Scanty monthly after delay: the main causes of pathology


The renewal processes take place in the woman’s body every month and are distinguished by their cyclical nature. Menses occur at the same time. Any abnormalities may indicate the development of pathology or hormonal failure. There are many reasons for which there can be scanty periods after a delay. Only after their detection will it be possible to normalize the cycle and avoid unwanted complications.

Causes of secondary hypomenorrhea after delay

Doctors call very scanty periods after a delay in secondary hypomenorrhea. Such changes may indicate ectopic pregnancy, but the test at the same time shows a barely noticeable second strip. It is possible that the reasons lie in the pathologies or age-related features.

Few discharges and frequent delays are characteristic of adolescent girls. Their hormonal system is only being formed, and disruptions of the cycle in adolescents are considered the norm.

It is possible that such changes are one of the signs of conception, which occurred several days before the onset of menstruation. A month later, in this case, the discharge will be gone.

There are other factors that influence the menstrual cycle and the amount of discharge:

  • rapid weight loss as a result of an illness or a strict diet,
  • anemia,
  • susceptibility to stress, due to which a woman can observe periodic delays on nerve soil,
  • operative intervention
  • hormonal imbalance
  • delay due to lactation,
  • taking oral contraceptives
  • pathologies of the endocrine system,
  • infection of the organs of the reproductive system.

To identify the causes of scanty discharge that appeared after the delay, you definitely need to be examined by a gynecologist.

Surgical interventions on the uterus

The reason that after the delay went scanty monthly, may be surgery. It is caused by a violation of the integrity of the endometrium of the uterus.

Often, scraping is performed using hysteroscopy of the uterine cavity (minimally invasive surgery using a hysteroscope). After this procedure there are also scanty monthly periods, but the cycle is quickly restored and the volume of discharge becomes the same.

Hormonal contraceptives disrupt the activity of the ovaries and affect the ovulation process. In the period of cancellation, the reaction of the body is unpredictable.

Monthly after a delay provoked by taking OK, are often scarce and last for a short time.

Hormonal disorders

Scanty periods after a delay and a negative test may be due to a hormonal failure. Various diseases of the thyroid gland directly affect the cycle of menstruation. The state of the whole organism depends on this organ, since the thyroid gland produces hormones, without which it cannot function normally.

When violations in the reproductive system, caused by such pathologies, there are scanty and long periods after a delay, perhaps even a complete cessation of menstruation.

Sharp weight loss

There is a relationship between weight and cycle. Drastic excessive weight loss leads to impaired reproductive function. If the amount of adipose tissue becomes 20% less than body weight, then a delay in menstruation and scanty periods can be observed monthly. Often the selection disappears completely.

When menstruation does go, this process is accompanied by weakness and dizziness. It is necessary to restore the weight as quickly as possible. With a prolonged absence of menstruation, a serious complication is possible - infertility.

Nervous overstrain, exposure to constant stress - all this may be the reason for the appearance of scarce and short periods after a delay. Such violations are due to psycho-emotional depletion of the body and the reproductive function failure caused for this reason.

The only solution in this case is complete calm. As soon as the nervous system gets stronger, the cycle will become the same.

Infectious and inflammatory diseases

If, after a delay, menstruation has gone, but it is not large and is accompanied by symptoms such as itching, burning, and pulling pain in the lower abdomen, then a violation of the cycle may have caused inflammation of the organs of the genitourinary system.

The cause of poor menstruation may be vaginitis or adnexitis. With such infections of the genital tract as chlamydia, gonorrhea, trichomoniasis and syphilis, similar changes in the nature of the discharge are also observed.

Symptoms of poor monthly

If the monthly periods after the delay are scant, first of all you need to pay attention to their duration and hue. The discharge can be brown or fairly light. Violations of the cycle are often observed for a long time, but can occur once.

With menstruation, characterized by scarcity and delay, often the condition is accompanied by other signs:

  • lack of appetite
  • nausea
  • bowel problems,
  • pain in the lower back and lower abdomen.

In any case, if the menstruation after the delay is less, you need to consult a gynecologist. Normal such changes are considered only during menopause.

Diagnosis and treatment

In situations where there was a delay of menstruation and then scanty menstruation went, it is necessary to consult a gynecologist. He will conduct a comprehensive diagnosis, which includes such activities:

  • history taking,
  • examination on the gynecological chair,
  • smear,
  • conducting an OCR diagnostics,
  • blood tests to determine the concentration of hormones,
  • Ultrasound.

Only after this will it be possible to identify the causes of the cycle violation and select the optimal course of therapy.

Treatment is directly dependent on the factor that provoked a delay and a decrease in the volume of discharge.

If the reason for the violation of the diet, excessive physical exertion or exposure to stress, it will be enough to correct the lifestyle to restore the previous cycle. Additionally prescribed vitamin complexes.

The main therapeutic measures for poor menstruation:

  • proper organization of the diet,
  • taking sedative, hormonal, antibiotic drugs,
  • the use of absorbable means
  • strengthening the immune system.

