Why menstrual flow becomes less

Less menstrual flow may be related to endocrine disorders, endometrial damage, ovarian hypofunction, excessive mental stress, polycystic ovary syndrome and other factors. It is recommended to seek medical examination promptly and provide targeted treatment after the cause is identified.

1. Endocrine disorders

Staying up late for a long time, excessive dieting or obesity may lead to hypothalamic-pituitary-ovarian axis dysfunction and insufficient estrogen secretion. Symptoms include irregular menstrual cycles, gradual decrease in menstrual flow, and may be accompanied by fatigue and hair loss. You need to adjust your work and rest routine, maintain a balanced diet, and use estradiol valerate tablets, progesterone capsules and other drugs as directed by your doctor if necessary.

2. Endometrial damage

Multiple induced abortions, uterine cavity operations, or severe infections may damage the basal layer of the endometrium, leading to endometrium thinning and intrauterine adhesions. Typical symptoms include a sharp decrease in menstrual flow or even amenorrhea, which may be accompanied by periodic abdominal pain. The diagnosis needs to be confirmed through hysteroscopy. If the adhesion is mild, an intrauterine device can be placed to prevent re-adhesion. If the adhesion is severe, separation of intrauterine adhesions is required.

3. Decreased ovarian function

Aging, chromosomal abnormalities, or autoimmune disease may lead to decreased ovarian reserve and lower estrogen levels. It is common in women under 40 years old and manifests as oligomenorrhea and reduced menstrual flow, which may be accompanied by hot flashes and insomnia. It can be evaluated through anti-Mullerian hormone testing, and hormone replacement therapy such as estradiol and dydrogesterone tablets can be used as directed by the doctor.

4. Excessive mental pressure

Emotional stress such as long-term anxiety and depression can inhibit the secretion of gonadotropin-releasing hormone and affect follicle development. There may be a sudden decrease in menstrual flow, often accompanied by headaches and insomnia. It is recommended to relieve stress through mindfulness training and psychological counseling, and if necessary, take short-term Chinese patent medicines such as Wuji Baifeng Pills and Xiaoyao Pills for conditioning.

5. Polycystic ovary syndrome

Insulin resistance and hyperandrogenemia lead to follicular development disorders and insufficient endometrial hyperplasia. It manifests as oligomenorrhea and light menstrual flow, which may be accompanied by hirsutism and acne. The diagnosis needs to be confirmed through ultrasound and hormone examination. You can use ethinyl estradiol and cyproterone tablets as directed by your doctor to regulate the cycle, and use metformin tablets to improve metabolism.

In daily life, you should pay attention to maintaining a regular schedule, avoid excessive dieting or overeating, and perform aerobic exercise such as brisk walking, swimming, etc. 3-5 times a week. Avoid strenuous exercise and cold or cold foods during menstruation, and drink moderate amounts of brown sugar and ginger tea to warm the uterus. If there is a significant decrease in menstrual flow for three consecutive menstrual cycles, or is accompanied by severe discomfort symptoms, it is recommended to see a gynecologist as soon as possible for an ultrasound examination and six sex hormone tests.