I want to know what causes a light menstrual flow

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I also feel extremely cold and afraid of the cold. What could be the reason for suddenly having a reduced menstrual flow?

Doctor's answer:

A small amount of menstrual flow cannot be solely attributed to a disease. Menstruation is a manifestation of the periodic shedding and peeling of the endometrium. The periodic changes of the endometrium are induced by the periodic changes of the ovaries. The menstrual cycle is regulated by a complex neuroendocrine system, involving the central nervous system, pituitary gland, ovaries, and uterus. Any disruption in any of these links can interfere with menstruation. Generally, conditions such as the thickness of the endometrium or ovarian aging can lead to a reduced amount of menstrual flow. This addresses the question, "What are the reasons for my decreased menstrual flow in the past two months?" and I hope it is helpful to you. Wishing you good health!

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