Therapy is carried out in a complex. Drugs prescribed by the doctor based on the diagnosis.

The appearance of scant discharge and cycle failure are provoked by malnutrition, a strong emotional shock. Sometimes these changes are caused by the disease. In any case, they can not be left without attention. You must immediately go to a consultation with a gynecologist.

Symptoms of a pathological condition

Scanty periods after a delay are called hypomenorrhea.

This phenomenon depends on how the female reproductive system works. If a woman is not pregnant, then hypomenorrhea may indicate a violation of ovarian function in her body. For example, this condition may occur due to inflammation in the internal genital organs, exposure to infections and other causes. Often a small amount of blood during menstruation after a delay is associated with deformation of the endometrium.

Symptoms of hypomenorrhea may be as follows:

  • Pain in the neck, temples or forehead
  • Bouts of nausea
  • Pulling pain in lower back
  • Problems with the chair
  • Chest compressions

If any of these symptoms occur, you should come to the gynecologist for an examination. He will conduct the necessary examination and prescribe the correct treatment.

Causes of poor monthly

The “culprit” of the appearance of scanty secretions is called too low an amount of progesterone in the body. It is this hormone that is responsible for the normal operation of the second phase, which begins immediately after ovulation. The second phase can be delayed indefinitely if such a hormone is produced in insufficient quantities. For menstruation to appear, you need a certain amount of uterine endometrium, which is ready for rejection. If it is formed very slowly, then the monthly will come much later and in insufficient volume.

A deficiency of the hormone progesterone, which causes scanty periods, can appear for the following reasons:

  • Somatic diseases
  • Constant stress and nervous tension
  • Hard working conditions
  • Time zone change
  • Use of drugs
  • Malnutrition
  • Endocrine Diseases

Specialist tips will help solve the problem

The main reason for not enough heavy discharge during menstruation is in pregnancy. To find out whether this is so, you can resort to a method that is known to many - the test strip from the pharmacy. When a single strip appears, it is necessary to find out the reason for the failure of the reproductive system. To do this, visit a gynecologist.

In young girls, scanty periods can be associated with a cycle that has not yet formed. In some cases, menstruation is no more than 6 months. All this is considered to be absolutely normal. You can not visit the gynecologist, if the girl does not have any complaints about the state of health. Over time, the cycle will be able to recover and will be regular.

What affects the failure of the menstrual cycle?

Menstruation may be delayed due to a recent cold or inflammatory process in the bladder. Stoned genitals can also lead to scanty periods. To avoid this, you need to forget about sitting on cold surfaces. Among other things, you need to keep your feet warm, and not overcool the body as a whole. Otherwise, there may be scanty discharge, which will pass after the woman's body returns to normal.

Failure in the menstrual cycle can also trigger oral contraceptives. These pills have an impact on the hormones of women.

Insufficient volumetric discharge usually occurs when contraceptive use has been irregular. The occurrence of non-abundant menstruation is also affected by the situation when a woman abruptly quits taking such pills.

Insufficiently abundant discharge during menstruation may occur, if suddenly for some reason the girl did not ovulate. Doctors say that even an absolutely healthy girl or woman can have this condition from 1 to 2 times a year. This phenomenon is called the anovulatory cycle and is observed in 50% of the total female population of the planet.

The presence of abdominal pain - a reason to see a doctor

Menstruation at such a time can be changeable in the form of insufficient volume after a long delay. Treatment in this situation is not needed, but it is advisable to consult a doctor to rule out other causes of this condition.

Often, the culprit scanty discharge is menopause. Late menopause, as it is called such a phenomenon, appears after a woman crosses the forty-five year line. Although some of them menopause occurs much later. It all depends on the hormonal background of the woman.

Other reasons for this condition

To find out the reason for the delay, which lasts more than three days, you can use the pregnancy test. With two strips on the test, we can say that a woman will soon become a mother. Pregnancy is possible, even if the monthly go in insufficient volume. As for the result, when on the test one strip is bright, and the second one is painted much weaker, then this can speak about ectopic pregnancy. In this case, the woman should not delay with a visit to the gynecologist. Otherwise, there may be complications up to the development of the inflammatory process in the internal genital organs.

Ectopic pregnancy can cause scanty periods. A girl should pay attention to how long they go. If the discharge does not go away for 8 days or more, an urgent need to contact a gynecologist. In addition, very often ectopic pregnancy is accompanied by pain in the lower abdomen. If a woman has a left-sided type of ectopic pregnancy, the pain will be felt from this side. This condition can be easily confused with appendicitis.

In addition to all of the above, insufficient blood flow during menstruation may indicate that the woman has a normal pregnancy.

Sometimes this condition suggests that a miscarriage may occur. But in most situations, brownish discharge may be the result of deviations from the norm or some pathological processes in the woman's body. To find out the exact cause of this condition, you must make an appointment with a gynecologist.

