Hygiene

Why menstruation goes poorly - we get rid of pathology

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Understanding what “scanty periods” is will help you determine if your periods are really scanty.

Monthly, usually begin after an equal number of days - from 21 to 35 days. The duration of menstruation can vary from two to seven days. However, this may change with time due to different circumstances. Each woman and her monthly are individual, so that menstruation may come as a clock or be more unpredictable.

Symptoms of poor monthly

You may be concerned about scanty monthly periods if:

  • menstruation takes less than two days
  • your discharge is not very abundant, more like spots,
  • you missed one or more menstrual cycles
  • menstruation occurs more often than once in a 21-35 day period.

You may have unusual periods without any specific reason, but you still have to tell your doctor.

Causes of poor monthly

Scanty periods can be the result of various causes.

The duration and intensity of menstruation may vary if you are a teenage girl. On the other hand, if you are experiencing menopause, irregular periods can occur, which can be scarce. These cases are the result of hormonal imbalances.

Pregnancy

If you are pregnant, then, of course, you are unlikely to have your period. In this case, you can notice some spotting and think that this is menstruation, but in fact it may be implant bleeding, when a fertilized egg is attached to the mucous membrane of the uterus. Implant bleeding usually lasts two days or less.

Breast-feeding

If you are breastfeeding, menstruation may not return immediately after delivery. The hormone, which is responsible for the production of milk, prevents ovulation and delays the return of menstruation.

However, you can become pregnant while breastfeeding, even if your period has not yet returned. This is because ovulation will begin two weeks before the first postpartum menses. If you have had unprotected sex while nursing and bloody discharges occur, it is worthwhile to take a pregnancy test to make sure that the bleeding was not implant.

Contraceptive

Contraceptive drugs can be the cause of scanty periods. Some drugs prevent the formation of an egg. This can lead to scanty menstrual periods or, in general, missed menstrual cycles. You may also have irregular periods if you have recently started or stopped taking birth control pills.

If you are stressed, your brain can affect the hormones responsible for the menstrual cycle. You may have missed or scanty periods because of this. After you experience a stressful event, your period should return to normal.

Polycystic Ovary Syndrome

If you have irregular periods or stopped menstruation, this may be due to polycystic ovary syndrome.

This hormonal change can also:

  • cause obesity
  • cause acne
  • make facial hair grow
  • cause infertility.

A doctor can diagnose polycystic ovary syndrome using ultrasound, because This syndrome can lead to cysts in the ovaries. The doctor probably recommends losing weight and taking birth control pills to help your menstruation return.

Serious diseases

Regular periods show that your body is in good working condition. Unusual or irregular periods can be a sign of a serious illness, so you need to discuss the symptoms with your doctor.

Women who have not had menstruation for three months or longer may be diagnosed with amenorrhea.

When to see a doctor

Sign up with a doctor if:

  • you missed three menstrual cycles without being pregnant,
  • think you might be pregnant,
  • you have irregular periods,
  • you have bleeding between menstruation,
  • you feel severe pain during menstruation.

Also, consult your doctor if you notice any other symptoms.

Scanty periods are not necessarily a sign that you have to worry about. Even a short period of menstruation, as two or three days, is considered normal. If you missed the monthly cycle or you have a spotting and you think you may be pregnant, then take a pregnancy test. Talk to your doctor.

Every woman should carefully monitor the functioning of their reproductive system. The main indicator of health, according to experts, is the menstrual cycle.

Symptoms of hypomenorrhea

In addition to insignificant volume, bleeding is characterized by a specific appearance: it is light beige / brown drops or daub.

Clinical manifestations of hypomenorrhea are expressed by the following signs:

  • reducing the duration of menstruation,
  • various forms of cephalgia,
  • emotional imbalance
  • encircling pains in the lower abdomen and lower back,
  • indigestion (heartburn, nausea),
  • decreased libido
  • discomfort in the genital area (itching, burning),
  • low-grade fever
  • chronic fatigue,
  • nose bleed,
  • sweating
  • pain in the sternum and mammary glands,
  • irritability, depression.

In some cases, the pathology is asymptomatic. Then the main guideline for women are minor allocation of unnatural color.

Causes of poor blood loss during menstruation

This condition is classified according to two types:

  1. Primary hypomenorrheawhen heavy discharge was observed. This phenomenon is associated with congenital anomalies of the development and structure of the genital organs. This type is diagnosed in the event of a scanty discharge from the first menstruation (menarche) during the year.
  2. Secondary hypomenorrhea. This species occurs in women of childbearing age, when the volume of the usual monthly decreases sharply.

Specialists in the field of gynecology have studied many sources that provoke the development of hypomenorrhea. Often, scanty periods are caused by pathological factors.

Diseases of the reproductive organs

Such diseases are classified by their origin. Infections caused by pathogenic bacteria, hormone-dependent diseases, as well as neoplasms of different origin can be the primary cause of the disorder. These include:

  • tuberculosis of the genitourinary system
  • chronic endometritis - a pathological process in the inner mucous layers of the reproductive organ,
  • STDs (sexually transmitted diseases): herpes virus infections, ureaplasmosis, chlamydia,
  • uterine fibroids - benign neoplasm,
  • genital infantilism - a delay in the development of reproductive organs,
  • trauma of the urinary tract or the result of surgery,
  • endometrial hyperplasia - proliferation of the tissues of the mucous membrane of the uterus,
  • metabolic disorder,
  • endocrine system malfunction
  • anemia,
  • immunodeficiency states
  • anorexia nervosa - critical weight loss,
  • contamination by radioactive or chemical substances
  • chronic adnexitis - inflammation of the reproductive organs.

Women using contraceptives and hormonal contraceptive drugs should be aware that such measures affect the nature of the cycle and contribute to the appearance of minor secretions.

Hypomenstrual syndrome after abortions, scraping, miscarriages

The causes of scanty periods are often rooted in mechanical manipulations, so hypomenorrhea is often observed after miscarriages, scraping or artificial termination of pregnancy.

