Almost no bleeding on the first day of menstruation

There is almost no bleeding on the first day of menstruation because the menstrual cycle has just begun and the body's progesterone and estrogen withdrawal are slow. The blood vessels in the uterine wall do not contract frequently, the functional layer of the uterine wall does not fall off significantly, and there may be a small amount of vaginal bleeding or brown discharge.

This situation is normal. As long as the menstrual cycle is normal and the menstrual flow on the second and third days is normal, maintaining around 30-80ml, no special treatment is required. Pay attention to hygiene during menstruation, avoid sitting baths, and strictly prohibit sexual intercourse to avoid urinary tract infections.

During menstruation, you should pay attention to keeping warm and avoid catching cold, otherwise it will cause dysmenorrhea symptoms. Eat light food as much as possible, strictly prohibit smoking and drinking, avoid spicy food, irritating ingredients, avoid cold food, and avoid excessive menstrual flow. Pay attention to maintaining a happy mood and avoid excessive mental stress.

Reasons for low menstrual flow

1. Uterine hypoplasia

Menstruation is the shedding and bleeding of the uterine wall that occurs with the change of the uterine and ovarian cycle. If the uterus is underdeveloped, such as the uterus is not large or is deformed, only a small amount of uterine wall will fall off in each menstrual cycle, resulting in a small amount of menstrual flow. In addition, endometrial tuberculosis causing endometrial degeneration or curettage causing damage to the uterine wall can also lead to scanty menstruation or even amenorrhea.

Menstruation is the shedding of the uterine wall and bleeding that occurs as the uterine and ovarian cycles change.

2. Abnormal growth hormone metabolism

Estrogen can stimulate the proliferation of women's uterine wall. If the body's hormone secretion is abnormal, the proliferation of the uterine wall will not reach the required thickness, resulting in less menstrual flow. Excessive dieting, excessive work and rest time, bad mood, urinary system diseases, etc. will affect the female endocrine environment, causing abnormal hormone secretion and small menstrual flow.

3. Anovulatory menstruation

Women who do not ovulate will still have their periods, which is medically called "anovulatory menstruation." This is different from normal menstruation and belongs to the category of "multifunctional abnormal uterine bleeding". The characteristics of this type of menstruation are irregular time and very little blood.

Symptoms of low menstrual flow

1. Qi and blood deficiency type

The menstrual blood is light in color and contains no blood clots. At the beginning of menstruation, women may experience dizziness, palpitations, fatigue, sallow complexion, and a feeling of emptiness in the lower abdomen. The tongue color is lighter than that of ordinary people, and the pulse is subtle.

2. Kidney deficiency type

The color of menstrual blood is light red or even dark red, and the texture is thin. The menarche is accompanied by symptoms such as sore waist and weak knees, heel pain, tinnitus, dizziness, and frequent urination at night. The color of the tongue is darker than that of normal people, and the pulse is weak or slow.

The color of menstrual blood is light red or even dark red, and the consistency is thin. The menstruation is accompanied by back pain and knee weakness.

3. Blood stasis type

The menstrual blood is purple-black in color with blood clots, and is often accompanied by lower abdominal pain. The abdominal pain symptoms will be relieved when the blood clots are discharged. The tongue color becomes dark purple, or there are small bruises, and the pulse is thin or stringy.

4. Damp phlegm type

The menstrual blood is light red in color and thick like phlegm. It is more common in obese women and is often accompanied by symptoms of chest tightness, shortness of breath, nausea and vomiting. The tongue is light red with tooth marks on the edge of the tongue, the tongue coating is white and greasy, and the pulse is slippery.

How to take care of light menstrual flow

1. Pay attention to your diet

About a week before the menarche, women should avoid eating cold and spicy foods, drink more water, and eat foods rich in cellulose to maintain smooth bowel movements. You can nourish your body by drinking brown sugar water when you have your period.