On the video - more about pathology:

general information

The duration, nature of the menstrual cycle is directly influenced by the regulators produced at the hypothalamic-pituitary level. Luteinizing, follicle-stimulating hormones stimulate the normal functioning of the ovaries. They affect the duration of the cycle. Its average duration is 1 month. Ovulation occurs monthly in the middle of the cycle. Approximately - it is 12-14 days.

After the end of menstruation, follicle maturation occurs in the ovary. He is responsible for the production of estradiol. As soon as ovulation ends its place is occupied by the corpus luteum, which is responsible for progesterone synthesis. Under the influence on the rejection of the inner uterine layer - are monthly. In the case of conception, the corpus luteum is not exposed to involution, it functions until the 15th week of gestation, thereby helping the uterus to preserve the fetus.

Causes of scarcity after delay

If after a delay scanty periods have gone, a woman should consult a doctor to find out the cause of the situation. Most fears that the pregnancy has come, and the resulting discharge may threaten the child. Gynecologists have identified the reasons why there are scanty periods after a delay. This should be known to protect, maintain their health.

  1. If there is little blood flow during menstruation, the doctor must eliminate the causes that threaten the process of gestation.
  2. To precede weak secretions may be infectious diseases of the genital tract. Typically, a woman can be diagnosed with chlamydia, trichomoniasis. It is possible infection with gonorrhea.
  3. Considering what other factors affect the delay and scarcity of menstrual discharge after it, one cannot but say about inflammatory diseases - adnexitis.
  4. Disorders in the endocrine system can cause a problem - polycystic, hypothyroidism.
  5. Diseases of an infectious, autoimmune nature can affect the scarcity of secretions.
  6. The presence of tumors in the brain can disrupt the work of the menstrual cycle.
  7. Strong physical exhaustion, chronic stress, poor nutrition, devoid of useful substances, have a negative impact on the flow of menstruation.
  8. Considering the causes of non-abundant periods, it should be said about bad habits. They can negatively affect the menstrual cycle.

Possible violations in the reproductive system in young girls. As long as the monthly cycle is established, similar failures are considered normal. Women who have reached menopause, face a similar situation - this is evidence of the extinction of the ovaries.

For an accurate diagnosis should be referred to a gynecologist. Self-treatment, ignoring the problem can negatively affect the general state of health, causing serious consequences for the woman.

Symptoms for various causes

If there is scanty menstrual flow after a delay, you should find a reason for provoking it. Symptoms help determine the nature, cause of the problem. A woman should carefully listen to the body. When the doctor collects anamnesis, all the symptoms matter. First of all, the gynecologist ascertains the nature of the discharge by:

A woman should accurately describe the discharge, color, mention the possible presence in the blood of clots, vesicles, pus. The sounded symptoms will allow you to make an accurate diagnosis, to develop a treatment regimen.

Spontaneous abortion

The scanty discharge after a short delay often indicates the onset of spontaneous abortion. In addition, there are other signs that indicate miscarriage:

  1. Pains of cramping character localizing in the lower abdomen.
  2. Frequent urination to urinate.
  3. Feeling of pressure in the rectal area.

Emerging signs indicate a threatened fetus. If a woman ignores the symptoms, the child will be lost. In case of spontaneous abortion in the uterus, small parts of the embryo shell may remain. Incomplete abortion threatens a woman with further infection, possibly the appearance of bleeding.

Ectopic pregnancy

Poor discharge after a delay, combined with pain, may indicate ectopic pregnancy. A fertilized egg is not attached to the wall of the uterus, where it should normally develop, but in a different, unsuitable place. The first weeks the fetus develops without difficulties, but later on there is a tearing of the tissues unsuitable for the growth of the child. This happens more often in the fallopian tube. With spontaneous abortion, the woman does not feel acute pain. При разрыве трубы ситуация ухудшается, вместе с появившимися выделениями крови наблюдаются:

  1. Резкие приступы боли, охватывающие низ живота.
  2. Dizziness, weakness, paleness of the skin.
  3. The peritoneum becomes irritated.
  4. The muscles of the anterior wall of the uterus strain.
  5. Palpation of appendages is particularly painful on the side where the gap occurred.

With the combination of these symptoms, we can talk about ectopic pregnancy. The situation requires urgent medical intervention.

Less menstrual blood can be released if cervical erosion is present. Excretions can be observed in pregnant women in the early stages of fetal development. The threat to the child increases when, in addition to erosion, inflammatory diseases are present. A small amount of blood is seen after sex. Intimacy becomes painful for a woman. Pathology requires timely treatment, observation by a doctor.

Bubble skid

The rebirth of the chorionic villi into the filled liquid bubbles carry a danger to the woman, which is considered a pathology of pregnancy. The cystic drift developing in the uterus is accompanied by characteristic symptoms:

  1. Excreted blood with vesicles.
  2. The uterus on the ultrasound does not correspond to the size of the gestation.
  3. The woman has signs of toxicosis.

The cystic skid is dangerous - it can degenerate into a malignant neoplasm, growing in the uterus. Metastases can extend beyond the affected organ.

