What is the reason for less menstrual flow, dark red color, and lower back pain?

Patient's question:

Menstrual volume is small with dark red color accompanied by lower back pain. This time it has been continuous for 20 days. After taking medication for a week, the period came again, and the symptoms were the same as before.
Previous treatment history and effectiveness: The medication took effect after one day, but after one week, the period came again, and the symptoms were the same as before.
What kind of help do you want: What is going on?

Doctor's answer:

A small amount of menstrual flow is generally caused by low estrogen levels. Estrogen can stimulate the fibrosis and thickening of the endometrium, preparing it for conception. If conception does not occur, the fibrotic endometrium peels off, forming menstruation. Low estrogen levels in the body can lead to insufficient endometrial growth, resulting in less peeling during menstruation. For your condition, it is recommended to undergo a thorough endocrine examination to check the hormonal levels in your body. Gynecological diseases are a common condition that can easily occur. During medication, women should pay attention to their self-care, especially in terms of hygiene. It is advised that patients avoid sexual activity during treatment and maintain good hygiene. Wishing female patients a speedy recovery!

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