How to treat menstrual volume deficiency and lower back pain

Patient's question:

Detailed medical condition and consultation purpose: Due to irregular menstruation, an IUD was removed in October 2004, and the effect was quite good. In the past three months, there has been a decrease in menstrual flow, with it almost stopping after about two days, followed by lower back pain on the third day, which disappeared after the period ended.
Duration and course of the current illness:
About three months
Current general condition: Lower back pain on the third day of menstruation
Medical history: None
Previous diagnoses and treatment history and outcomes: None
Ancillary tests: None
Other: None

Doctor's answer:

There are many reasons that can cause a decrease in menstrual flow, such as endocrine disorders, gynecological inflammation, and a low volume of menstrual blood. This is often due to low estrogen levels, which can stimulate the proliferation and thickening of the endometrium in preparation for pregnancy. If pregnancy does not occur, the thickened endometrium will shed and bleed, forming a menstrual period. Low estrogen levels in the body can lead to insufficient endometrial thickening, resulting in less bleeding during menstruation. For your condition, it is recommended to undergo an endocrine examination to check whether the hormone levels in your body are normal.

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