Infectious diseases that a pregnant woman may become infected during sexual intercourse carry with them a danger to the fetus, the mother. The spotting after the delay has a dark color, exudes a sharp, unpleasant smell. There may be noticeable pus, mucus. In addition, there is:

  1. Itching, burning sensation in the vagina.
  2. Pain of cutting character during urination.
  3. Pain during sex.

Visual inspection allows the gynecologist to see the characteristic redness of the mucous membranes, the presence of pathological plaque. Late treatment has a negative effect on carrying a child. The uterus may be affected.


Opsomenorrhea - lengthening of the menstrual cycle. The duration of the delay varies from 10 days to several months. Menstruation becomes scarce, can be abundant. It is impossible to determine the exact duration of the cycle. The condition prevents the onset of ovulation. A woman faces the problem of conception.

One of the main signs of the problem is scanty periods after a delay and a test negative for pregnancy. The condition requires skilled treatment.

What to do and how to treat

The appearance of scanty discharge after a delay requires increased attention. A woman should consult a gynecologist, undergo the necessary diagnostics, pass tests. Show a picture will help:

  1. Ultrasound of the pelvic organs.
  2. Blood biochemistry
  3. Analysis of secretions.
  4. Urine and blood test.

According to the results of research, the gynecologist will see the state of the body, the possibility of a woman getting pregnant. If fertilization has occurred, possible measures are taken to preserve the fetus. While conception has not come, hormonal preparations may be prescribed to stabilize the menstrual cycle. Self-treatment is strictly prohibited. Re-examination, testing will show how well chosen therapy is effective.

The onset of delay may indicate a happy event in the life of a woman - pregnancy. If scanty periods have begun, you should consult a doctor, be examined, eliminating health risks.

Age features of menstruation

Age physiological causes of poor monthly periods are most often the norm and have their own logical explanation. In young girls during puberty, due to an unformed hormonal background, ovulation may not occur, and as a result, poor blood discharge comes. The same explanation can be given to mature women experiencing menopause and menopause. After a woman crosses the 40-year-old border, her sexual functions diminish and her eggs mature less and less. Symptomatically, this process is manifested by sudden bouts of fever, malaise and inadequate menstruation.

Lactation period

Women who are breastfeeding should not worry about the irregularity of their menstrual cycle. During lactation in the female body, the hormone prolactin is actively produced, which reduces the ability of oocytes to mature. Menstruation during breastfeeding may not go at all or manifest itself in the form of scant bleeding - and this will be considered the norm.

Pathological changes or disturbances in the body that affect menstruation

Not always scanty periods after a delay are the physiological cause, there are also those that are explained by pathological changes in the woman's body. These include:

  • Rapid weight loss due to diet.
  • Stressful situations, excessive load or poor-quality sleep.
  • Lack of power.
  • Ecological or chemical effects.
  • Ectopic pregnancy or miscarriage threat.
  • Infectious and inflammatory diseases of the genital tract.
  • Disruption of hormone production.
  • Injuries to the reproductive organs.
  • Underdevelopment or abnormalities in the development of the reproductive system.

Yakimenko Elena

Psychologist, child psychologist, gestalt therapist. Specialist from the website b17.ru

on hormones handed over? That was how I started, and then I showed an increased prolactin analysis.

Do not give up. And increased prolactin can threaten?

I suspect that January-February has many months of minor hormonal disruptions. Winter, cold, hypothermia, colds, otkhodnyak after the New Year holidays and after the stress session, it is not surprising that those who have menstruation earlier, who later, who have more abundant, who less. I myself have faced such a couple of times in the winter.

I suspect that January-February has many months of minor hormonal disruptions. Winter, cold, hypothermia, colds, otkhodnyak after the New Year holidays and after the stress session, it is not surprising that those who have menstruation earlier, who later, who have more abundant, who less. I myself have faced such a couple of times in the winter.

Every year I have a failure, the weather is so affected. Some people who move from the southern countries, in general, in winter in cold climates, the m.

hand over on hormones analyzes, I was so)))

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hello. Help .. I have always had a heavy monthly period of 3 to 4 days, a cycle of 28 days, PAP was sex. 4 days before menstruation, after it was delayed 4 days, menstrual periods came in a scanty half day and stopped, worrying if this could be pregnant?

hello. Help .. I have always had a heavy monthly period of 3 to 4 days, a cycle of 28 days, PAP was sex. 4 days before menstruation, after it was delayed 4 days, menstrual periods came in a scanty half day and stopped, worrying if this could be pregnant?

Good day. I can not understand what is happening. The 28-day cycle of the PA was on the 6th of the 13th. M was supposed to start, the delay was 5 days, and on the 5th day there was a bloody discharge. At 6, that is, today they are going more, but still not as always. In general, it takes 7 days to plentifully only smear on the 7th day. I don’t even know what to think.

Hello girls. My situation is this: my husband has not been protected for a year now. Could not get pregnant. And then this month is a delay. All foreshadowed monthly. And the chest ached. And the belly pulled. Delay 3 days. And today anointed. All upset. Could this be a pregnancy?