Upon completion of abortive intervention as a result of a serious hormonal failure, the menstrual cycle normalizes over a period of three months to six months or more. Poor discharge can be observed in the first few weeks after the operation is completed (for example, medical abortion). Sometimes smearing traces are fixed immediately after the artificial termination of pregnancy as a reaction of the uterus to surgery.

Along with scraping, minimally invasive methods for diagnosing the mucous membrane of the reproductive organ (for example, hysteroscopy) can also cause hypomenorrhea. The indications for curettage are polyposis, endometriosis, ectopic pregnancy, miscarriage. The procedure, in which the endometrium is exposed, is in some cases accompanied by a failure of the menstrual cycle and a reduction in the amount of blood secreted. As a rule, the process is normalized a month after the manipulations.

The formation of adhesions and scars in the uterine cavity as a result of curettage and numerous abortions is a complication that can lead to a poor menstruation.

Early hypomenorrhea

In some cases, girls in puberty notice the presence of light yellow or cream-colored secretions. Do not worry, because it is a natural physiological process, although it is often accompanied by aching pain in the sacral segment, discomfort in the chest and abdomen. Over time, this state is transformed into an ordered menstrual cycle.

Prolonged hypomenorrhea

Prolonged menstruation in women of reproductive age is a serious reason for going to a doctor. Often this condition is associated with dysfunction of the reproductive organs or caused by a failure of the menstrual cycle.

To identify the exact cause of the violation, you need to contact a female doctor and an endocrinologist, because it can be caused by gynecological ailments (endometriosis), vitamin deficiency, endocrine diseases or metabolic disorders.

Prolonged hypomenorrhea can cause irreparable damage to women's health up to the development of infertility.

Scanty periods when carrying a child

Sometimes in the early stages of pregnancy there is a slight spotting. This is due to the implantation of the embryo in the wall of the uterus and is not considered a pathology. A number of gynecological diseases, as well as developing polyposis, can indirectly provoke the occurrence of hypomenstrual syndrome.

Physiological hypomenorrhea in the postpartum period

After the baby is born during breastfeeding, the periods are either absent or are episodic. It's all about prolactin - the hormone responsible for the production of milk. It is he who holds back the development of the egg, since all the efforts of the body are aimed at ensuring the nutrition of the child.

The timing of the appearance of postpartum menses is individual for each woman, but still the most typical stages can be distinguished.

  1. After the introduction of complementary foods to the child in six months, menstruation is expected in 1.5-2 months.
  2. With the alternation of breast and artificial feeding, the first periods can begin 90 days after the birth of the child. But the semi-annual delay is not considered an anomaly if the mother continues lactating.
  3. Often there are no periods throughout the entire breastfeeding stage up to one year.
  4. The duration and number of menstruation during lactation are different from those in normal time. As a rule, short monthly and poor blood loss are observed.

As the hormones of the mother stabilize, the critical days gradually normalize.

As evidenced by poor menstruation brown

Insignificant discharge of a brown shade several days before the onset of critical days indicates the onset of detachment of the uterine mucosa. Spotting dark marks after the end of menstruation may be caused by residual rejection of the endometrium, which is not separated during the cleansing process. The causes of these phenomena, observed in the middle of the menstrual cycle, may lie in the use of contraceptives - both oral and intrauterine.

When a woman of child-bearing age has a brown daub instead of a full menstruation, in due time, pregnancy test recommended.

If the pre-menstruating light beige discharge is accompanied by sharp pains in the lower abdomen, then it is possible development of adenomyosis (germination of the mucous layer in the muscle tissue of the uterus).

After the completion of the menstrual period, long brownish discharge (more than three days) signals the development of such pathological processes as endometriosis, uterine neoplasm. In this case, an urgent specialist consultation is required!

Smearing brown spots in the middle of the cycle when not using contraception also signal the occurrence of a number of diseases of the female reproductive system. For example, this may indicate the presence of ovarian cysts, acute endometriosis, tumors of different origin, ulcers of the cervix, etc.

Diagnosing lean monthly

Establishing the correct diagnosis and identifying the etiology of the disease is possible only after laboratory and instrumental studies in an outpatient setting. Diagnosis is carried out according to a specific scheme:

  1. Collecting and thorough analysis of the patient's information (examination of complaints, symptoms, identification of relationships with other diseases).
  2. Visual gynecological examination.
  3. Cytological smear analysis.
  4. Bakposev.
  5. PCR diagnostics (polymerase chain reaction), revealing genital infections.
  6. Hormonal blood and urine tests.
  7. Basal temperature measurements to assess cycle regularity.
  8. Ultrasound of the genitourinary system.
  9. Endometrial biopsy.

Additionally, in order to clarify the diagnosis, instrumental methods are widely used: laparoscopy, computed and magnetic resonance tomography.

Treatment of scanty menstruation

The decision on the method and treatment of hypomenorrhea is made according to the results of the examinations. If the menstrual cycle fails are caused by psycho-emotional stress, deficiency or excessive body weight, excessive physical activity, then the therapeutic effect is to correct the precipitating factors. Patients are shown psychotherapy, relaxation procedures, spa treatment at health centers gynecological type.

In cases where non-abundant menstruation has occurred as a result of infection, complex treatment and administration of the following medications are prescribed:

  • antiviral and antibacterial drugs,
  • anti-inflammatory drugs
  • hormonal medications
  • immunocouple tablets,
  • vitamins.

Scanty monthly, triggered by contraceptive pills, normalized after their cancellation. Hypomenorrhea, the development of which is caused by diseases of the reproductive organs, is eliminated along with the treatment of the underlying pathology. Along with conservative therapeutic methods, surgical intervention is often required.

The remaining cases due to physiological factors (postpartum period, lactation, first menstruation in girls, menopause, condition after diagnostic procedures) do not require special therapy. But the consultation of the gynecologist will not be superfluous.

Reviews of women on the treatment of poor monthly

The causes of poor monthly periods are varied, individual and stories of women who are faced with illness. Below are the histories of patients who got rid of hypomenorrhea.

