Periods on time but meager reasons.

Date: 29.06.2020

When a woman has scanty periods, this condition is called hypomenorrhea.

It has its own reasons, the elimination of which contributes to the normalization of the menstrual cycle. However, to identify them, additional examination is required, primarily hormonal.

The causes of scanty brown (or red) menstruation are characterized by disturbances in the hormonal regulation of cyclic changes in the female body. The following conditions predispose to this:

Intake of toxic substances into the body from the outside;
Endogenous intoxication (toxic substances are formed in the body itself in diseases of the liver and / or kidneys);
Infections - mumps, tuberculosis, flu, etc.;
Eating disorders, incl. and its sharp limitation for weight loss;
Lack of vitamins in the body;
Excess adipose tissue, which is an endocrine organ that disrupts the normal functioning of the ovaries;
Hazards associated with the characteristics of a woman's work (for example, work in the pharmaceutical industry);
Anemia;
Brain trauma;
Neoplasms affecting the nervous system;
Exposure to radiation energy, incl. and with X-ray examination;
Genetic disorders affecting a woman's reproductive system;
Inflammatory processes in the uterus and its appendages.

As a result of the action of such damaging factors (or their combination), menstruation becomes scarce. This is realized through 2 main mechanisms:

Direct violation of the central links that regulate menstrual function;
Direct damage to the ovaries or uterus, i.e. peripheral links of the menstrual system.

Hormonal changes detected during hypomenorrhea can initiate the development of other hormone-dependent pathologies in the female body:

Infertility;
Increased risk of uterine and ovarian tumors;
Inflammatory processes in the reproductive system (normally estrogens have a protective effect on the epithelium of the genital organs).

Therefore, scanty periods require additional examination and appropriate treatment. This helps to reduce the risk of associated complications, the consequences of which can be very serious.

Lean periods after childbirth

Bloody scanty discharge instead of menstruation after childbirth is called lochia.

In the first days of the postpartum period, they are released in moderate amounts, resembling menstruation, but by the 3-4th day they decrease in volume. They are bloody until about the 10th day of the postpartum period.

Then they acquire a mucous-bloody appearance, and from the 2nd week they look like leucorrhoea (with microscopy there are no erythrocytes anymore, only desquamated epithelial cells, leukocytes and minor detritus from the uterine cavity are determined).

In extremely rare cases, bloody lochia can persist until the 42nd day of the postpartum period, but their number should constantly decrease (this sign distinguishes lochia from bleeding).

Bleeding is defined by the World Health Organization as a condition in which more than 1 sanitary napkin needs to be changed per hour. In the event of its development, the postpartum woman should immediately seek medical help, because the health hazard is very high.

Subsequently, in women who are breastfeeding, as a rule, recurrent menstruation is not profuse. The norm is explained by the release of an increased amount of prolactin. Therefore, a nursing mother should not have to worry about scanty periods after childbirth.

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In this case, the menstrual cycle is characterized by irregularity. But against the background of such changes, it is possible not to notice the onset of pregnancy. This is the danger of the situation, especially if the meager periods began ahead of schedule.

Any doubts are the reason for the test for the detection of choriogonin in the urine (pregnancy test).

With scanty periods, the test is an indispensable diagnostic test, especially if there is at least a minimal delay. It will allow, with a certain degree of probability, to exclude an ectopic pregnancy.

This pathological condition is manifested by spotting bloody discharge, the source of which is the inner layer of the uterus. This may often be the only symptom of a given obstetric complication.

Against the background of inadequate development of the ovum, the decidual altered mucous membrane of the uterus is rejected. This process is externally manifested by bloody discharge.

A woman must remember! If, after a delay, menstruation does not come as usual, it is necessary to immediately perform a pregnancy test. It allows you to diagnose (tentatively) an ectopic pregnancy.
Early diagnosis is the key to successful organ-preserving treatment. And it, in turn, will contribute to a favorable pregnancy in the future.

Lean menses after curettage

Lean periods after 40 can be associated with 2 main factors:

Curettage performed (diagnostic or therapeutic against the background of bleeding);
The onset of menopause, characterized by hormonal shifts.

After curettage, the release of a small amount of blood from the genital tract is a variant of the norm, because the mucous membrane is a bleeding wound surface. Gradually, the volume of blood loss decreases due to the epithelialization of the endometrium.

An increase in the intensity of discharge, especially if there is a release of clots, should be alarming for bleeding. The cause is usually the remnants of abnormal tissue in the uterine cavity.

