What does it mean when menstrual flow is light and the color is dark?

Light menstrual flow with dark-colored blood may be related to physiological factors, or could result from pathological conditions such as endometritis or uterine fibroids. After identifying the cause, consult a doctor for appropriate medication and treatment, while also enhancing self-care.

I. Physiological Factors

Women who live or work for prolonged periods in cold environments, especially when consuming cold-natured foods, may develop a cold uterus, leading to reduced menstrual flow and dark-colored menstrual blood. It is recommended to maintain a balanced diet, avoid raw and cold foods, and ensure adequate warmth for the abdominal area.

II. Pathological Factors

1. Endometritis

Inflammation within the uterine cavity can interfere with normal shedding of the endometrium, resulting in decreased menstrual flow. In severe cases, this may present as dark menstrual blood and abdominal pain. Patients should consult a physician about using medications such as cefuroxime axetil tablets, azithromycin dispersible tablets, or amoxicillin-clavulanate potassium tablets to control infection and promote recovery.

2. Uterine Fibroids

Larger intramural or submucosal fibroids can enlarge the uterine cavity and endometrial surface area, and impair normal uterine contractions, leading to menstrual irregularities and abnormal flow or color. Depending on the severity, treatments may include myomectomy or hysterectomy. Regular follow-up examinations are recommended after surgery.

Besides the above causes, ovarian cysts may also contribute. During illness, it is important to rest in bed and avoid sexual intercourse to prevent cross-infection.