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Scanity bleeding since 5 months
I am having regular periods but my bleeding and flow resuced drastically. earlier i used ti have 5 days flow now only 1 or 2 days and after that nit even spotting. my fsh is 6.39 and lh is 2.6 prolactin is 31. i have type 2 diabetes and my hba1c is 7.8 since 3 years. am
i going through menopause transition or its a hormonal
imbalance
Answers (16)
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A noticeable reduction in menstrual flowâfrom 4â5 days to just 1â2 daysâwhile cycles remain regular is usually not a classical sign of menopause transition, especially when your hormone values like FSH (Follicle-Stimulating Hormone) test and LH (Luteinizing Hormone) test are within a relatively normal reproductive range. In menopause transition, FSH typically rises significantly and cycles become irregular before stopping.
However, your mildly elevated Prolactin test level and long-standing Type 2 Diabetes with suboptimal control (HbA1c 7.8) suggest a metabolicâhormonal imbalance rather than menopause. Chronic metabolic stress can affect endometrial thickness and ovulation quality, leading to lighter periods. From an Ayurvedic viewpoint, this reflects Artava Kshaya with involvement of Vata-Pitta imbalance and Dhatu kshaya, often secondary to impaired Agni and long-term metabolic disturbance (Madhumeha).
So, this appears more like a functional hormonal shift influenced by metabolic health, not a permanent ovarian shutdown.
Next Steps
At this stage, the focus should be on restoring internal balance rather than labeling it as menopause prematurely. Your body is still cycling, which is a positive sign. Priority should be given to improving metabolic harmony and supporting reproductive tissue nourishment through a structured, individualized approach. It is strongly advisable to seek a personalized clinical evaluation, where your prakriti, metabolic state, and hormonal patterns are assessed together rather than in isolation. For comprehensive guidance and tailored management, you may connect with us at 9 3 1 5 6 6 1 5 6 5 for better evaluation and long-term correction in a systematic manner.
Health Tips
Focus on stabilizing your internal metabolism, as reproductive health closely follows metabolic health. Maintain consistent meal timings, avoid refined sugars and excessive processed foods, and favor warm, easily digestible meals to support Agni. Regular physical activityâespecially brisk walking or yogaâhelps improve insulin sensitivity and hormonal balance. Adequate sleep and stress management are equally important, as chronic stress can subtly affect hormonal signaling. Avoid excessive fasting or erratic eating patterns, as they may aggravate Vata and further reduce menstrual flow. Gentle practices like abdominal oil massage and maintaining a calm daily routine can also support reproductive tissue nourishment over time. Overall, this condition is reversible in many cases with proper metabolic correction and hormonal balance, provided it is addressed early and consistently. Thank you
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Consult personally eight four two nine six doboule seven zero eight six
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Your FSH is normal , and the reduced bleeding is likely a hormonal imbalance , which is caused by mildly high prolactin level and unmanaged diabetes (as you mentioned since 3 years) .
According to Ayurvedic perspect, this condition is Artava Kshaya
This can be effectively managed after a detailed consultation
Next Steps
Focus on diet and exercise to lower your HbA1c level
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Take eve care tablet - 2 tablet twice a day for 3 months.
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I see theres a little bit of hormonal imbalance too. Also earlier means how long ago? And since when exactly this problem started do you have any idea? Or is there any changes in ur diet,routine or daily life style and sleep cycle? How is ur level of stress? And how many children do you have? If theres post pregnancy symptoms then also its possible to face such changes during monthly cycles.I dont think its early menopausal state as nowadays the issues ur facing is also getting common among the other youngsters too due to so many complicated factors. Though u can start taking nagarjuna brand normen tab-1-0-1, cyclovarin tab-2-0-2 and m2 tone syp.-10ml for 15 days. And for further treatment plan you need to connect with me here.
Next Steps
i need to get your USG per abdomen reports and if possible then get your pap smear test done along with other tests such as CBC,RBC,RBS,SGPT and TSH.
Health Tips
Regular exercises,yoga and meditation along with listening to soft music and relaxing yourselves with things that u like such as a new hobby.
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Drastic change in flow, sometimes is related to drastic change in life. 37 maybe an early peri menopausal but it is could be something else altogether.
Next Steps
Please have a proper consultation, so that we can assess the situation properly. Also some other essential tests are missing to get a complete picture of your health.
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Your problem needs proper treatment and management so you may consult with me through this channel and solve your problem.
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Check your thyroid profile.you are diabetic try to control it. Do pelvic USG for pcod.
Next Steps
try to improve your life style eatinghabbit avoid stress,over wtbody.
Health Tips
do yoga pranayam meditation exercise regularly
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Got ur concern and great to know that you are dealing with T2DM and struggling with health n fitness.
You may not be heading to menopause fsh bit at the higher side and hopefully u r on thyronorm like medicine.
Next Steps
IT field is really hijacking reproductive age of girls due to its pattern of sedentary lifestyles n stressful at either end n missing to honour biological clock.
Health Tips
all these metabolic stress can be de-stressed proactively with the help of ur Ayurveda Holistic approach needs assertive engagement n committed association. just control isn't better, The best is to reverse the status and maintenance of reversible status is an art and I know girls can master the every art of life
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Your FSH and LH are with in normal range,prolactin is mildly raised....since your HbA1c is 7.8 since 3 years..this is the main concern which is affecting your ovarian functions..chronic uncontrolled diabetes and raised prolactin may suppress ovulation and hence scanty menstrual flow..Your case seems to be more of hormonal imbalance
Next Steps
Kindly get your pelvic ultrasound done to rule out early PCOD, Repeat your prolactin and also get your thyroid profile done for better diagnosis
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Get your hormonal profile done. This issue needs proper addressal and history taken of events. Plz connect for that
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Dr. Aswini Mohan L
Ayurveda
16 yrs exp
Thiruvananthapuram
It doesn't look like menopause as your FSH and LH values are normal.Prolactin is mildly elevated which may be due to stress.Please check your Thyroid Function Test as well.Any recent weight gain? If the flow is becoming very scanty you can check Ultrasound Abdomen and Pelvis as well to know if you have PCOS or any such issue.
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include sesame oil,black sesame seeds
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Dr. Ashutosh Sanjay Velturkar
Ayurveda
3 yrs exp
Nagpur
please provide detail history. like detailed food habits . daily regime etc . detailed medicine like does and donts etc
Next Steps
video consultation or 1on 1 consultation
Health Tips
avoid triggering factors
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Dr Raghuveer SN
General Physician
4 yrs exp
Hyderabad
Asokarista and chandraprabha vati twice daily will cure this
Consult me for more
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Dr. Heena Kakwani Jain
Ayurveda
6 yrs exp
Gwalior
Based on the limited information available, it seems that your symptoms may be related to hormonal imbalance, often influenced by underlying stress.
In Ayurveda, stress is considered a major factor that disturbs Vata dosha, and when Vata becomes imbalanced, it can lead to various irregularities in the body—including hormonal disturbances and menstrual changes.
Early menopause is not considered a normal process in Ayurveda. It is seen as an imbalance that, if not addressed in time, may lead to other health concerns in the future.
The good part is that with the right approach—focusing on correcting the root cause, improving gut health, and balancing doshas—this condition can be effectively managed and improved.
Since I don’t have complete details about your case (history, lifestyle, Prakriti, reports), a personalized treatment plan is very important here.
I would recommend you to book a video consultation, so I can understand your condition in detail and guide you with a structured Ayurvedic treatment plan.
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