For a long time I suffer from scanty discharge. Some months menstruation is completely absent. At the reception at the gynecologist was diagnosed with secondary amenorrhea. Discharged homeopathic remedy Remens, herbal remedies Klimadinon, vitamins B6, B12. I saw through the full course, but I think that the main reason for my long-awaited periods is that I gained my normal weight - 51 kg instead of 38 kg earlier. Girls, do not lose weight without measure!

Natasha K., 22 years old

I want to tell the story of my girlfriend. She was diagnosed with numerous diseases of the reproductive organs (scleropokistosis of the ovaries is one of them). Menstruation was either not at all, or once every few months, and spotting was observed for no more than 2-3 days. It was treated by the appointment of a gynecologist with various hormonal preparations. A bunch of side effects - the result is zero! I decided to independently switch to herbal medicine, dietary supplement Female complex, homeopathy. The process was lengthy, but it was worth it. Normalized metabolism and hormones. Now a friend of 30 years old, she managed to get pregnant, the diagnosis of "polycystic" was withdrawn. People will think that a miracle, but it is a reality. And with hormonal drugs need to be careful.

Helena

After giving birth and breastfeeding, the MC recovered for a very long time. The reason was not only lactation, but also a large increase in weight. In addition, tests have shown violations in the production of estrogen. Hormonal disruptions provoked the appearance of scanty periods. Prior to that, she took a boron uterus, but due to stomach problems she refused. The decoction of the roots of deviacele came to the rescue I accept this bitter potion in the days of menstruation - it helps perfectly. The volume of discharge increased. Not to say that the bleeding has become profuse, but the process is already like normal menstruation. Yes, and the stomach of the grass is good.

Oksana, 29 years old

Conclusion

В качестве профилактических мер при гипоменорее женщинам рекомендуется не игнорировать симптомы скудных выделений. Mom's duty is to enlighten her daughter in matters of puberty, to follow the establishment of the cycle of menstruation, and also to teach how to manage the menstrual calendar. A timely visit to the doctor will help to preserve women's health and experience the joy of motherhood.

Definition

Scanty periods are the discharge of small amounts of blood during menstruation. Discharges may have the character of light or dark brown daub, or stand out in small drops.

There is a special term for this phenomenon - hypomenorrhea. The amount of blood secreted during menstruation with hypomenorrhea does not exceed 50 milliliters. At the same time, the number of days (1-2 days) may decrease. In some cases, daub continues for the usual 3-5 days.

Hypomenorrhea can occur both for natural reasons and as a result of pathological processes. It is important to remember that spotting or scanty periods are not an independent disease, but a symptom of any changes in the body, not always good ones.

Hypomenorrhea is considered normal in adolescents during the period of the menstrual cycle, in nursing mothers and women who are in menopause. Sometimes in the first month of pregnancy there may be scanty monthly discharge, this situation is considered normal. These will be the physiological causes of scanty menses.

In the same cases, when menstruation, then go as usual, then become scarce, there is a probability of the following reasons:

  • Sharp weight loss, regular diets, anorexia.
  • Violation of metabolic processes.
  • Lack of vitamins and minerals.
  • Anemia.
  • Constant stressful situations, lability of the nervous system is noted.
  • Physical overwork (excessive enthusiasm for sports, work associated with intense physical exertion).
  • Injuries and operations on the pelvic organs and the genitourinary system.
  • Unsuitable oral contraceptive preparations.
  • Endocrine pathologies (diabetes, obesity, diseases of the thyroid gland).
  • Infectious and inflammatory diseases.
  • Hormonal imbalance.
  • Anomalies of the reproductive organs.
  • Pathological processes of the reproductive organs (endometritis, endometriosis, adhesions, etc.).
  • Influence of the environment (abrupt climate change, abuse of a solarium, etc.).
  • Occupational hazard (various types of radiation, contact with chemical reagents, etc.).
  • Sexually transmitted diseases (gonorrhea, trichomoniasis, etc.).
  • The presence of bad habits (alcoholism, drug addiction, smoking).

There are two types of hypomenorrhea:

  • The menstrual cycle is only established, the young girl may experience primary hypomenorrhea.
  • There is a normal menstrual cycle, but under the influence of a number of reasons, scanty periods are noted, and secondary hypomenorrhea is diagnosed.

A little more in detail will address the situation when poor monthly is not a pathology.

Scanty periods in young girls are observed in the process of the formation of the menstrual cycle. This period can last for two years. Monthly can appear and disappear for a couple of months. The discharge itself will be insignificant, in the form of a daub or a drop of blood.

Gradually, this process will get better and stabilize after a two-year period. However, if after this period, menstruation did not get the schedule, you need to contact a gynecologist.

Scanty periods in adult women are observed during menopause. This time is characterized by the extinction of the reproductive functions of the body and the scanty monthly indicator of this process. During menopause, the opposite is true than in the previous situation.

For several years, menses appear less and less, become less abundant and stop altogether. The absence of menstruation for one year will be considered the onset of menopause. Climax is a natural stage in the life of every woman and often does not require treatment. However, observation by a gynecologist will not be superfluous, and the appointment of a specialist will significantly alleviate the manifestations of the climacteric period.

Monthly as a drop of blood can be observed in the first month of pregnancy. They will start on time, but the allocation will be scarce. To stop this kind of discharge should be a maximum of 3 days. Otherwise, increased daubs or prolonged bleeding becomes a signal of the onset of pathology (the threat of miscarriage, etc.). Also, prolonged daubs with the appearance of pulling pains in the lower abdomen, ectopic pregnancy may occur.

Oral contraception can cause heavy discharge or change the order of the month. In addition, in the first month of taking oral oral contraceptive preparations, there may not be any. Within three months of taking the pills, the menstrual cycle should be established finally.

However, the amount of blood released will be less than before. This is normal and no need to worry. If after 3 months there are bleeding beyond menstruation, or any other changes, you should contact your doctor. Perhaps the drug should be replaced or canceled contraceptive use at all.

Recent birth and lactation are also accompanied by scanty monthly periods. After childbirth, the body must recover, and the hormone prolactin (responsible for the production of milk) does not allow to expend the extra resources of the body. Therefore, the appearance of small menstruation. Most women during lactation period are absent altogether.