The climacteric period is characterized by sharp fluctuations in the levels of sex hormones. In one cycle, they can significantly exceed the norm, and in the other, they can be much less. In the first variant, bleeding is clinically observed, and in the second, the scarcity of irregular menstruation.

This situation is usually not a reason for treatment. Hormone replacement therapy is recommended only for severe hot flashes and other disorders, as well as with the onset of menopause (there is no menstruation for a year or more).

Symptoms of scanty periods with signs of illness

Lean menstruation is a sign of functional depression of the ovaries. This condition is characterized by other symptoms:

Shortening of the duration of menstruation (oligomenorrhea);
Decrease in menstruation, i.e. they come with long delays - up to 6 months (opsomenorrhea);
Complete cessation of menstruation from 6 months or more (amenorrhea).

Concomitant symptoms are determined by the nature of the underlying disease. They can be very variable:

Irritability and tearfulness;
Insomnia;
Emotional lability;
Chills;
Increased blood pressure;
Increased heart rate;
Pressure asymmetry;
Cold extremities and numbness;
Fear and pain in the heart;
Increased urination;
A sharp decrease in body weight;
Isolation of colostrum by pressing on the areola.

Diagnostics of possible diseases

Primary diagnostic search in the presence of scanty menstruation implies clarification of the degree of hypomenorrhea, which indicates the safety of compensatory mechanisms.

The first degree is characterized by the appearance of a menstrual reaction in response to the appointment of progesterone drugs. This indicates a reduced synthesis of progesterone by the ovaries, but preserved estrogen production.

In the second degree of hypomenorrhea, neither estrogens nor progesterone lead to normal menstruation. This speaks of a far-reaching pathological process.

The second stage is laboratory diagnostics, which involves the determination of the main hormones:

Estrogens (depending on the phase of the menstrual cycle);
Progesterone;
Testosterone;
Follicle-stimulating and luteinizing hormones;
Corresponding hypothalamic liberins;
Prolactin.

Depending on the results of the second stage, studies of the third stage are organized. They are necessary to identify the true cause of the disease, which may be the following:

Inflammatory brain damage - meningitis or encephalitis;
Traumatic brain injury;
Mental disorders;
Metabolic disorders;
Vegetovascular disorders;
Itsenko-Cushing's disease;
Epilepsy;
Simmonds disease (dramatic weight loss and gradual cessation of menstruation);
Hyperprolactinemia (reduced formation of dopamine, which stimulates prolactin production);
Sclerocystic ovaries;
Sheehan's syndrome, which develops as a result of profuse postpartum hemorrhage;
Asherman's syndrome is the presence of synechiae in the uterine cavity, which are caused by inflammatory diseases and frequent curettage.

Therefore, the diagnostic measures of the third stage can be:

X-ray of the sella turcica, which helps to identify pituitary tumors (they are accompanied by an increased formation of prolactin);
Ultrasound examination of the uterus and ovaries;
Hysteroscopy;
Electroencephalography, etc.

Treatment of scanty periods

Treatment for scanty periods depends on the established true cause of the condition.

Usually, women who see a doctor with a similar problem are prescribed progesterone therapy. It will contribute not only to the onset of normal menstruation, but also bring some clarity to the existing hormonal disorders.

Restoration of menstruation while taking progesterone may not require additional examination, because in a perfectly healthy woman, menstrual dysfunctions are permissible, but observed no more than 1 time per year.

With more frequent episodes of cycle disturbances, or if the scanty periods pass in clots, then specific therapy is prescribed, depending on the identified violations.

Hyperprolactinemia is an indication for dopamine blockers. Surgical treatment may be required if a tumor is found in the pituitary gland.

With Sheehan's syndrome, hormone replacement therapy is performed, which are produced by the pituitary gland. The earlier treatment is started, the faster and better the response of the peripheral organs of endocrine regulation to the therapy.

Sclerocystic ovaries are accompanied by anovulation, therefore, drugs that stimulate it are prescribed. At the same time, the menstrual cycle is corrected. The ineffectiveness of the conservative therapy carried out within 9 months is an indication for surgery (wedge-shaped excision of the ovaries).

Treatment of Asherman's syndrome is a very difficult task. It is recommended that the early detection and implementation of cyclic hormone therapy is recommended. Historically, attempts have been made to transplant healthy endometrium into such patients, but these have been unsuccessful.

