Hypomenorrhea

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Hipomenore or hypomenorrhoea , also known as short or mild periods, is a very mild menstrual flow. This is the opposite of hypermenorrhea which is more accurately called menorrhagia.

Video Hypomenorrhea

Overview

In some women it may be normal to experience less bleeding during the menstrual period. Lack of blood flow can be genetic and, if the question is done, it can be found that the mother and/or siblings also experience decreased blood flow during their period. Pregnancy usually can occur with the type of flow decreased during the period. Incidence of infertility is the same as in women with normal blood flow. Rest of the menstrual period may be best explained by assuming an unusual setting, or relative incompensation, of the endometrial vascular apparatus.

Reducing menstrual flow is a common side effect of hormonal contraceptive methods, such as oral contraceptive pills, hormone-releasing IUDs (such as Mirena), or hormonal implants such as Depo-Provera. The relatively low estrogen contained in most hormonal contraceptives reduces the growth of the endometrium, so there is a relatively small endometrium left to shed during menstruation. Many women find this side effect to be a benefit of using hormonal contraceptives.

Menstrual or rare menstruation can occur normally at the extremes of reproductive life, right after puberty and just before menopause. This is because ovulation is irregular at the moment, and the endometrial lining fails to develop normally. But normal problems at other times can also cause a rare blood flow. Anovulation due to low thyroid hormone levels, high prolactin levels, high insulin levels, high androgen levels and problems with other hormones can also lead to a not too long period.

Despite this common cause, hypomenorrhea is technically still a menstrual flow disorder, and other underlying medical problems must be ruled out by a doctor.

Maps Hypomenorrhea

Disorder causing less menstruation

One of the causes of hypomenorrhea is Asherman's syndrome (intrauterine adhesions), where hypomenorrhea (or amenorrhea) may be the only obvious sign. The rate of menstrual deficiency correlates closely with the adhesion level.

The uterus: A rare loss sometimes means that the bleeding surface is smaller than normal, and is sometimes seen when the endometrial cavity has decreased in size during myomectomy or other plastic surgery in the uterus. However, it is rare to show uterine hypoplasia because this condition in the hormone-responsive uterus shows the ovary under activity, and it manifests itself by rarely (oligomenorrhea) rather than rare menstruation.

Nervous and emotional: Psychogenic factors such as stress due to exams, or excessive excitement about upcoming events can cause hypomenorrhea. These factors suppress the activity of centers in the brain that stimulate the ovaries during ovarian cycles (to secrete hormones such as estrogen and progesterone), and can cause the production of these hormones to be low.

Low body fat: Excessive exercise and a strict diet can cause a short menstrual period when the proportion of body fat falls below a certain level. This can lead to an absence of periods (also called amenorrhea).

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Diagnosis

• Blood Test: Most common causes of decreased blood flow during menstruation can be detected by blood tests. Tests for hormone levels like follicle stimulating hormone, luteinizing hormone, estrogen, prolactin, insulin are important. In polycystic ovary syndrome, there will be high levels of insulin and androgens.
• Ultra sonogram: Ultra sonogram can diagnose endometrial thickness, follicle ovarian growth size, ovulation and other abnormalities.
• Other tests: Tests such as dilatation and curettage and MRI scans are sometimes needed to determine the underlying cause of blood flow during this period.

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Treatment

Unless a significant causal disorder is found no treatment other than the warranty is required. Otherwise, treatment is determined by the diagnosis of any significant causal disorder.

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See also

• Metrorrhagia

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External links

• Medicinenet Articles on Vaginal Bleeding

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References

Source of the article : Wikipedia