Scanty periods can be an individual genetic trait. Most often, all the fair sex of one family will have such menstruation. This feature does not affect the procreation and function of childbirth. Ask your mother, grandmother or sisters, maybe their periods are not abundant.

Climate change for the body is a significant stress. Everything changes: temperature, air, humidity, water and food quality. The body is rebuilt under the new conditions. If this situation is temporary (vacation), then on arrival home the cycle is normalized. If the conditions of the new climate are constant, then menstruation will return to normal within 2-3 months.

Exercise and constant stress. Under the influence of excessive physical exertion, menstruation becomes scarce among professional sportswomen or women who are fond of weight lifting. Stress is characteristic of absolutely all people, but women have a violation in the regulation of the functions of the reproductive organs. To avoid such situations, it is necessary to reduce the load in the gym, avoid nerve surges, rest more and get enough sleep.

Lack of vitamins, poor diet, frequent diets. These factors lead to the "starvation" of the body. It lacks proteins, vitamins and trace elements. The body reacts to a sharp loss of body weight by “disconnecting” the menstruation, avoiding the expenditure of necessary resources. Especially often this situation occurs with anorexia. In consequence, with further loss of body weight, amenorrhea can occur.

Surgery on the reproductive organs, abortion. During operative manipulations on the organs of childbirth, tissue injury occurs, a violation of the hormonal level. The recovery period should take about six months. After an abortion, the first periods can be abundant or scarce. It is difficult to guarantee this or that option, since these are individual manifestations of the organism. However, if the bleeding is excessive, you need to contact the gynecology.

Pathological causes of scanty menstruation require careful examination, since it can be based on hormone balance failure or the development of the inflammatory process.

Unfortunately, the symptoms of almost all gynecological pathologies are very similar. And it is simply impossible to diagnose yourself. Only a specialist will be able to give an accurate assessment of the patient's state of health and determine the cause of the meager monthly periods. Therefore, if, with careful analysis of the preceding factors, it was not possible to establish the cause of the poor monthly periods on your own, you should contact your gynecologist.

Scanty periods can be accompanied by the following symptoms:

In some women scanty menstruation is asymptomatic. Sometimes hypomenorrhea is accompanied by nosebleeds.

All problems on the part of the reproductive organs should be referred to a gynecologist. He will assign the required range of tests and examinations. And already on the results can be sent for consultation to other specialists.

The basis of the treatment of hypomenorrhea is the search for the cause that caused it. Having determined the cause, you can prescribe the necessary treatment.

If the reason lies in the loss of body weight and lack of vitamins, it will be enough to correct the diet.

When infectious or inflammatory processes in the body, it is advisable to prescribe anti-inflammatory drugs, antibiotics and antifungal agents.

Hormonal failure requires careful selection of suitable drugs and the normalization of the organs and systems. As well as the treatment of related pathologies.

Long-term stress can be treated with the help of sedatives, which will appoint a qualified psychologist.

Herbal treatment helps to normalize the menstrual cycle.

To make a decoction, take a couple of tablespoons of dry grass of the uterine boron, place in a small saucepan and pour in 350 ml of cold water. Then put it on the stove and wait for it to boil. As soon as the mixture starts to boil, put out the fire and then another 15 minutes. Cool and strain. Take 3 times a day, a tablespoon before meals.

Alcohol tincture oregano. Mix one part of the herb with 10 parts of vodka (alcohol). Insist, occasionally shaking, for 10 days in a dark place. Take 20-30 drops three times a day.

Drug collection. One tablespoon of fragrant rue and two teaspoons of parsley seeds must be mixed. The resulting mixture pour 200 ml of boiling water, leave for 30 minutes. Drink the resulting infusion throughout the day.

Calendula. Put a tablespoon of calendula in a thermos and pour boiling water. Insist all night and drink during the day instead of tea.

Important: to use traditional methods of treatment of hypomenorrhea without consulting a gynecologist is impossible. Herbs can help, but only in combination with drug therapy!

Absolutely all the fair sex need to know how much blood they lose every month, the duration of their menstrual cycle. To do this, it is enough to have a separate calendar and a small notebook for records. Record there all the data associated with the passage of menstruation.

In cases of failures associated with menstruation, it is better not to self-medicate, but to appear to a specialist. He will prescribe the correct treatment, which will consist of traditional methods of treatment and folk remedies. It is this balance that will allow for the fastest recovery.

Primary hypomenorrhea

The transition of adolescent girls to adulthood lasts several months. The very first periods come without exact adherence to the frequency and amount of discharge. During this period, menstruation can be very scanty. This feature of menstruation continues until the body adapts to the systematic ejection of hormones at the appropriate time and in appropriate amounts. At this stage of development of the menstrual cycle, scanty discharge is considered as a primary hypomenorrhea. The emergence of the sustainability of the cycle and the nature of menstruation means its end. Normally, primary hypomenorrhea can last no more than one year. Delaying hypomenorrhea for a longer time, especially over two years, suggests a possible birth defect in the reproductive system and the need for examination.

Secondary hypomenorrhea

After normalization of the menstrual cycle and the appearance of full-bodied, clear, correct discharge, failures sometimes occur. In this case, during menstruation, the spotting substances are again noted, leaving in a very scanty amount, frightening women with their unusualness. This forms a secondary hypomenorrhea, often meaning the development of pathology. For its occurrence, surgical interventions, infections and inflammations, lifestyle features, and endocrine diseases are responsible. When the body copes with the situation, the secondary hypomenorrhea may disappear over time. But most often you need medical help to solve this problem.

Treatment and prevention of non-abundant menses

The presence of non-abundant menstruation is a manifestation of the body's response to a change in the situation, the appearance of circumstances and the reasons causing the scarcity of menstruation.

On time menstruation, having an unusual appearance, scanty, smearing or colorless, require treatment and prevention of problems, correction or exclusion of the circumstances due to which such a phenomenon has become possible.

