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What does scanty periods mean? Deviations from the norm. Scanty menstruation during menopause

The reasons for the appearance of scanty periods in women, how to treat the pathology and what it means.

The content of the article:

Many women begin to worry greatly if they experience a phenomenon such as scanty periods. This condition may lead to thoughts about an unplanned pregnancy, a hormonal imbalance that has occurred in the body, or a serious illness. That is why it will be useful to know what reasons can provoke scanty discharge during menstruation and how to deal with this problem.

Hypomenorrhea or scanty periods: what is it?


If a woman is completely healthy and has a cyclical rhythm of menstruation, it is very easy to determine when it will occur. Normally, the color of the discharge should be dark red, but without large clots or impurities. On average, blood loss is approximately 50–150 ml, but this figure directly depends on the individual characteristics of the female body.

Menstruation is considered scanty when the volume of blood lost is less than two tablespoons. Quite often, this phenomenon is accompanied by a reduction in menstruation, which occurs very sharply - the duration of menstruation is literally 1–2 days. This deviation in medicine is called hypomenorrhea.

Very often, scanty discharge is the first sign of menopause, but there are cases when this is the physiological norm during the onset of puberty in girls. But at the same time, there are a large number of reasons why there are scanty periods, which only a gynecologist can help establish, since it is impossible to do this on your own.

Scanty menstruation can have a completely normal appearance and is not accompanied by any unpleasant sensations. However, if pathology develops, a variety of unpleasant signs may appear that cannot be ignored.

If the discharge turns brown and has an unpleasant odor, the following symptoms may appear:

  • migraine;
  • cramping pain in the lumbar and abdominal areas;
  • vomit;
  • nausea;
  • general weakness throughout the body;
  • feeling of tightness in the chest;
  • pain in the mammary glands.
The color of the discharge can be different - beige, scarlet, brown or black.

Reasons for scanty periods


If the discharge is quite scanty, but has a normal color and comes on schedule, and there are no complaints about the state of health, this phenomenon can be considered normal, so no special treatment is required.

In cases where menstruation is scanty and other unpleasant symptoms appear, it can be considered a sign of disease. Depending on the time of appearance of the discharge and its color, a variety of pathologies can develop in the female body.

The main reasons causing scanty periods include:

  1. Pathology of the thyroid gland. The gland produces thyroxine, which promotes the synthesis of female hormones. If its functioning is disrupted, the ovulatory cycle in women begins to be disrupted, insufficient endometrium increases and hypominorrhea develops.
  2. Thinness or obesity. The lipid layer is directly involved in the synthesis of estrogens. If you are overweight, a large amount of hormones are produced. If the girl is very thin, there is a lack of estrogen. There is a possibility of complete cessation of menstruation due to prolonged fasting or anorexia.
  3. Lack of vitamins, anemia. When there is a deficiency of vitamins and minerals in the body, a gradual inhibition of hormone production begins. In the case of severe hemoglobin deficiency, a violation of the proper metabolic process is observed. This leads to scanty periods, painful sensations, and infertility develops.
  4. Resection of the uterus, anomaly of the structure of the uterus. In cases where this organ has an incorrect or defective structure, menstruation is disrupted or completely absent.
  5. Endometrial damage, which can occur after childbirth, gynecological surgery or curettage. As a result of instrumental influence directly on the inner walls of the uterus, endometrial inferiority develops. It simply stops growing, causing menstruation to become scanty.
Quite often there are cases when scanty menstruation becomes the first sign of living in unfavorable environmental conditions and neuropsychic shock.

Scanty brown periods - reasons


Various reasons can provoke the appearance of scanty brown menstruation, which depend on the following factors:
  • age category;
  • the presence of infectious processes occurring in the pelvic organs;
  • the nature of sexual life;
  • history of gynecological surgery;
  • pregnancy.
Brown periods in small quantities can be caused by the following reasons:
  1. In gynecology, scanty periods with a brown tint, which appear before full menstruation, are considered a symptom of progesterone deficiency. As a result of hormone deficiency, premature rejection of the uterine mucosa occurs. Scanty menstruation is the endometrium, which causes brown discharge.
  2. During menopause, brown menstruation indicates that the ovaries are declining.
  3. During puberty, girls experience slight discharge, which may have a light brown tint and is considered normal. Menstruation is fully established during the first year.
  4. With adenomyosis, light brown periods appear, which turn into bleeding.
  5. A serious cause of this phenomenon is ectopic pregnancy. In this case, the pregnancy test gives a positive result.
  6. Scanty periods, after which heavy menstruation begins, can be the result of unsuccessful implantation of the fertilized egg. Very often, women do not even suspect that they were recently pregnant. This phenomenon can occur in case of hormonal imbalance.
  7. The appearance of scanty discharge during the gestation period indicates that there is progesterone deficiency or there is a threat of miscarriage.
  8. Another reason for scanty discharge during menstruation is STDs (gonorrhea, trichomoniasis, ureaplasmosis). If there is not only a small discharge, but also a feeling that the lower abdomen is pulling, it is necessary to take a smear to determine the causative agent of the pathology.
The appearance of extraordinary menstruation, in which brown discharge appears, may be a sign of salpingitis, endometritis, or cervical tumor. That is why it is necessary to immediately seek help from a gynecologist and be sure to undergo a preventive examination.

