Low menstrual flow is not necessarily a symptom of menopause, but may also be caused by endocrine imbalance due to mental factors, bad habits, excessive fatigue, etc., or disease factors. Menopause does not necessarily manifest itself in the form of scanty menstrual flow. It is recommended to go to the hospital to clarify the cause of menorrhagia to avoid delay. 1. Endocrine disorders: stress, tension, fatigue, excessive weight loss, poor lifestyle habits and other factors will affect the secretion of sex hormones in the body, may appear irregular menstruation, low menstrual flow, amenorrhea, etc., need to consult a doctor in time to exclude organic diseases, and comply with the doctor’s advice to adjust menstruation through self-regulation, supplemented by estradiol valerate, dydrogesterone, and other estrogenic hormones to adjust menstruation. 2. Disease factors: polycystic ovary syndrome, ovarian hypogonadism and other diseases affect the secretion of sex hormones in the body, which may lead to poor growth of the endometrium, etc., as well as scraping, abortion and other uterine operations may lead to uterine adhesions that cause poor menstrual flow, or endometrial damage to the endometrium becomes thinner and so on, which will appear in the menstrual flow. The patient should be treated with medication or surgery according to the condition. Due to the decline of ovarian function and hormonal fluctuation in the body, menopausal women may have symptoms such as decreased or increased menstrual flow, irregular menstruation, osteoporosis, cardiovascular disease, psychoneurological symptoms, vasodilatation symptoms, etc. If abnormal menstruation occurs, it should be treated promptly. If abnormal menstruation occurs, it is necessary to consult a doctor in time to clarify the cause of the disease, and if there is no contraindication, you can follow the doctor’s instructions to alleviate menopausal symptoms through low-dose estrogen supplementation. Low menstrual flow is not necessarily caused by menopause, there are many reasons, you need to go to the hospital to clarify the cause of low menstrual flow, targeted treatment, so as not to delay the condition.