Menstrual volume is low, lower back pain, what to do?

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. On the third day, lower back pain appeared, which disappeared after the menstruation was completely over.
Duration and persistence 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
Auxiliary examinations: 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 decrease in the amount of menstrual blood. This is caused by low estrogen levels, which can stimulate the proliferation and thickening of the endometrium to prepare 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 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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