The most common mistake women of childbearing age make is indifference to menstruation. Ladies usually do not pay attention to the nature of their periods, if they come on time, and the cycle is more or less regular. Not all women know that it is worth carefully monitoring not only the duration of menstrual bleeding and its frequency, it is also necessary to pay attention to the nature of the discharge.

But how to figure out if your periods are going well or maybe they have become scarce? To do this, first of all, you need to know a little about the norms.

As a rule, a woman begins to monitor her menstrual cycle from the moment she starts having sex. But, no matter how sad it is, many pretty adult ladies do not even know the length of their cycle, and even more so, they do not follow the nature of menstrual flow, which is a very big mistake. There is a certain norm that determines how menstruation should proceed. In case of any deviation from the norm, the doctor diagnoses a disorder of menstrual function.

So, menstruation is normal:

painless or slightly painful;
last for 3-5 days;
the interval between menstruation is from 21 to 35 days;
the volume of discharge does not exceed 150 ml.

It is necessary to carefully monitor every period, record the start date, the duration of the cycle, how many days there was bleeding, and what was the nature of the discharge. Quite often, women begin to control their menstruation so carefully only when they cannot conceive a child, although ideally, every woman is simply obliged to monitor her health in order to prevent any gynecological disease from developing.

Lean menstruation (hypomenoria) should be considered if the menstrual flow is small and has a color from light brown to dark brown - this indicates a violation of menstrual function.

If the cause of your lean periods in age-related changes (the formation or extinction of the cycle), then this should not cause concern, since during these periods the regularity of ovulation is disrupted, which in turn can lead to scanty brown menses.

The process of establishing a regular menstrual cycle in girls usually takes about a year, at which time menstruation can be scarce, rare, not constant, and shortened.

During menopause, scanty periods are also not a deviation. As a rule, this period in the life of women begins at about 45 years old, but there are cases of an earlier onset of menopause.

Even if your meager periods in your case go for one of the two reasons described above, it is in any case simply necessary to inform the gynecologist about this.

Hypomenoria symptoms

Gynecologists divide this disease into primary and secondary hypomenoria. In the first case, the woman never had a normal period, and in the second, her periods became scarce over time.

As a rule, the disease cannot be asymptomatic and go unnoticed for a woman, but there are exceptions to any rule.

In the case of scanty periods, the discharge takes on the character of drops or traces of brown blood. At the same time, the duration of menstruation may remain the same or be reduced.

Lean menses and their delay can provoke the appearance of nausea , headache, pain in the lumbar region, cause disorders of the digestive system, the appearance of a feeling of tightness in the chest.

Menstruation itself can be painless. Sometimes women with hypomenoria have nosebleeds during menstruation.

As a rule, in women with scanty periods, the secretion of estrogen is reduced, as a result of this, reproductive function suffers and significantly decreased libido .

As mentioned earlier, scanty periods during the formation and decay of the cycle are not pathological, but if signs of hypomenoria are observed in a woman of childbearing age, you should be very careful about your body, because such deviations indicate serious violations of the reproductive or other body systems.

What are the causes of lean periods

Not a single doctor will be able to give an exact answer why menstruation suddenly became scarce without a thorough examination of the patient. First of all, it is necessary to establish whether the hypomenoria is primary or secondary in this particular case. If menstruation is scarce from the very beginning of the formation of the cycle, then perhaps it is worth suspecting congenital pathologies in the development of the girl's genitals. Currently, primary hypomenoria is increasingly common in girls with very low weight.

Secondary hypomenoria can be caused by many factors, let's dwell on some of them.

1. The most common and common cause of poor menstruation in women of childbearing age - dysfunction of the ovaries and pituitary gland , which are responsible for the normal course of menstruation and the regularity of the menstrual cycle.

Causes of ovarian dysfunction:

inflammatory processes of the genital organs (inflammation of the appendages, ovaries);
stress, overwork, emotional imbalance, lack of sleep, irrational work and rest;
abortion or miscarriage, especially during the first pregnancy;
anomalies in the development of the genitals;
diabetes mellitus, thyroid disease.

External factors, for example, climate change or the use of improperly selected contraceptives, can also affect the work of the ovaries.

2. Often the cause of poor menstruation lies in diseases of the uterus ... In addition to inflammatory processes, scars on the uterus from gynecological operations, endometriosis, uterine fibroma, cervical cancer, endometrial inferiority, and so on can affect the nature of menstrual flow.