First of all, you need to visit a gynecologist and tell him about ailments and experiences. After examination and analysis, the doctor will give a conclusion and determine the order of treatment. Since the course of menstruation is affected by the work of many body systems, it is rather difficult to find the correct diagnosis. It may take a lot of time. Therefore, it is necessary to take measures to improve the condition, regardless of further treatment. For these purposes, it is recommended:

  • stick to proper nutrition
  • avoid extreme physical exertion
  • visit walks more often, breathe fresh air,
  • do not disturb sleep and wakefulness,
  • rest more
  • do not be nervous.

Scanty brown menses

Often, scanty menstruation looks like a discharge of a brown color of a luminous nature within two days or less, but even very scanty menses remain cyclical and come only during the period of expected normal menstruation. The dark color of the menstrual flow is due to the fact that a small amount of separated blood on the way out of the uterine cavity has time to curl up and turn brown.

Minor menstrual blood loss in the form of scanty brown discharge may be of a genetic nature. Sometimes patients with scanty periods indicate that there are women in the family (mothers, aunts, grandmothers, sisters) with similar changes. In this case, scanty menstruation does not prevent the onset of pregnancy and does not affect the health of the woman.

Very scanty periods in the form of a lush brown discharge on the background of menopause are not considered pathological, as well as the beginning of the first menstruation in girls entering puberty.

It should be noted that minor brown vaginal discharge is not scanty menstruation, if they:

- do not coincide with regular menstruation in time, but appear in the intermenstrual period (that is, between two normal periods),

- start a few days before the onset of normal menstruation,

- appear in the last days of menstruation,

- occur in the first few days after an abortion, diagnostic procedures or childbirth,

- found in women who have overcome menopause.

For scanty periods after hysteroscopy, patients may take a slight brown discharge associated with endometrial injury, when a small amount of coagulated dark blood from the wound site is excreted.

A scanty brown discharge during pregnancy cannot be a menstruation, but not always associated with serious pathology. Special attention should be paid to any brown discharge that appeared in a pregnant woman on the background of pain.

Also, women make mistakes in terms when they indicate scanty periods after IVF (artificial insemination). If fertilization is successful, and the pregnancy has begun, brown discharge cannot be a menstruation, and the so-called “scanty periods after IVF” can have serious consequences, as well as be a sign of the beginning of an abortion. If brown secretions appeared directly after the IVF procedure, they may be associated with a small injury to the endometrium. As a rule, in this case they pass by themselves and do not bring harm.

Patients often ask if pregnancy is possible after scanty periods. The unequivocal answer to it does not exist. The likelihood of pregnancy depends on the cause of poor menstruation. A favorable situation is the preserved biphasic cycle and the presence of ovulation.

With thyroid dysfunction, pregnancy after scanty periods without appropriate treatment is unlikely. Excessive secretion of thyroid hormones in hypothyroidism provokes scanty menstruation, leads to a lack of ovulation. Scanty periods after a miscarriage are often also a consequence of the pathology of the thyroid gland.

Scanty periods cannot be an independent diagnosis, as a symptom they are more often present in the clinic of infertility, hypomenstrual syndrome, inflammatory gynecological ailments, polycystic ovary and sexual infantilism. Often scanty periods precede their complete disappearance (amenorrhea).

Диагностический поиск причин появления скудных месячных непрост. Он начинается с беседы с пациенткой, во время которой уточняется характер менструальных нарушений и время их появления. Sometimes a woman just calls a situation, the field of which the nature of menstruation has changed: stress, infection, abortion, and so on. Then consistently held:

- Standard gynecological examination.

- Laboratory research. The composition of the vaginal microflora, the presence of pathogenic microorganisms in it is studied.

- The study of hormonal status. Determining the key hormones (FSH, LH, progesterone, estrogen, prolactin) in accordance with the phases of the cycle helps to establish the nature of hormonal dysfunction. If a thyroid pathology is suspected, the level of thyroid hormones (TSH, T3, T4) is determined and an ultrasound scan of the gland is performed.

- Ultrasound examination of the pelvic organs. Gives information about the structure of the endometrium, the presence of any (and inflammatory including) changes in the uterus and appendages, and also diagnoses the defects of their development.

- X-ray of the skull and the "Turkish saddle." With an increase in the level of the hormone prolactin in the blood, the presence of a tumor (adenoma) of the pituitary gland is excluded, which can affect the nature of menstruation.

- Hysteroscopy. The method allows you to directly examine the uterus and "pick up" a fragment of the endometrium for research.

Diagnostic search stops only after determining the cause of menstrual irregularities.

Scanty periods after delay, pregnancy and childbirth

If after a delay scanty periods, similar to a few drops of blood or dark brown spotting, have gone, you should not sit at home in the hope that the reason is harmless, and everything will be restored.

Indeed, sometimes scanty periods during a delay have no serious reasons. Such violations sometimes occur in perfectly healthy women after hypothermia, a strong emotional experience, physical overload. And on the background of weight-loss diets in recent years, very scanty menstrual periods are being increasingly diagnosed, since sudden and significant weight loss leads to hormonal disorders and beriberi. As a rule, if the cause of scanty discharge does not have a pathological basis and is caused by external causes, it is often necessary to eliminate the provoking factor to restore the former normal menstrual bleeding.

If, after a delay, scanty periods of a woman’s pregnancy does not occur, which does not preclude pregnancy, it is necessary to conduct proper tests. Menstrual-like poor discharge on the background of pregnancy is not always associated with serious pathology. In some cases, at the stage of implantation of the embryo, very scarce spreading short-term discharges appear. However, they are not normal if they are accompanied by aching pain, fever, deterioration of health, which are a harbinger of abortion.

Scanty periods after a delay may indicate the development of an ectopic pregnancy. Symptoms of ectopic pregnancy are often erased, they grow gradually as the embryo grows in the "wrong" place. The appearance of scanty dark red, similar to the expected menstruation, discharge is characteristic. The danger of the disease is that it mimics the true, uterine, pregnancy, especially in the absence of other symptoms. If a positive result for the presence of pregnancy bleeding in combination with nagging pain are perceived as a threatening miscarriage.

