What are the reasons for menstruation lasting only two days with very little flow?

Menstruation lasting only two days with reduced flow may be related to physiological factors, or could be caused by pathological conditions such as polycystic ovary syndrome (PCOS) or uterine fibroids. After identifying the underlying cause, consult a doctor to determine appropriate treatment medications; in severe cases, surgical intervention may be considered.

1. Physiological Factors

For example, engaging in intense physical exercise during menstruation or consuming cold beverages may easily disrupt hormonal balance, leading to decreased menstrual flow and symptoms such as abdominal pain. It is recommended to strengthen self-care during menstruation, maintain body warmth, manage diet appropriately, and recovery can occur naturally with proper adjustment.

2. Pathological Factors

1) Polycystic Ovary Syndrome (PCOS)

This condition is associated with environmental and genetic factors, resulting in elevated levels of androgens and hormonal imbalance. Main symptoms include prolonged menstrual cycles, reduced menstrual flow, and abdominal pain. Patients may take medications such as combined oral contraceptives, dydrogesterone tablets, or Shaofu Zhuyu Granules under medical guidance to regulate the menstrual cycle.

2) Uterine Fibroids

When fibroids develop in the uterus, they may interfere with normal shedding of the endometrium, affecting the menstrual cycle and causing reduced menstrual flow and fatigue. Once diagnosed, patients should follow their doctor's advice and consider treatments such as laparoscopic surgery. Regular follow-up visits at the hospital are necessary after surgery.

Other possible causes include conditions like pelvic tuberculosis. Patients should cooperate with medical treatment and maintain a regular, healthy diet.