3. Lean menstrual flow may be caused by genetics ... If close relatives on the female line have always had scanty periods, then most likely this is not a deviation, but a genetic feature. As a rule, in such situations, scanty menstruation cannot cause infertility and affect pregnancy.

4. Hormonal abnormalities - Another reason for the development of hypomenoria. Lack of female sex hormones, oral contraception, endocrine disorders, and even breastfeeding can all lead to lean periods.

5. Do not forget about the influence of the psychological factor on the work of the woman's body as a whole. Negative emotional experiences , stressful situations, too violent positive emotions affect the work of the centers of the brain that stimulate the ovaries. When the functions of the ovaries are suppressed, the production of progesterone decreases, which leads to a meager period.

In addition to the above reasons, hypomenoria can develop as a result of anemia, sudden weight loss, anorexia, climate and lifestyle changes, due to a lack of vitamins and minerals, or because of work in hazardous industries.

That is why, in order to find out what led to the impoverishment of menstruation, it is necessary to undergo a thorough examination.

Diagnostics

Only a doctor can identify the exact cause of hypomenoria and assess how dangerous this disease is for a woman. As a rule, in order to find out the reasons, a woman needs to tell as much as possible about when the meager periods began, and what could have caused this, whether there were other diseases, etc.

Then the doctor conducts a full gynecological examination, takes tests for cytology, culture for bacteria. It is also necessary to pass tests for hormones, undergo an ultrasound examination of the ovaries and uterus, PCR diagnostics for the presence of genital infections. After receiving the test results, the doctor will be able to accurately determine the cause of the scanty menstruation and prescribe the adequate treatment required in a particular case.

Treatment of scanty periods

Of course, the treatment will entirely depend on the results of the examination. So, a violation of the cycle due to improper nutrition and an overly active lifestyle is treated by normalizing the diet and setting the correct regimen.

It is possible that the doctor will prescribe anti-inflammatory drugs, a vitamin complex, hormonal drugs - it all depends on the reasons that influenced the impoverishment of menstruation. Often, women require physiotherapy or psychotherapeutic treatment.

Aromatherapy, color therapy and acupressure are of great importance in the treatment of hypomenoria. Let's take a closer look at each of these treatments for lean periods.

So, aromatherapy helps in the treatment of many diseases and hypomenoria is no exception. Breathing in the aromas of juniper and marjoram promotes the release of hormones. A good effect is achieved using foot baths with the addition of aromatic oils. It is recommended to put your feet in water, the temperature of which is 35 degrees, and then gradually increase the water temperature to 44-45 degrees. It is worth performing the procedures slowly, at least 20 minutes a day. It is recommended to start warming up the legs a week before the onset of menstruation.

Color therapy - another way to combat hypomenoria. The color yellow has been found to help improve blood circulation. Thus, by eating the products of this flower and giving preference to yellow shades when choosing clothes, you can significantly improve your condition.

Acupressure - treatment of diseases by affecting certain points located on the human body. In order to adjust the menstrual cycle, it is necessary to massage the point located in the middle of the tip of the big toe. Massaging is performed in circular motions for 5 minutes several times a day.

a decoction of carrots helps a lot in the fight against ailment, they use a decoction of 2 tbsp. spoons 4-5 times a day;
2-3 st. tablespoons of freshly squeezed aloe juice are recommended to be taken orally 2-3 times a day;
another proven remedy is pineapple juice, they drink 3-4 tbsp. 2 times a day;
jaggery with sesame seeds is very effective in this disease. This mixture is taken in 1-2 tbsp. 2-3 times a day.

Verbena officinalis, St. John's wort, oregano, shepherd's purse, wormwood, fragrant rue - infusions of all these herbs are used in the treatment of poor menstruation. In addition, women with hypomenoria are advised to eat fresh onions and garlic.

During formation, the extinction of the menstrual cycle, or during breastfeeding, treatment is usually not required.

Of course, it happens that traditional medicine works wonders and helps to cope with rather serious diseases. However, before starting self-treatment, it is recommended to undergo an examination and consult with a gynecologist about the use of certain herbs.

Preventive measures to help prevent disease

In order for the problem of scanty menstruation not to come back into your life after the treatment, it is necessary to carry out prevention.

Walk more outdoors, play sports, but do not overwork, avoid stress, excessive physical and psychological stress. Watch your weight, give up exhausting diets and fasting.