Scanty periods after childbirth, especially the first, often indicate a hormonal imbalance, when the body did not have time to reproduce a sufficient amount of hormones for a full menstruation after a long break. The onset of the first postpartum menstruation in nursing mothers is postponed for a later period, allowing the body to “accumulate” the necessary hormones, and in those who stop breastfeeding early, scanty first periods are more frequent. If such menstruations are temporary, and they are not accompanied by disturbing symptoms (pain, temperature, and the like), special therapeutic measures are not required. Treatment is necessary only if the normal menstrual cycle after childbirth cannot recover on its own.

Similar to postpartum disorders, scanty menstrual periods after miscarriage are of a hormonal nature, when, after a sudden spontaneous termination of pregnancy, there is a rapid change in the ratio of hormones.

Scanty periods after a frozen pregnancy often indicate a hormonal cause. This condition refers to a rare pathology, and its sources continue to be investigated. For reasons that are not well understood, the fetus stops growing and “freezes”. Scanty periods after a frozen pregnancy can also be provoked by chronic genital infection.

Whatever the causes of scanty menstruation, you should not make a diagnosis yourself, and even less should not be treated. Long-existing scanty periods can lead to their complete disappearance and infertility.

Treatment of scanty menses

The treatment of scarce menstrual flow must be approached differentially, because not every such violation has serious reasons. The decision on the method and timing of treatment is made only after the necessary examination and determine the cause of menstrual irregularities.

Primary meager menstrual periods with congenital anomalies of the development of the genitals, which are based on, require additional examination by an endocrinologist, a surgeon and a genetics. Often the result of a joint decision is a surgical correction of existing sexual developmental defects.

Young girls have poor monthly periods of puberty and do not require serious therapeutic measures. Often enough dynamic monitoring of changes in the nature of menstrual bleeding. If the menstrual function at the end of puberty does not correspond to the norm, and menstruation is still scarce, the question of the possibility of hormonal correction is decided.

Scanty periods do not require special medical treatment if:

- they are diagnosed in women entering menopause,

- they appeared on the background of a viral infection or catarrhal diseases,

- the patient has a weight deficit, or she lost it artificially (fasting, dieting, excessive exercise),

- they were provoked by stress,

- they appeared while taking OK or other hormonal drugs,

- This is the first menstruation after childbirth.

The most popular treatment for scanty menstruation is hormone therapy. After a preliminary examination of the hormonal status, an individual treatment scheme is selected to correct the ratio of sex hormones.

If poor monthly periods are combined with infertility, hormonal correction is not always able to restore the ovulatory biphasic cycle, therefore, after the volume of menstrual blood loss during hormonal intake has recovered, stimulation of ovulation is necessary.

Antibacterial therapy is prescribed for inflammatory etiology of scanty menstruation.

Whatever the cause of scanty periods, before the start of etiotropic therapy, weight correction is carried out, immune disorders are eliminated.

Traditional medicine as an independent therapeutic method of poor monthly as monotherapy can help only in a small number of cases, it usually has an auxiliary value.

What to consider as hypomenorrhea

In gynecology defined boundaries that share the concept of the norm and pathology. For menstruation, the duration of three to seven days refers to physiological phenomena. But if it is shortened to two days, then this is considered a deviation. Hypomenstrual syndrome can manifest itself in the following types of disorders:

  • hypomenorrhea - reducing blood loss (less than 50 ml),
  • oligomenorrhea - menstruation lasts less than three days,
  • Opsomenorrhea - a violation of rhythm, between the month passes five to seven weeks,
  • Spaniomenorrhea - rare monthly up to four times a year.

Often these states successively replace each other. First, menstruation becomes less voluminous, then their duration decreases, the gap increases. As a result, monthly appear very rarely, amenorrhea develops.

Additional signs

Hypomenorrhea does not always act as the only symptom. Depending on the causes of the disease, additional signs may appear:

  • discharge with an unpleasant smell
  • temperature rise,
  • chest pains
  • pulling pains in the abdomen,
  • nausea, diarrhea or constipation
  • decreased libido
  • nose bleed.

What examination is needed

Long meager periods should alert the woman and her doctor. This can be observed in uterine myoma, although pathology is mostly characterized by heavy bleeding. To establish why there are scanty monthly periods, a comprehensive examination is needed, which includes the following steps:

  • examination by a gynecologist,
  • smears on microflora,
  • general clinical research
  • blood test for hormones
  • Ultrasound of the pelvis.

If necessary, clarify the clinical situation prescribed:

  • MRI of the pelvis
  • brain x-rays,
  • Ultrasound of the thyroid gland, adrenal glands, liver.

If the smear showed an inflammatory process or, by the results of an ultrasound examination, a lesion of the appendages is noticeable, then examination for genital infections is necessary. For a more accurate result, it is better to do this by PCR. Sometimes it is necessary to conduct bacposev to determine sensitivity to antibiotics.

Ways to normalize the cycle

Treating scanty periods depends on the cause that caused the failure. Sometimes it is enough to normalize diet, sleep, eliminate stress. But in some cases, therapy may take a long time.

  • Anorexia. It is difficult to treat cycle failure, which arose against the background of anorexia nervosa. In such a situation, treatment should be carried out in conjunction with a psychiatrist. It includes both the restoration of body weight and the change in the perception of its own shell.
  • Endocrine causes. It requires the help of an endocrinologist. For tumors in the pituitary gland with hormonal activity, treatment can be prescribed by a neurosurgeon in the form of surgery to remove the tumor.
  • Infections. With some pathogens, the absence of clinical symptoms of inflammation and low titer in the analyzes are indicative of a waiting tactic. With bright symptoms of inflammation, as well as the detection of chlamydia, Trichomonas, gonorrhea, treatment is mandatory not only for the woman, but also for her sexual partner.
  • Pregnancy. If pregnancy became the cause of a poor monthly period, then this condition requires a special approach. In the post-Soviet space, pregnancies that are threatened with interruption in a short period (up to 12 weeks) are striving to be preserved. Women are prescribed bed rest, hospitalized. Used for the treatment of antispasmodics, progesterone drugs "Duphaston" and "Utrozhestan." But often a miscarriage during this period is a natural process of getting rid of genetically defective offspring. Therefore, in many European countries and in the United States, the threat of interruption for up to 12 weeks is not treated with special measures, but is provided to everyone.

