What is the reason for a decrease in menstrual flow at the age of 31?

Patient's question:

I'm quite busy with work and under a lot of pressure. Over the past two months, my menstrual period has been a bit lighter. Why is it that at 31, my menstrual flow is reduced?

Doctor's answer:

According to the symptoms you described, if accompanied by a decrease in menstrual flow, this is a type of irregular menstruation. If the menstrual flow decreases again, accompanied by symptoms such as dysmenorrhea or others, should we consider whether there is recurring anemia or other diseases causing this condition? You can have an examination of six endocrine hormones at a local hospital, or undergo an examination of the uterine appendages to see if it is caused by endometritis.

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