Namastey A noticeable reduction in menstrual flow—from 4–5 days to just 1–2 days—while 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 metabolic–hormonal 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.

Consult personally eight four two nine six doboule seven zero eight six

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

Take eve care tablet - 2 tablet twice a day for 3 months.

So high hba1c is not good. Also do your lft, kft, cbc, vitamin d and b12 for HAIP Root Cause Analysis.  Start with HAIP DIET immediately and seek consultation

Asokarista and chandraprabha vati twice daily will cure this Consult me for more

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.

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.

Your problem needs proper treatment and management so you may consult with me through this channel and solve your problem.

Check your thyroid profile.you are diabetic try to control it. Do pelvic USG for pcod.

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.

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

Get your hormonal profile done. This issue needs proper addressal and history taken of events. Plz connect for that

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.

please provide detail history. like detailed food habits . daily regime etc . detailed medicine like does and donts etc

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.