Scanty bloody and short periods


If a woman has bloody and moderate discharge during menstruation, this phenomenon is not always a sign of gynecological pathology. Most often, the discharge is pink, which is not caused by anything. But there are also cases when the help of a doctor is simply necessary:
  1. It is worth visiting a doctor if the discharge appears in the middle of the cycle, since this phenomenon can be caused by various reasons - a malignant tumor, uterine fibroids, follicular cyst.
  2. Girls are characterized by copious red discharge, especially if menstruation has recently begun. There may be an irregular cycle, sometimes twice a month.
  3. Long-term use of contraceptive drugs leads to scanty discharge during menstruation. Most often, this phenomenon is noticeable during the first months of taking contraceptives. If the situation does not change after 4-5 months, it is necessary to reconsider the drug regimen or contact a gynecologist who will select a new drug. This will help prevent the development of critical ovarian failure.
  4. Scanty discharge during menstruation can be the result of hormonal imbalance. There is a possibility of an imbalance not only of sex hormones, but also of thyroid hormones. In this case, it is necessary to exclude the possibility of estrogen or progesterone deficiency, hypothyroidism.

Scanty pink discharge


It is very common to have scanty pink discharge during menstruation. This phenomenon can be caused by various reasons, including:
  • lack of progesterone;
  • fertilization of the egg;
  • thrush or candidiasis;
  • cervical abnormality;
  • if you are using a contraceptive device;
  • the presence of mechanical damage to the vagina or cervix.
The premature appearance of scanty pink discharge may be due to the presence of a polyp, erosion or ectropion of the cervix. There is a possibility of vaginal injury.

Pregnancy and scanty periods


After conception occurs, a gradual change in hormonal levels begins - the concentration of estrogen increases, the number of progesterone increases. Such changes have a direct impact on the structure of the endometrium, preventing its rejection. This is why menstruation stops completely after conception.

It is extremely rare to encounter situations when, in the early stages of gestation, scanty discharge appears, which is why the woman does not suspect that she is pregnant. This condition develops for several reasons:

  1. Physiological progesterone deficiency. In the case when a woman’s body cannot provide itself with the necessary amount of progesterone, the endometrium is partially rejected. This condition can lead to termination of pregnancy.
  2. Fertilization of two eggs. Scanty discharge occurs when one egg is released from the uterus.
  3. Egg implantation. When conception occurs in the middle of the cycle, the fertilized egg migrates into the uterine cavity, after which it penetrates the endometrial layer. At such moments, a woman may observe slight discharge during the day, which should be mucous, light and in small quantities. If menstruation lasts longer than 36 hours, you should seek help from a doctor.
  4. Excess androgens. If pathologically high levels of male hormones are present in the female body, minor discharge appears and the pregnancy is terminated.
  5. Deviations in fetal development. In cases where the embryo is defective, the female body begins to reject it. In the first days, scanty periods may appear, which are quickly replaced by slight bleeding.
  6. Ectopic pregnancy. If the endometrium is defective, implantation of the fetus occurs in the fallopian tube. At this time, physiological rejection of the uterine mucosa occurs, scanty menstruation begins, and painful sensations appear in the chest. You may experience pain in the abdomen, nausea and other signs of pregnancy.
If scanty menstruation has begun and there is a suspicion of pregnancy, but the test shows a negative result, you need to seek help from a doctor as soon as possible and take a blood test to determine the level of hCG. This method will help confirm or exclude pregnancy.

Scanty discharge and menopause


Menopause is a period when reproductive function declines. Hormonal changes are observed, and the female body begins to work differently. The menstrual cycle also changes. The first scanty periods begin to appear after about 40 years, periodically they can be replaced by fairly heavy menstrual bleeding. There may be red or darker discharge.

The appearance of scanty discharge should not be immediately perceived as the beginning of menopause. The fact is that this may be a sign of the development of a dangerous pathology that requires immediate treatment.

Scanty periods: what to do?


Only a doctor can prescribe therapy, taking into account the results of examinations. Depending on the reason that provoked this condition, medications and certain physiotherapeutic procedures are prescribed.
  1. When hypomenorrhea develops against the background of hormonal dysfunction, hormone therapy is prescribed - oral contraceptives and drugs intended to restore ovarian function, including vitamins, are taken.
  2. For STDs or inflammation, immunomodulators, antibiotics, and certain physiotherapeutic procedures are prescribed.
  3. If scanty menstruation is accompanied by painful sensations, painkillers are prescribed.
  4. When identifying neoplasms, surgical intervention is required.
  5. When an endocrine factor is established, therapy is prescribed by a gynecologist-endocrinologist using hormonal correction.
  6. In case of tuberculosis affecting the genital organs, it is necessary to contact a phthisiatrician, who prescribes certain medications.
Poor discharge can be caused by various factors. To accurately determine the cause of this phenomenon, it is necessary to undergo an examination by a doctor and, if necessary, undergo a course of treatment.

