A scanty menstrual period is one in which the
duration of flow is less than two days or the amount of blood flow is
less than normal. Medically it is known as hypomenorrhoea.
In some women it may be normal to have less bleeding during menstrual
periods. Less blood flow may be genetic and, if enquiries are made, it
may be found that woman's mother and/or sister also have decreased
blood flow during their periods. Pregnancy can normally occur with this
type of decreased flow during the period .The incidence of infertility
is the same as in women with a normal blood flow. Constitutional scanty
menstruation perhaps best explained by assuming the presence of an
unusual arrangement, or relative insensitivity, of the endometrial
Scanty loss sometimes means that the bleeding surface is smaller than
normal, and is occasionally seen when the endomaterial cavity has been
reduced in size during myomectomy or other plastic operation on the
uterus. However, it rarely indicates uterine hypoplasia because the
presence of this condition in a uterus which is responsive to hormones
betokens ovarian under activity, and this manifests itself by
infrequent rather than scanty menstruation.
Scanty menses or periods can occur normally at the extremes of the
reproductive life that is, just after puberty and just before
menopause. This is because ovulation is irregular at this time, and the
endomaterial lining fails to develop normally. But normal problems at
other times can also cause scanty blood flow. Anovulation due to a low
thyroid hormone level, high prolactin level, high insulin level, high
androgen level and problems with other hormone can also cause scanty
periods. Scanty menses can also occur after long-term use of oral
contraceptive as a result of progressive endometrial atrophy.
- Nervous and emotional:
Psychogenic factors like stress due to exams, or excessive excitement
about an upcoming event may cause hypomenorrhea. Such factors suppress
the activity of those centers in the brain that stimulate ovaries
during the ovarian cycle (to secrete hormone like estrogen and
progesterone), and may result in low production of these hormones.
- Other causes:
Excessive exercise and crash dieting can cause scanty periods. One of
the causes of hypomenorrhea is Asherman's syndrome (intra uterine
adhesions), of which hypomenorrhea may be the only apparent sign.
1.Blood test- Tests for the level of hormones like FSH, LH, estrogen,
progesterone, thyroid hormones, prolactin, insulin and androgen are
2.Ultrasound of lower abdomen.
3.MRI and D&C.
Unless a significant causal abnormality is found no treatment other
than reassurance is necessary. Treatment is a per cause in case of
significant causal abnormality.
Role of homoeopathy
Homeopathic remedies often bring relief. Menstrual problems that are
chronic or severe are best addressed with the guidance of an
experienced practitioner: a constitutional remedy can help to bring
balance to a person's system on many levels.
Please click here to go back to the Home Page