Menstrual flow is less than before and dysmenorrhea has worsened
Jan 28, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Reduced menstrual flow accompanied by worsening dysmenorrhea is an abnormal condition, which may be caused by endocrine disorders, endometriosis, ectopic pregnancy, ovarian cysts, or uterine fibroids. If you experience decreased menstrual flow and increased menstrual pain, it is advisable to seek timely medical attention, complete necessary examinations, obtain a clear diagnosis, and receive targeted treatment under the guidance of a physician as soon as possible.
Generally, a decrease in menstrual flow accompanied by worsened dysmenorrhea (painful menstruation) is considered abnormal and may be caused by factors such as endocrine disorders, endometriosis, ectopic pregnancy, ovarian cysts, or uterine fibroids. The specific causes are analyzed as follows:
1. Endocrine Disorders
Insufficient estrogen levels can lead to thinning of the endometrium. Due to reduced thickness, less tissue sheds during menstruation, resulting in lighter bleeding. Additionally, endocrine imbalances can increase prostaglandin production, which triggers more severe menstrual pain.
2. Endometriosis
Endometriosis refers to the growth of endometrial tissue outside the uterus. This condition may cause inflammation and adhesions, disrupting normal menstrual flow and often leading to increased pain.
3. Ectopic Pregnancy
An ectopic pregnancy occurs when a fertilized egg implants outside the uterus. It may present with symptoms such as scanty menstrual-like bleeding and abdominal pain. Prompt medical attention is recommended, and treatments under medical guidance may include procedures like salpingostomy or salpingectomy.
4. Ovarian Cysts
Ovarian cysts are mostly benign ovarian tumors and a common gynecological condition. They may result in reduced menstrual flow and exacerbated dysmenorrhea. For asymptomatic cysts, regular observation and follow-up are typically recommended. Surgical intervention may be necessary if symptoms become severe.
5. Uterine Fibroids
Uterine fibroids are a common type of benign tumor in the uterus that may cause decreased menstrual flow and increased menstrual pain. Under medical supervision, treatment options may include medications such as Hongjin Xiaojie Tablets or Mifepristone Tablets.
If menstrual flow has decreased compared to before and dysmenorrhea has worsened, it is advisable to seek timely medical evaluation, complete necessary examinations, obtain an accurate diagnosis, and receive targeted treatment under a physician’s guidance.