Scanty periods after a delay may be because the woman had a low progesterone level in the current cycle. The fact is that progesterone ensures the normal course of the second phase of the cycle, which starts from the moment of ovulation to the onset of menstruation. With progesterone deficiency, there may be a delay in menstruation, since the second phase of the cycle is simply extended. The lengthening of the second phase of the cycle is necessary so that the endometrium of the uterus becomes sufficiently thick and ready to be rejected. If the endometrium does not grow to a normal thickness, then menstruation does not occur, that is, there is a delay. When progesterone is deficient, the endometrium grows slowly, the second phase of the menstrual cycle becomes longer and there is a delay in menstruation.

Hello. There was a delay of 10 days, and on 11 came monthly and not like usual. They were very painful and very abundant. It looked like it was described on the Internet for uterine bleeding during nevmatochnaya pregnancy, and three four days before menstruation there was a strong brownish discharge without pain or smell. I didn't want to do the test. On the second day of the menstrual period, there was thick brown discharge and large, not similar to blood, periodic pain and dizziness, weakness. The womb, from the left, then from the right, was bleeding. The saw was bleeding and a little less. If anyone knows or can advise very much waiting.

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Help solve the beating of the meager monthly cycle of 23-25 ​​days and now 10 days delay test lower strip weak upper brightly rotated what does this mean?

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The factors causing deviation in the cycle

A woman's regular menstrual cycle is an indicator of her health. Normally, in the first half of it, the egg cells mature, approximately in the middle ovulation and in the absence of fertilization everything ends with menstrual bleeding. It is characterized by the following features:

  • it is painless or with minor pain in the lower abdomen,
  • Lasts 3-5 days
  • a break between bleeding 21-35 days,
  • blood loss 50-150 ml.

Age and physiological causes

Any deviation from such parameters causes concern, and especially scanty periods after a delay, the causes of which may be physiological:

  • in girls 12-16 years old, when the hormones are still unstable. Such a phenomenon is sometimes observed up to two years, until normal production of eggs is improved. If the cycle has passed without ovulation, it means that instead of the usual monthly they are imitated,
  • in nursing mothers under the influence of prolactin, ovulation is inhibited, but if you start to feed the child with mixtures, the level of this hormone decreases and gradually, albeit intermittently, but the frequency of menstruation or their similarity is present,
  • in women after 40 years of age, menopausal maturation of the female germ cells diminishes, and this explains the breaks in the cyclic process.

Scanty periods after a delay can be the cause of hormonal disruption at a young age, at the onset of menopause in adulthood and in nursing mothers - this is considered normal.

Changes affecting the appearance of scanty monthly after delay

Other factors that can cause scanty periods after a delay are associated with certain changes or pathologies:

  • dramatic weight loss due to too demanding diets
  • stress, constant exhaustion, lack of sleep,
  • poor and unhealthy food,
  • harmful effects of the environment and chemicals at work,
  • injuries of the genitourinary system, for example, in the case of surgery,
  • underdevelopment of female genitals.

And other problems require more detailed information.

If there are very scanty menstrual periods after the delay - this can be the cause of a sharp weight loss, overwork or lack of sleep, the harmful effects of the environment

Risk of miscarriage

If the fact of conception does not cause doubt, then scanty periods after a delay, when the pregnancy is normal, force one to think about its wrong course and indicate endometrial detachment and the threat of miscarriage. In this case, you should contact your gynecologist as soon as possible to find the cause of the complication. Most likely, the examination will determine the lack of progesterone, the replacement of which with synthetic substitutes will help save the child.

Inflammatory processes or infections of the genital tract

When, after a delay, scanty periods, followed by itching, burning in the vagina, pain in the lower abdomen, painful urination, have gone, this may be due to inflammatory diseases (vaginitis, adnexitis, etc.) or infections of the genital organs that are transmitted by sex (chlamydiosis, trichomoniasis, gonorrhea, syphilis, etc.)

Hormonal disbalance

When taking oral contraceptives, there may also be malfunctions in the normal course of female processes. Frequent occurrence here is poor monthly after a delay, and pregnancy is possible due to a missed or out of time drunk pill. In this case, the hormonal failure caused by regularly taken means, and also used for emergency contraception provokes atrophy of the endometrium and instead of the usual menstruation appear brown or brown thick discharge. Usually, after the cancellation, recovery of the ovary occurs as early as the next cycle, but its dysfunction can sometimes develop, since the inhibition of the ovulation process does not pass without a trace.

Hormonal disruption may occur due to an inadequately consumed or missed contraceptive pill, in which case a brown or brown discharge may occur.

Operation abortion and childbirth, of course, have an impact on the restoration of cyclical rhythms. When scraping, the menstrual cycle returns to normal for each woman individually. It is believed that the countdown of the new period begins on the day of the operation. If an unpleasant smell joins the discharge, and they last more than 10 days, you should visit a gynecologist. Recovery after childbirth depends on the production of prolactin.