And, of course, you should pay special attention to menstruation, so as not to miss any deviations. At the first alarming symptoms, poor health during menstruation, you need to seek help from a gynecologist. Only timely diagnosis and proper treatment will help you to improve your periods and avoid possible complications.

Recommended for viewing: Expert Opinion on Lean Menses

Some of the fair sex are worried about scanty periods, the reasons for which can be different: low body weight, stress and much more. Low-abundance discharge cannot be ignored, because they indicate disturbances in the functioning of the body. Very scanty periods thicken the endometrium, causing endometriosis and other diseases of the genital organs, so you need to find the cause of this menstrual disorder and treat it.

Lean menstruation is a disorder of the menstrual cycle, which is characterized by inadequate blood flow during menstruation. A healthy woman should release 80-120 ml of blood during menstruation and up to 30 grams of clots of the mucous membrane - the endometrium.

With hypomenorrhea (the medical name for a condition where scanty discharge is observed), a minimum volume of blood is released - up to 50 ml. Sometimes women do not even have blood secretions as such, they observe only "smears". Together with insufficient blood flow, the period of menstruation is also reduced, they can last 2-4 days instead of 7-8.

Causes of Lean Menses

Why do women have scanty periods? There are many reasons for hypomenorrhea. This condition can be not only chronic, but also one-time, if a certain factor affected the woman. The reasons for scanty periods must be clarified with a gynecologist and eliminated, because if hypomenorrhea is not treated, in the future it can cause endometriosis, pathological changes in the tissues of the uterus and ovaries, and also significantly reduce the ability to become pregnant.

Low body weight

Today, many girls in pursuit of an ideal figure sit on fashionable diets found on the Internet and torture themselves with unbearable physical exertion. In doing so, they achieve the desired weight, but at what cost? Everyone knows about hair, nails and skin, which suffer greatly from poor nutrition, but many do not take into account that fast and strong weight loss disrupts their menstrual cycle.

Lean menstruation with a decrease in body weight "save" a weak body, because it loses not so much blood, which would be extremely difficult to restore.

At the same time, the level of hemoglobin and other vital substances is maintained. If the girl's body mass index drops below 18, then menstruation may stop altogether, because in this case it will become too much loss for the body.

A prolonged stay of the body in such stressful conditions threatens the entire reproductive system of a woman. More than 60% of girls who have had anorexia or are simply too low in weight cannot have children, and cysts in the ovary and endometriosis are much more common in them.

But don't blame diet and the media. Sometimes a woman loses weight due to stress, anxiety and difficulties. In this case, they will be weak, but they will recover when the girl returns to normal.

Hormonal Disorders

If you have scanty periods all the time, then the problem may lie in a hormonal imbalance. Sex hormones in women are always secreted in the adrenal glands and ovaries, they regulate the duration of the menstrual cycle, the activity of processes during its various stages, and are responsible for breast development and pregnancy.

Prolonged lean periods are most often caused by a lack of estrogen in the body and an excess of testosterone - the male sex hormone.

A hormonal disorder can appear due to a genetic predisposition or birth defects, or against the background of a low-calorie diet, improperly selected oral contraceptives, an aborted pregnancy and other factors. Stabilization of the endocrine system is long, a woman will have to undergo a long course of hormone therapy, and recovery may take more than one year.

Postpartum period

After giving birth, a woman's body is not ready to quickly enter the normal menstrual cycle. He needs a short period of time, which can take 3-5 months. During breastfeeding, periods are suppressed by hormones: prolactin and oxytocin, but when it ends, estrogens switch the functioning of the reproductive system and start menstruation.

The first 2-3 cycles will help the body "swing", while the release of blood will be scarce. It is very important during this period to monitor your diet and emotional mood so that the body quickly adapts to new conditions.

Teenage changes

Girls in adolescence often have scanty periods, the cause of which lies in an unstable emotional and hormonal background. During puberty, a girl's body synthesizes an increased amount of not only female sex hormones, but also male ones, for example, their testosterone level can be 1.5-2 times higher than that of adult women. This affects not only the increased irritability and the appearance of body hair, but also the length and abundance of menstruation.

Teenage girls may have little menstrual flow for several years, sometimes their periods are irregular. During this period, you do not need to try to bring them back to normal with the help of hormonal therapy, because this can only harm the endocrine system. The alarm should be beaten if the girl is already 19-20 years old, and her menstrual cycle has not returned to normal. Here the fault may be violations in the development of the genitals or hormonal disorders.