Birth control pills can be prescribed to normalize the cycle. They help the ovaries to tune in to the desired rhythm of hormone secretion, which persists after drug withdrawal.

Poor discharge instead of menstruation is rarely within the norm, the state requires correction. But you can prevent the failure of the menstrual cycle: eat right, dispense exercise, avoid stress and infections.

And I did not understand why I have this sometimes. Moreover, when they are scarce, they, on the contrary, last longer for me, up to a week (usually 5 days maximum). Maybe the truth is stress, and maybe some infection. Although the examination was complete, there were no microbes or violations on the part of the urogenital system. It seems worthwhile to do homeopathy, you never know, maybe the doctors did not notice.

I also faced this problem after I stopped taking birth control pills, which I took for 7 years. After the abolition of the hormonal periods became irregular, it happened that once in two months. She was examined by a gynecologist, the doctor said that this could be after taking a contraceptive for a long time, because the body was used to getting a hormone for a long time, to exclude other reasons, she underwent tests, made a tomogram of the brain, everything is normal. The doctor prescribed the drug "Cyclodinone", drank it for about three months, the cycle recovered completely.

I have the same one-to-one, only I am 39 years old - these are all malfunctions in the ovary, hormonal malfunction is natural from here, there is a shortage of hormones, you need to do a blood test, only then will they be determined and treated.

Girls, hello! There was a female operation (conization - on the cervix). After a month, the gynekogol healed everything, said that the neck is good ... then the first and second menstrual periods after the operation came up - normal, and in May the meager ... days three ... and yesterday they went ... one day and all ... (((no more ... I can’t think about Che, only about them ... but they are less and less ... (((We want a child ... on Thursday I registered with a gynecologist .... I’m 28 years old ... my whole life is regular ... but here , as for evil ... everything began to deteriorate ((((

Early meager monthly

This condition can be observed in several cases: in the period of formation of menstrual function, pregnancy. In the first case, hypomenorrhea is a physiological state, therefore it does not lead to the development of serious consequences. However, scanty periods can be accompanied by the appearance of various symptoms and their severity. There may be pain in the abdomen, chest, sacral area.

Also characteristic is the presence of scanty secretions of predominantly yellow or light brown color (below the physiological norm). Over time, this state passes and the menstrual function is normalized. During pregnancy, scanty periods can appear due to endocrine regulation abnormalities (impaired pituitary or ovarian hormone production).

This condition requires an appropriate hormonal correction. Moreover, it is characterized by a pronounced clinical picture (pain, intoxication phenomena, if the cause is inflammation in the female genital organs, constipation and dyspepsia).

First meager monthly

The first scanty periods can appear not only in the period of formation of menstrual function, but also in the reproductive period, as well as during menopause. The decisive role is played by factors contributing to the development of this state (hormonal disorders, inflammatory changes, injuries, stress conditions, anemia, etc.).

For example, in the presence of inflammatory diseases there will be scanty monthly light-colored with an increased number of pathological elements (leukocytes), with injuries dark brown (due to the presence of destroyed red blood cells). Determining the cause of the development of hypomenorrhea will help to indicate the characteristics of the discharge, which guarantees the formulation of the correct diagnosis.

Long meager monthly

The presence of a woman of prolonged scanty menstruation indicates the development of a serious pathological condition in the genital area (mainly the uterus) or a violation of the hormonal regulation of the menstrual cycle.

The menstrual cycle without developing the corpus luteum while maintaining menstrual bleeding is an anovulatory cycle, more ...

Oligomenorrhea - menstrual disorders in which menstrual bleeding does not exceed 72 hours.

These conditions include endometriosis (inflammation of the inner layer of the uterus), avitaminosis, endocrine diseases, metabolic disorders. In this case, timely access to a doctor is extremely necessary, because the earlier the pathology is detected, the greater the chances of preventing dangerous complications such as amenorrhea (absence of menstruation), the development of infertility.

Scanty period after childbirth

Quite often there are scanty monthly after childbirth. This condition can be called physiological, because at this time the woman's body has not fully adapted to changes in the regulation of the menstrual cycle, and the hormonal background is still focused on the child and on the mother.

This condition usually goes away within a couple of weeks.

However, if the opposite situation is observed and there are long scanty monthly periods, this suggests the addition of complications after childbirth in the form of inflammatory, infectious diseases, as well as disturbances in the secretion of pituitary hormones.

Sometimes scanty periods can be the result of stress during delivery or breastfeeding. Treatment of this condition, as in other cases, should include means that eliminate the cause, and then the main symptoms.

Scanty period after scraping

After scraping, scant periods can occur in some cases. If they have an unpleasant smell and dark color, this is an alarming signal, especially if menstruation takes place against the background of a bad general feeling of pain in the lower abdomen, and an elevated temperature.

Причиной подобного состояния может являться нарушение проведения техники выскабливания, при этом в полости матки может оставаться несколько частичек плодной оболочки. Неприятный запах также может говорить о наличии инфекционного процесса. Практически во всех подобных случаях требуется повторное выскабливание.

Causes

Most often, scanty periods are not a serious disease, but it is important to diagnose the root cause in order to avoid future complications.

The causes of poor discharge during menstruation can be:

  • anorexia nervosa or bulimia nervosa
  • obesity,
  • avitaminosis,
  • anemia,
  • thyroid disease,
  • the result of abortion or scraping,
  • congenital anomaly of the uterus,
  • effects of pelvic surgery,
  • a sharp increase in psycho-emotional stress,
  • excessive exercise
  • genital tuberculosis,
  • the period of pregnancy and lactation,
  • the period before menopause,
  • STDs
  • radioactive and chemical exposure,
  • inflammatory processes in the uterus,
  • first menstruation in adolescence.