In order to specifically determine the cause of any of these deviations and to make a final diagnosis, it is necessary:

  • get examined by a gynecologist,
  • to pass seeding from the vagina and cervix for the presence of bacteria,
  • perform PCR analysis,
  • donate blood for hormones, not to miss the imbalance,
  • undergo ultrasound of the genitals.

Symptoms of hypomenorrhea

Since ancient times, it was established that the menstrual cycle directly depends on the state of women's health. In this case, the duration of the menstrual cycle, each woman may be different. Most often, the cycle lasts 28 days.

During normal development in a woman in the first half of the cycle, the egg is mature, the middle is characterized by ovulation.

The second half of the cycle has two ways of development:

  • the first permits fertilization of the egg,
  • the second is its absence and, as an end result, menstrual bleeding.

The normal monthly cycle implies:

  • The presence of monthly volume of at least 50 mg,
  • Painless blood loss or minor pain in the normal range,
  • Periodicity of a menstrual cycle of 21-35 days,
  • 3-7 days of bloody discharge.

All that is not included in the established framework, conditionally referred to pathological conditions. Any deviations from the norm should be discussed individually in a doctor’s office.

Scanty periods after a delay are also pathologies that are not related to natural phenomena. In addition to small blood loss, additional symptoms may join:

  • Headache,
  • Pain in the lumbar region,
  • Malfunctions of the digestive system,
  • Chest tightness,
  • Nausea.

Fortunately, if you can call it that, in most cases, hypomenorrhea is asymptomatic. But this does not mean that a woman is healthy. Strange discharge in itself is already a warning sign.

The causes of hypomenorrhea can be many and not all sources are "angelic" in nature. In any case, medical consultation is required.

Or maybe I'm pregnant?

The delay of menstruation in all ages has caused only one thought - pregnancy. And can there be some blood loss on the background of conception? We can answer without reserve!

In fact, scanty periods during pregnancy may indicate several facts. But first you need to do a test in order to make sure of your position. Although, to be honest, the test does not always show the presence of fertilization and now we will explain why.

In life, quite often you can find a situation where a woman finds out about her interesting position, being already at 7-8 weeks of pregnancy. And all because after conception she had her period and she did not pay any attention to their strange behavior.

Often, ladies use a tampon as a hygienic product, and it is very difficult to determine the volume and color of discharge using it.

Such cases occur when ovulation comes close to the beginning of the cycle, so called late ovulation. The body did not have time to migrate to the new system of work, and the whole setting moved during the menstruation period.

Other situation - implantation time coincided with the period of menstrual bleeding. This happens and is considered the norm. During this period, the ovum is implanted in the endometrial layer, and this is accompanied by small blood loss (not more than 2 days).

There are dangerous moments.

Often, scanty periods can indicate a threatened miscarriage. Perhaps the body lacks progesterone, responsible for the safety of pregnancy. Artificial hormone substitutes will help in this problem, so it is important to consult a gynecologist in time.

Ectopic pregnancy can also cause bloody discharge.

Almost always, it is accompanied by additional signs:

  • Increasing pain in the abdomen, extending to the lower back,
  • General weakness
  • Dizziness,
  • Pallor of the skin.

A special complication of pregnancy can be bubble skid. This is a product of conception, during which there is no normal development of the fetus, however, there are villi of the chorion, which grows into bubbles with liquid. The main danger lies in the fact that the cystic skid can retrain into a malignant tumor. Now it’s clear why you should visit the doctor as soon as possible.

To reassure readers a little - this pathology is found in 1 case out of 5000.

Another cause of poor bleeding can be the usual cervical erosion. Although she has absolutely no influence on the development of pregnancy, but still brings significant discomfort. Most likely, if blood smear has arisen, then this is after the sexual intercourse has taken place. It is possible for her to join a certain pain during the process of love.

We hurry to notice, not always erosion can cause similar symptoms.

Possible other reasons

Often, hypomenorrhea causes progesterone deficiency. As you know, progesterone is involved in the second period of the cycle and is responsible for building up the functional layer of the uterus. For menstruation, a certain layer of the endometrium is required, and when there is a shortage of this hormone, the endometrium thickens too slowly, which causes the second phase of the menstrual cycle to lengthen. Hence the delay in menses.

Such factors can provoke progesterone deficiency:

  • Hard physical labor
  • Stress,
  • Power failures,
  • Climate change and more.

More cause the scarcity of bleeding can drug intake. In particular, contraceptives or drugs that help maintain pregnancy. In these circumstances, there is a failure of the hormonal background of the woman, as a result - endometrial atrophy. When the girl stops taking the medication, then in the next cycle everything should get back to normal.

If the incident is repeated, it is worth referring to a gynecologist, since ovarian dysfunction can sometimes develop due to the constant suppression of ovulation.

When hypomenorrhea has been going on for more than one month - this may indicate failure of the thyroid gland. For your information, serious violations in the work of the thyroid can cause a complete cessation of menstruation.

