36岁的晓薇最近感觉月经量越来越少，她十分焦虑，觉得自己已经进入早衰状态了，于是赶紧来到医院求助。
001
01｜月经量少是衰老的信号吗？
月经是女性一生中的重要组成部分，很多女性会月经量少前来医院就诊，归根结底是因为大家总是把月经量的多少与衰老状态联系在一起。
但其实，月经量和女性的衰老并没有直接的关系，它受到很多因素的影响，包括遗传、生活方式、生殖激素水平、内膜局部凝血功能等。
当发现自己的月经量比周围的朋友同事少的时候，不要紧张，因为它并不一定意味着衰老，也不是衡量女性衰老的唯一标准。实在不放心，可以到医院做个卵巢储备功能的检查就可以了解。
002
这种经量减少要警惕
月经量的多少要和自己比，而不是和别人比。只要每个月都保持在稳定范围内，就不用太过担心。
但如果自己的月经量逐渐减少或者突然变少，则要当心是否身体出现了什么问题，这时候，建议一定查明这种变化的原因。
一般来说，经量减少常常由以下原因引起：
1
生殖内分泌紊乱
很多内分泌疾病，如高泌乳素血症、多囊卵巢综合征、甲状腺功能亢进或减退，都会导致月经量减少，但常伴随月经周期和/或经期的改变。
如果出现这种情况，大家可以先在家中自己测定基础体温，了解是否有排卵以及黄体功能是否健全。
如果排卵功能不好，可以到医院抽血查下生殖内分泌以及甲状腺功能来判断月经异常的原因，然后根据具体的原因进行治疗，大多数情况下，当致病因素得到纠正，月经大多自然恢复正常。
2
子宫内膜受损
正如贫瘠的土地难以长出庄稼，如果内膜受损，即便体内生殖内分泌水平正常，内膜也会因对卵巢分泌的雌孕激素不产生反应而难以生长。做超声检查时会发现子宫内膜在整个月经周期中一直很薄或者内膜线不连续，这时候要考虑是否存在宫腔粘连。
如果有生育要求的话，需要做宫腔镜检查来确诊。最常见的内膜受损是由于人工流产或者诊断性刮宫引起来的，炎症、结核等感染因素也是引起内膜损伤的原因之一。
3
卵巢功能减退
卵巢储备随年龄增长而不断下降，尤其到35岁之后，卵巢储备功能下降速率加快。
月经变少可能是临床最早出现的症状，此时应该引起女性的关注，尤其那些还没有完成生育计划的女性，更加要早期识别卵巢年龄，及早做出相应举措增加日后受孕几率。建议及时咨询专业医生，进行详细的评估和诊断。
文章开头的患者晓薇的情况就属于此。
月经变少并不一定意味着老得更快，但在某些情况下，月经经量的突然减少可能需要引起警惕。如果有任何疑问或不适，建议及时就医咨询，以获得专业的建议和治疗。记住，关注自己的身体健康非常重要！
LOVE YOURSELF
专家介绍
史颖莉：主任医师、硕导
专业擅长：擅长不孕症、月经失调、闭经、多囊卵巢综合征、反复自然流产、卵巢功能下降、围绝经期综合征、先天性发育畸形、子宫内膜异位症等疾病诊治。
｜沈艳
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#259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media screen and (min-width:1024px) and (prefers-color-scheme:dark){body:not(.pages_skin_pc) .wx-root:not([data-weui-theme=light]),body:not(.pages_skin_pc) body:not([data-weui-theme=light]){--appmsgExtra-BG: #121212}}@media(prefers-color-scheme:dark){body:not([data-weui-theme=light]).my_comment_empty_data{background-color:#111}}body,.wx-root{--weui-BG-6: rgba(0, 0, 0, .05);--weui-ACTIVE-MASK: rgba(0, 0, 0, .05)}body,.wx-root{--weui-REDORANGE: #ff6146;--weui-BG-0: 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