Inappropriate contraceptives

Correctly selected oral contraceptives not only protect against unwanted pregnancy, but also stabilize the menstrual cycle, reduce discomfort during menstruation, some women even experience weight normalization. But if you take inappropriate drugs thoughtlessly, then the consequences can be bad.

Inappropriate, the discharge becomes scanty or too abundant, excess weight, problems with nails and hair, and a loss of libido may also appear. The choice of these drugs can only be entrusted to a gynecologist who can prescribe competent contraception based on analyzes.

Past infections

Influenza, tuberculosis, hepatitis, genital infections and other serious diseases draw out all the forces of the body, so it does not have the resources for menstruation - they can become rare, scarce, or even stop altogether. This pause lasts about 3-4 months, which the body needs to recover. After that, the menstrual cycle returns to normal if the infections have not touched the reproductive system.

Underdevelopment of the genitals

The body is a complex, but not ideal machine, sometimes something can break in it and this brings a lot of problems. If in adolescence for some reason (genetic predisposition, frequent antibiotic therapy, alcohol and cigarette abuse, too low body weight) the girl does not develop ovaries or uterus, then menstruation will be of poor quality.

The reason for the scanty period in this case lies in the fact that the adult body will have almost children's genitals: small ovaries will not be able to secrete enough hormones to control the cycle. Usually, girls with this problem have significant difficulties with the ability to have children and a predisposition to pathologies of the organs of the reproductive system.

Anabolic drugs

Why do menses become scarce in professional athletes or in female bodybuilders? It's all about the anabolic drugs they need to accelerate muscle growth, burn body fat and increase endurance. Usually medicines for these purposes contain analogs of male hormones, which over time disrupt the hormonal balance in the woman's body.

For a month of taking steroids, there will be no terrible changes in the body, but the abuse of these medicines throughout the year will affect not only the quality of menstruation, but also the health of the reproductive system. If the balance between estrogen and testosterone is imbalanced in the girl's body, malignant neoplasms in the breast, cancer, cysts in the ovaries and other pathologies can develop.

Exposure to hazardous agents

Dangerous agents (factors) include:

radioactive radiation;
chemical reagents containing chlorine, strontium;
acetone, mercury and other volatile substances.

Today, in industries where work with hazardous substances is carried out, all employees must be provided with special clothing that protects their body from the effects of these agents, but trace amounts of substances can enter the body due to non-compliance with safety rules or other factors.

All these substances have a negative effect on the human body and cause mutations even with a short interaction with the body. For this reason, women are rarely hired for such work, because in the future they will give birth to children who can get developmental pathologies.

If a woman works with dangerous agents, she should carefully monitor her health and pay attention to changes in the menstrual cycle. If your periods have become scarce, severe pain and dizziness appeared during menstruation, you need to contact a gynecologist and undergo an examination.

Treatment of scanty periods

Treatment for lean periods depends on the cause, which your doctor can help determine. If it's about low weight, then you need to increase it with the help of a special diet and physical activity. This does not mean that you need to rush to sweet and fatty foods, exposing your own body to even more stress. Useful fatty foods (fish, meat, cottage cheese, eggs, nuts) and sports will help you to gently build muscle and fat mass without deteriorating your appearance and without undermining your health.

For a woman, a normal BMI (body mass index) is 19-23.

If the violation of menstruation occurred due to hormonal disruptions, anabolic drugs or diseases of the reproductive system, then the treatment will be long and rather difficult. Most often, hormone therapy is prescribed, which must be combined with the correct diet and vitamin-mineral complexes - they will help not to gain weight.

No treatment required

If pregnancy, adolescent changes and past infections are the cause of your lean periods, then treatment is not required, it is enough to undergo regular examinations with a gynecologist. Over time, the body will recover on its own, and the menstrual cycle will return to normal. Such factors may contribute to this:

proper nutrition;
good dream;
lack of stress and heavy physical exertion;
vitamin and mineral preparations and prebiotics (which cannot be avoided after a course of antibiotics).

Lean menses cannot be ignored, because they signal malfunctions in the body, and without treatment lead to diseases of the reproductive system and a decrease in the ability to have children. It is better to look for the causes and treatment of this deviation together with a gynecologist, because only a doctor can properly conduct an examination, evaluate the test results and prescribe treatment. Traditional methods (herbal teas, self-massage, heating) can only help with this problem one-time, but they will steal precious time needed for normal treatment.

