What is the reason for decreasing menstruation after quitting the ring?

Patient's question:

Here is the translation of the given content into English:
6 months since menstruation

Doctor's answer:

Hello, 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, which is caused by low estrogen levels. Estrogen can stimulate the proliferation and thickening of the endometrium, preparing it for pregnancy. If pregnancy does not occur, the proliferated endometrium will shed and bleed, forming a menstrual period. Low estrogen levels in the body can lead to insufficient thickening of the endometrium, 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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