People suffering on excess weight with slight blood loss, they may suspect an excess of estrogen. It is the accumulated fat that can provoke excessive growth of estrogen, and it, in turn, causes a malfunction of the reproductive system. And vice versa - too thin ladies can suffer from iron deficiency, which also causes hypomenorrhea.

Opsomenorea may well be the source of blood loss problems. Moreover, the delay may increase up to 3 months, and the discharge itself may be both scanty and abundant in nature. Gynecologists often refer opsmenorrhea to hypomenstrual syndrome - when the cycle is involuntarily lengthened. Due to the increase in the gap between the menstrual cycle, its phasing is disturbed and, as a result, ovulation is lost, often it may be completely absent. And this leads to infertility. Due to prolonged failure of menstruation, secondary amenorrhea may develop (cessation of menstruation for 6 months or more).

By the way about ovulation:

Its absence in this cycle may cause a delay in menstruation and a loss of the volume of discharge. Every healthy woman experiences an anovulatory period once or twice a year, and this is natural. Do not be afraid when there is no ovulation, although care should not be lost.

Various infectious diseasesSexually transmitted diseases can cause strange bleeding. Usually, menstruation is delayed with such a problem, and their color becomes brown-red, plus an admixture of pus and mucus. In addition, there is an unpleasant smell.

Between this, the girl may notice additional symptoms:

  • burning,
  • itch
  • pain during urination,
  • and pain during sex.

Inflammation of the appendages It can be attributed to the category of causes that cause disruptions in the work of the menstrual cycle.

Abortions, recent childbirth, curettage of the uterus, etc., which is associated with surgery on the female genital organs, take time to restore the functioning of the body. After such “interventions”, a situation may well happen when the menstruation comes late, and even with a little blood loss.

It is worth noting, in addition to internal factors, the source of the problem can be hidden from the outside.

  • Nerve strain,
  • Sharp weight loss
  • Too active sports,
  • And many more reasons.

In any case, scanty bleeding against the background of the delayed menstruation is a signal that it is time to visit a doctor.

At the reception at the gynecologist

If a woman suddenly had scanty periods and such a situation lasts more than one cycle, you should find out the reason. Perhaps it is commonplace: constant stress at work.

But this means that you need to “put your nerves in order”, otherwise everything can affect the reproductive system.

In any case, you should contact your gynecologist first. In diagnosing the cause of the problem there is nothing to worry about.

First you have to pass some tests:

Perhaps, in the course of the results, additional tests will be assigned.

Treatment of the disease will be prescribed based on the established diagnosis.

Gynecologists recommend the use of preventive measures to prevent hyponorrhea.

  • Balanced diet,
  • Walks in the open air,
  • To give the body a uniform load of sleep, rest and work.

Love yourself, dear women and do not touch any problems.

Hormonal changes

Most often, hormonal failure occurs while taking contraceptive medications. Contraceptives provoke necrotic processes in the endometrium of the uterus, which manifest as very scanty brown secretions. Contraceptives have the ability to disrupt the production of hormones, prevent pregnancy and bring down the menstrual cycle. Irregular menstruation and their duration - a frequent occurrence when taking oral contraceptives.

Inflammation or infection in the genital tract

Infectious diseases or inflammations of the female genital organs can affect the amount and nature of menstrual flow. Most often, these ailments are accompanied by abdominal tenderness, discomfort and pain during urination.

Symptoms and treatment

Before seeking medical help, a woman discovers unusual changes in her menstrual cycle. First, there is a delay, alternating with menstrual periods with scanty discharge. The longer such periods last, the more unrest, discomfort and suspicion they bring. As already mentioned, the causes of these violations can be many - both hazardous to health and not carrying any threats. Diagnosis should only be carried out by an experienced specialist who recognizes all the symptoms and prescribes an effective treatment.

Symptoms of diseases accompanied by hypomenorrhea:

  1. Inflammatory processes in the genitals (adnexitis, vaginitis).
  2. Headache and malaise.
  3. Weakness and sleepiness.
  4. Abdominal pain.
  5. Nausea.
  6. Chills.
  7. Itching and burning of the genitals.

If scanty periods are characterized by other signs of pathology of the body, for example, cramping pain in the lower abdomen and brown discharge, this may indicate the presence of fibroids, cysts or ectopic pregnancy.


If there is a long delay of menstruation, it is useful to conduct a test to determine pregnancy. When fertilization of an egg cell occurs, a special “pregnancy hormone”, progesterone, begins to be produced in a woman's body, it stops the development of new eggs for the period of gestation, and therefore there are no periods. If, nevertheless, following a delay and a positive pregnancy test, scanty periods began, this may indicate a threatened miscarriage, one of the reasons for which could be a placental abruption.