One of the problems of the menstrual cycle is hypomenorrhea - a symptom of a decrease in the normal volume of monthly bleeding less than 50 ml. It is scanty periods that become a frequent manifestation of serious gynecological diseases. Treatment should be aimed at eliminating the causes and preventing complications.

Hypomenorrhea is sometimes normal, but it is still usually a pathological condition in the form of a menstrual cycle failure. It can lead to complications and therefore needs treatment.

Before starting treatment, you should figure out when there are manifestations of the disease, and in which case the cycle is normally repeated every month. With the correct monthly cycle, a woman has no painful sensations or they are not expressed. Menstruation lasts from 3 to 5 days, and the normal interval between periods is in the range of 21–35 days, the volume of bleeding during normal periods ranges from 50 to 150 milliliters.

Violation of any of the normal components of menstruation is an indicator of a possible disruption of the menstrual cycle. This is reflected in the woman's health, the ability to become pregnant in the future and bear a child.

Causes of hypomenorrhea

Hypomenorrhea occurs due to natural (physiological) causes. Lean periods during breastfeeding after childbirth are considered a physiological condition and do not require treatment. Hypomenorrhea, not associated with pathology, may occur after an abortion or miscarriage.

Pathological conditions causing hypomenorrhea:

postpartum and other infections;
fast and significant weight loss;
against the background of various stresses and mental illnesses;
endocrine diseases, hormonal disorders;
or other hormones;
damage to the reproductive system by infections;
tumors of the genitourinary system;
exposure to toxic substances;
alcoholism and drug addiction;
sexually transmitted diseases.

Lean menstruation is not an independent disease, but one of the symptoms of hormonal or other disorders.

Manifestations of hypomenorrhea

If a woman had a regular period before that, a paucity of discharge appears. They leave smearing marks, individual drops or spots of blood, painful periods appear.

Along with this, the duration of menstruation may also change (usually decreases). The general well-being of a woman worsens: headache, general weakness, nausea, chest discomfort, constipation, pain in the lower abdomen.

In case of violation of the secretion of estrogen hormones, a woman's libido may decrease. And also one of the phenomena of hypomenorrhea is nosebleeds.

Diagnostics

In consultation with a gynecologist, he will collect complaints, conduct an external and gynecological examination. It will be necessary to donate blood for a general analysis, assessment of coagulability, hormone content.

Of the additional diagnostic methods, ultrasound is used, for microscopy and for bacterial inoculation. In some cases, there is a need for a biopsy of uterine tissue, an MRI study.

Drug treatment

The principle of treatment for hypomenorrhea is to find the cause that caused it. It is unacceptable to take on self-medication, because this often leads only to aggravation and complications. Any failure of the monthly cycle requires a serious approach from a qualified specialist.

If this pathology appeared after a change in weight, then you need to normalize nutrition, choose the right diet, and increase physical activity. With scanty periods due to various infectious diseases, treatment with antibacterial and antiviral drugs is prescribed, taking into account the sensitivity of microorganisms.

If hypomenorrhea is caused by inflammatory processes in the body, antihistamines, sometimes steroids, are prescribed for treatment. Absorbent drugs are used. Hypomenorrhea is often a manifestation of hormonal disruptions in a woman's body as a pathology of the ovaries and other endocrine glands. In this case, a course of special hormonal drugs is prescribed.

A course of multivitamins, fortifying agents that improve immunity, is recommended. Stress, as a factor in the occurrence, must be treated with sedatives. Appointment of consultation of a psychologist, psychotherapist.

Physiotherapy of hypomenorrhea

Physiotherapy plays an important role in the treatment of hypomenorrhea, as well as other pathologies of the menstrual cycle. Along with its effectiveness, it does not harm the female body and is used as an additional method of treatment.

In physiotherapy, the following factors are used:

Natural. Treatment with medicinal waters and muds, which contain many useful substances. These factors have a stimulating and revitalizing effect.
Thermal. Stimulation of estrogen production, anti-inflammatory and resorption effect with the help of paraffin therapy and ozokeritotherapy.
Gynecological massage. The use of this method normalizes blood circulation in the pelvic organs, stretches scars, adhesions and cords in the field of inflammatory processes, improves ovarian function.
Hardware treatment. The following types are used: electrotherapy, ultrasound treatment, phototherapy.

