Our expert says:
The fact that there is a distinct difference in volume of blood flow implies an alteration in either hormone production or endometrial response. ( the endometium is the inner lining of the uterus which is shed during menstruation. ) It would be relevant to do a full hormone profile as well (including thyroid and prolactin) as well as an endometrial biopsy at an appropriate stage of the cycle, ie 2-3 days before expected bleeding. With these tests it would be important to establish the underlying cause and the appropriate treatment can be instituted accordingly.
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