Not always minor bleeding at the beginning of pregnancy can mean pathology. During fertilization, during late ovulation, the embryo does not have time to attach to the uterus wall before the expected onset of menstruation, and if during the delay the woman notices a small amount of blood on the laundry, this can mean the implantation of the embryo into the uterus wall, i.e., the woman will soon become mom

Tips gynecologists

If a woman has scanty menstrual periods after a delay, then this may indicate disturbances in the reproductive system or hormonal activity. It is necessary to conduct a full examination of the body and understand the possible causes and factors causing menstrual disorders. Problems in the urogenital system can talk about serious pathologies in the body of a woman, and require immediate treatment.


Delay and scanty menstruation can take anyone by surprise to any female of childbearing age. The work of female genital organs is largely dependent on hormonal levels. Minor and prolonged bleeding can talk about disorders or pathologies of the reproductive organs. All abnormalities in the work of the genitourinary system will be an occasion to seek advice from a gynecologist.

What is hypomenorrhea?

Scanty periods after a delay in medicine are called hypomenorrhea. The menstrual cycle, the monthly allocation and their number depends on the work of the female reproductive system.

First of all, this phenomenon is caused by a disruption of the ovaries. Different infections, inflammatory processes (not only genital organs), as well as a number of external factors affect negatively the proper functioning of the ovaries. If there is a delay, after it may appear, instead of menstruation, scanty brown color. Deformation of the uterus or its membranes also leads to this phenomenon.

Hypomenorrhea may be accompanied by:

  • Headaches
  • Lower back pain
  • Nausea
  • Feeling of chest tightness
  • Constipation

What factors affect the monthly?

If a woman has a regular cycle and no malfunctions were observed, when a month is delayed, she immediately becomes suspicious of pregnancy. First of all, you should check the "zalet" pregnancy test. If there is only one strip, you should visit the doctor and find out the cause of the failure.

In girls at the very beginning of puberty, the cycle may be irregular. Sometimes menstruation is not at all 2-3 months, in some individual cases, menstruation began and then there is no monthly more than six months. But there may also be strange periods, which start prematurely or with a delay, while the copious excretions are replaced by too scanty ones. Such a phenomenon is considered to be absolutely normal and if there are no complaints about well-being, a visit to the doctor is not required. Over time, the cycle will become regular and the monthly will recover.

Low progesterone levels can be the cause of poor menstrual periods after a delay. Thanks to progesterone, it ensures the normal course of the second phase of the cycle, which begins after ovulation. If this hormone is not enough, the second phase may be delayed and a delay occurs. For the arrival of monthly need a certain layer of endometrium of the uterus, ready for rejection. With progesterone deficiency, the endometrial layer is slowly formed and menstruation is delayed.

Progesterone deficiency is caused by a hormonal failure triggered by:

  • Nervous tension, stress
  • Heavy physical labor
  • Climate change
  • Inadequate nutrition
  • Various endocrine diseases
  • Somatic diseases
  • Drugs

Also, it is possible the delay of menstruation after colds or other inflammatory processes in the body, such as inflammation of the bladder.

Since childhood, mothers teach girls not to sit on a cold surface, so as not to chill female genitals. Adult women, though they remember this ban, can accidentally catch a cold. Slightly chilled genitals is an inflammatory process that leads to a delay, and subsequently scanty periods or daubs occur. But such a phenomenon can be one-time and the next cycle proceeds in the usual way.

Admission of contraceptives can adversely affect the monthly and cause failure of the menstrual cycle. Especially if a woman took contraceptives irregularly or stopped taking them.

Another reason for the odd menstruation may be the lack of ovulation in this cycle. Even in a healthy woman, ovulation may not occur once or twice a year. Such a cycle is called anovulatory. During this period, the monthly can be quite strange: a poor daub after some delay. Treatment is not required, but you should carefully consider this phenomenon.

The reason for the scanty discharge and the delay of menstruation may be the approach of menopause. If a woman’s age is over 45 years old, perhaps this phenomenon is the beginning of menopause.

Or maybe it's a pregnancy?

If there is a delay of more than three days, and scanty periods have gone further, you should first try using a pregnancy test. Two clear stripes talk about pregnancy. But if the second strip is barely noticeable, it means ectopic pregnancy. In this case, you should immediately consult a doctor, otherwise the consequences can be very sad.

With ectopic pregnancy, there may be scanty discharge that lasts longer than the usual monthly. Sometimes this phenomenon is observed for a long time, periodically with pain in the lower abdomen on one side. As a rule, with an ectopic left-side pregnancy (the embryo is attached in the left tube), the left side, respectively, hurts. A woman may confuse right-sided ectopic pregnancy with appendicitis. In any case, with the manifestation of the slightest suspicion of ectopic pregnancy should immediately go to the gynecology.

But apart from all abnormalities, scanty discharge after a delay can mean a normal pregnancy. In fact, it is the bleeding that is caused by the ovum during attachment to the wall of the uterus. The embryo disrupts the integrity of the mucous and small bleeding may occur. But also these symptoms may indicate a threatened miscarriage.

If there was a delay and after it began a spotting of brown color, in most cases this is a deviation from the norm. In any case, if there is a strange discharge, visit the doctor.