The effect of treatment usually manifests itself through several procedures or courses of therapy. has an anti-inflammatory effect, reduces painful manifestations, normalizes metabolism and blood circulation in tissues.

All these effects eliminate the pathological conditions that caused hypomenorrhea and contribute to the normalization of the monthly cycle.

Physiotherapy treatment is well combined with drug therapy, and also allows you to reduce the dosage of drugs, shorten the recovery time and has an anti-relapse effect.

Folk remedies

Treatment with folk remedies does not lose its relevance now. They provide effective support for traditional therapy, have practically no contraindications and a small number of side effects.

Keep in mind, however, that despite the natural ingredients in these recipes, herbs can still cause unwanted effects, such as allergic reactions. Therefore, these recipes must be used with caution, on the advice of a doctor.

Folk remedies for scanty periods are used in the form of infusions, decoctions, fresh or dried herbs are added to food.

A few of the most common recipes:

Parsley seeds are ground into powder and 1 gram is weighed. Dissolve 4 teaspoons of honey in half a glass of boiled water and mix all the ingredients. This remedy is recommended to be taken three times a day.
Add parsley seeds (4 teaspoons) to 2 cups of boiling water and put on low heat for 5 minutes. After that, it is necessary to insist the broth for half an hour, let it cool and strain. Add honey at the end. The remedy is taken in half a glass 3 times a day.
One of the proven herbs for violations of the monthly cycle is calendula. It is brewed in a thermos overnight and drunk instead of tea up to three times a day.
Motherland - the name of this herb is eloquent. This herb is taken in the form of an infusion. You can add shredded motherboard to food: salads, meat dishes, sauces.
Flowers of St. John's wort and thorns are mixed in equal quantities. The resulting mixture is poured with boiling water and insisted for 30 minutes. Drink the resulting infusion before bedtime, 50-100 ml.

Alternative treatment cannot be used as the only method of treatment and without the supervision of a doctor. After the examination, it is necessary to exclude serious diseases, then the use of home remedies is quite acceptable.

Conclusion

Every woman needs to know how her menstrual cycle looks like in the norm, and if any malfunctions appear (for example, hypomenorrhea), be sure to consult a specialist. You can use both classic drugs and their combination with folk methods. It is only important to remember that only the doctor will select the correct course of treatment for the fastest recovery.

Hypomenorrhea is a health condition in which the flow of the menstrual cycle is very low. It is characterized by scanty menstrual bleeding.

Unfortunately, many women have to deal with such a problem as hypomenorrhea, but few of them seek medical advice, which is erroneous.

A failure in the cycle necessarily signals any changes in the woman's body.

What is hypomenorrhea

Hypomenorrhea is a scanty discharge with menstruation in a volume of less than 50 ml (at a rate of 50-150 ml). Also, the duration of menstruation is reduced to only two days (at a rate of 5-7 days).

Hypomenorrhea is considered an acceptable norm only when taking hormonal contraceptives.

Causes of occurrence

Most often, scanty periods are not a serious medical condition, however, it is important to diagnose the underlying cause in order to avoid future complications.

The causes of scanty discharge during menstruation can be:

anorexia nervosa or bulimia;
obesity;
avitaminosis;
a consequence of an abortion or curettage;
congenital anomaly of the uterus;
the consequences of operations in the pelvic area;
a sharp increase in psycho-emotional stress;
excessive physical activity;
genital tuberculosis;
period of pregnancy and lactation;
the period before the onset of menopause;
STDs;
radioactive and chemical exposure;
inflammatory processes in the uterus;
first menstruation during adolescence.

Sometimes the main reasons for this unpleasant condition can be simply vitamin deficiency, anemia, or it can be caused by emotional or psychological trauma.

An event associated with a life change, stressful periods of life or loss, one strong shock in a woman's life is enough for it to be disturbed for a while.

This situation may be resolved over time.

Symptoms of hypomenorrhea

Possible symptoms include:

decrease in the amount of blood;
the appearance of "daub";
headache;
vomit;
in the lower abdomen;
constipation;
decreased sex drive;
(disruption of the normal activity of the stomach).

Symptoms in the presence of diseases that caused hypomenorrhea

Genital tuberculosis:

constant temperature 38oC;
lack of appetite;
mental disorders;
chronic endometritis;
unpleasant odor of discharge;
constant and;
temperature increase.

Chronic adnexitis:

aching pain in the groin;
a feeling of heaviness in the area of the appendages;
temperature increase.

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