Sometimes the main causes of this unpleasant condition may simply be avitaminosis, anemia, or it may be caused by emotional or psychological trauma. An event connected with a life change, stressful periods of life or loss, one strong shock in the life of a woman is enough for her menstrual cycle to be broken for a while. This situation may eventually be resolved.

Symptoms in the presence of diseases that caused hypomenorrhea

Genital tuberculosis:

  • constant temperature of 38 ° C
  • lack of appetite,
  • mental disorders,
  • chronic endometritis,
  • unpleasant smell of discharge
  • persistent and intermittent abdominal pain,
  • temperature rise.

  • aching pain in the groin,
  • feeling of heaviness in the area of ​​appendages,
  • temperature rise.

  • itching and vaginal discharge,
  • painful intercourse,
  • unpleasant smell during discharge.

  • sharp pain during menstruation.

Uterine fibroids and hyperplasia:

  • dark brown not heavy discharge.

Types of lean monthly

There are two types of hypomenorrhea:

  • primary. There are scant menstrual periods in a teenager, during the period of menstruation and remain so for more than a year,
  • secondary. Manifested in women of mature age with normal discharge during menstruation, which later became scarce.

Types of poor monthly

There are several types of bad monthly flow:

  • hypomenorrhea (small amount of excreted blood),
  • spaniomenorrhea (rare menstruation, about 4 times a year),
  • oligomenorrhea (short duration of menstruation),
  • opsomenorrhea (long periods between periods).

Scanty periods during pregnancy

Lack of menstruation is the main sign of pregnancy. But, from the first month, the hormonal background of the future mom is undergoing minor changes, therefore, the presence of scanty secretions is possible, or full menstruation is a normal variant. But in the future, the appearance of bleeding during pregnancy may indicate:

  • low progesterone
  • increased levels of androgens (may be a sign of a threatened miscarriage),
  • poor blood flow in the ovum (threatened abortion),
  • ectopic pregnancy.

Diagnostics

Doctors do all possible manipulations in order to find out what the reason for the poor monthly periods is. The main diagnostic methods are:

  • general blood analysis,
  • vaginal smears,
  • colposcopy
  • blood test for hormones
  • ultrasound procedure,
  • CT scan,
  • general urine analysis,
  • cytology smear.

Since the nature of the appearance of hypomenorrhea can be very diverse, and treatment is carried out symptomatically:

  • hormonal disruptions are hormonal treatments,
  • for inflammations of various types - complex treatment with antibiotics.

General indications are only:

  • rejection of strict diets
  • rejection of bad habits,
  • psychotherapy (if the disease is due to a psycho-emotional disorder).

Drug treatment

The drugs are selected solely on the basis of the diagnosis itself. But there is a small list of drugs that are used in almost every case:

Surgery is necessary in cases where the cause is:

  • synechia (sticking of the labia minora),
  • cancers,
  • benign tumors.

Brown discharge with scanty monthly

This symptom in hypomenorrhea is observed quite often. Brown discharge indicates violations of the reproductive system. In frequent cases, the cause of this symptom is inflammation of the endometrium (chronic endometritis).

In turn, various intrauterine devices, postpartum or post-abortion endometritis, and infectious diseases can lead to this condition. The discharge is accompanied by an unpleasant smell and aching pains in the lower abdomen.

Brown or dark bleeding can also be a sign of endometriosis of the body or cervix. In this case, the pain does not appear.

Endometrial hyperplasia may also be accompanied by the appearance of this pathological sign. This disease can cause a violation of any type of metabolism, hormonal regulation disorders, diseases of the genital organs.

Often the use of hormonal contraceptives can cause brown discharge after menstruation. In the first months, such changes are considered the norm, however, if such events last more than two months, then it is necessary to replace contraceptives.

Recipes of traditional medicine

Treatment with folk remedies is also widespread, such as:

1. Broth onion peel:

  • 200 gr. Onion Husk,
  • 0.5 liters of boiling water.

Leave to cool for 20 minutes. Reception 2 times a day for half a cup

2. Tincture of quinoa:

Insist until boiling. Take 3 times a day for a cup.

3. Tincture of oregano:

Insist 3 weeks. Stir periodically. Strain and drink 3 times a day, 30 drops.

4. Decoction of vervain:

Insist day. Drink throughout the day.

5. A decoction of grains of Hypericum and thorns:

  • 40 gr. Hypericum and thorns,
  • 500 ml. Boiled water.

Insist until cool. Drink at night on the floor cup.

6. Tincture of wormwood:

Insist until cool. Take a tablespoon 3 times a day.

7. Broth from lovage:

Infuse 30 min. Take a tablespoon 3 times a day.

Prevention

The rules to be followed to prevent hypomenorrhea are fairly simple:

  • observe a healthy lifestyle
  • avoid heavy physical exertion
  • avoid stressful situations.

When treatment is started on time, the prognosis is favorable, hypomenorrhea is completely treatable.

Scanty periods during pregnancy

Many believe that during pregnancy should not be monthly. This is not entirely correct. In the first month of pregnancy can be observed monthly.

This fact is explained by the fact that after the fertilization process, the fertilized egg does not have time to reach the right place in such a short period of time, and there has not been a serious restructuring of the hormonal background.

From the second month of pregnancy, all hormones begin to work normally, pregnancy develops, and periods during pregnancy normally do not have to pass.

Monthly, which are observed in the first month of pregnancy, are not menstruation. Spotting is not as abundant as usual menstruation. There are several reasons for these phenomena.

The appearance of blood from the vagina may indicate detachment of the ovum. If this process is insignificant, then the body copes itself and does not allow the fertilized egg to leave the uterus.

In some cases, bleeding can talk about a spontaneous abortion. Miscarriage can be recognized by bleeding red with the presence of pulling pain in the lower abdomen in the first trimester of pregnancy or cramping pain with the remnants of the ovum in the second trimester.

The cause of poor menstruation during pregnancy may also be insufficient secretion of the hormone progesterone or excessive production of androgens. In rare cases, the presence of a heart disease, an ectopic pregnancy can lead to a similar symptom.

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