What could be the reason for having very little menstruation if not pregnant?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Also, why is my period very light when I'm not pregnant?

Doctor's answer:

Hello, there are many reasons for a decrease in menstrual flow, such as endocrine dysfunction. Due to hypofunction of the pituitary gland, insufficient estrogen secretion by the ovaries leads to inadequate endometrial proliferation, resulting in a thinner endometrium. When it sheds, the bleeding volume is reduced. It is recommended to undergo a thorough examination and treatment.??????For women in this age group experiencing missed periods, it is important to consider whether pregnancy is the cause. It is advised to have a blood hCG test to check for pregnancy. If pregnancy is not confirmed, a gonadotropin panel and a color Doppler ultrasound should be performed to assess the condition of the endometrium.

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