 80 ml is too much. How do you know if your menstrual flow is normal? Sanitary napkins can help. Generally speaking, the dosage for each cycle should not exceed two packs (10 tablets/pack). If more than three packs are used and each tablet is soaked, it is menorrhagia; if less than one pack is used each time and the amount of blood on each tablet is very small, it is oligomenorrhea. Both situations are abnormal.

Pressure from curettage surgery is a trigger

There are many factors that lead to decreased menstrual volume, but the most common and prominent problem in clinical practice today is that too many curettage and dilation surgeries are performed. Menstruation is the process of endometrial shedding, and curettage will cause mechanical damage to the endometrium. If the basal layer of the endometrium is completely damaged and the anterior and posterior walls of the uterine cavity are completely adhered, the patient may become completely amenorrhea; if part of the basal layer still exists, it will manifest as a decrease in menstrual volume.

In fact, modern women lead stressful lives. After giving birth, many women have to work outside in addition to taking care of the children and doing housework. The high pressure, coupled with reduced sex life and insufficient hormone secretion, increases the chance of a reduced menstrual flow. The second reason is that due to open sexual attitudes and frequent abortions, the endometrium is injured and adhered, resulting in a decrease in menstrual volume. Some patients even experience amenorrhea due to cervical obstruction. The third is premature ovarian decline. Women whose ovaries decline prematurely or are approaching menopause will have less menstrual blood and often experience progesterone deficiency, meaning they will have a small amount of bleeding for a few days before their actual menstruation.

There is no necessary link between reduced menstrual flow and infertility

When the amount of menstrual flow decreases, many women worry about whether it will affect fertility or accelerate aging. Experts say that there is no necessary connection between a decrease in menstrual flow and infertility. However, the lack of a necessary connection does not mean that there is no impact. Whether it will affect fertility depends on the specific reasons for the decrease in menstrual volume. If a woman's menstruation decreases due to multiple abortions, which damages the endometrium and causes uterine adhesions, her chances of infertility will increase. Likewise, if a woman experiences decreased menstruation due to PCOS, she may also be more susceptible to infertility.

Items to be checked for scanty menstruation

If menstrual bleeding is too scanty, a blood test will usually be performed, and the follicle-stimulating hormone, luteinizing hormone, estrogen, prolactin, and progesterone will be checked at the same time to determine whether the problem is with the ovarian or pituitary hormones.

Secondly, measure the basal body temperature and make a chart to observe whether ovulation has occurred or whether progesterone deficiency occurs. Ultrasound examination can also be performed to check the thickness of the endometrium and whether ovulation has occurred. If the cervix is ​​blocked due to uterine adhesions, a contraceptive device can be inserted after separation with a hysteroscope, followed by hormone treatment for 3 months. If progesterone is insufficient, progesterone can be supplemented or ovarian treatment can be used.