For more information about brown discharge in women, watch the video below:

The most important stage in a girl’s transition to adolescence is the appearance of her first menstruation. Everyone's menstrual cycle begins differently and at different ages, and after that, every woman should carefully monitor her health. The periods themselves can tell a lot about a girl’s health, so it is recommended to visit a gynecologist at least once a year. Women over 40 should also visit a doctor regularly. If your periods become more or less heavy, this should serve as a signal to visit a doctor. Today we would like to discuss what scanty periods can mean and what this can lead to.

Scanty periods should be a reason to see a doctor

What are defective periods?

Menstruation is a physiological process of a woman that begins at puberty and lasts most of her life. Some girls who have not yet reached puberty are afraid of the appearance of their first menstruation. But there is nothing wrong with this, and the process itself is absolutely natural. Menstruation begins between the ages of 11 and 14 years. Although there are cases when menstruation starts earlier or later, and there is nothing to worry about. But if a girl has reached the age of sixteen, and her period has not yet begun, then she should contact a gynecologist, who will prescribe treatment for her if necessary.

In a healthy woman, the menstrual cycle lasts from 21 to 36 days. This process takes place monthly, and it is individual for each representative of the fair sex. Menstruation lasts from three to six days, but no more. If menstrual days come earlier or later, the girl should consult a doctor. Most often, the cause of such irregularities is in the cycle, which is not something bad. The woman simply became nervous, and because of this, her menstrual schedule shifted. Also, the cause of such changes may be the medications taken by the woman. In most cases, if the cycle has moved forward or backward, it will recover on its own in subsequent months.

From the moment the first period appears, eggs begin to grow in a woman’s body, which ultimately leads to ovulation. Eggs begin to grow in the first half of the menstrual cycle. For each woman, this period is purely individual, but on average it lasts 14 days, by which time the egg is fully mature and ready for fertilization. Therefore, the follicle in which it grew bursts and releases it out. Having left the ovary, the egg enters the fallopian tube, where, if you have recently had sexual intercourse, it meets a sperm that can fertilize it. Continuing its movement, it enters the uterine cavity, where it is attached for the next nine months to bear a child. If the egg has not been fertilized, then during the menstrual cycle, it is released along with menstruation.

During menstruation, a thin layer of the endometrium peels off, and during the process of contraction of the uterus it comes out in the form of blood. Sometimes this process can cause pain in the lower abdomen or lower back. In such situations, doctors recommend taking painkillers. But sometimes the pain is very strong and is accompanied by dizziness or fainting. In such situations, the girl should definitely consult a doctor and tell her about her problem. The doctor will prescribe the necessary tests and procedures to find out the cause of this illness.

But in no case should such signs of illness be ignored, since such symptoms may indicate diseases such as anemia, uterine flexion and other diseases that require treatment.

On average, a woman loses 150 ml of blood in one day of her period. However, in the first and last days, blood loss decreases to 50 ml, and in the middle of menstruation it can increase to 250 ml. If menstruation lasts 6 days or more, and blood loss daily is more than 200 ml, this serves as a signal to consult a doctor. After all, such a large loss of blood can lead to the development of a disease such as iron deficiency anemia. This is a signal that the woman’s body does not have time to recover during the cycle; accordingly, the level of iron in the blood drops, and this leads to oxygen starvation of all internal organs.

But if the amount of discharge you have has changed downwards, then you should not rejoice ahead of time. After all, very scanty periods also indicate the presence of some kind of problem or disease in a woman’s body.

A blood test will show the cause of the disorder

Inferior discharge as an anomaly of the body

When menstrual flow falls below the minimum norm, which is 50 ml per day, then we can say that the woman has scanty periods. If we use a scientific term, then scanty periods are a disease, and it is called hypomenorrhea. First of all, with this condition, the duration of menstruation decreases, which subsequently leads to their complete stop. If we are talking about menopause, then this process is quite natural in women after 40 years of age, it is quite expected and treatment is not required. In this case, there is nothing wrong, but if hypomenorrhea occurs in a young woman, then you should definitely consult a doctor so that he can prescribe timely treatment.

First of all, you need to understand the underlying causes of this disease. The reasons may be the following:

  • ovarian function is impaired;
  • the functioning of the pituitary gland, which is responsible for regulating menstruation itself, is disrupted;
  • endometrial disorders.

But there are still circumstances in which scanty periods are the norm. In such cases, no medical intervention is required.

The pituitary gland regulates the intensity of menstruation

Scanty discharge as normal

Such situations may be:

  1. When a girl’s period has just begun, and the cycle has not yet established itself. During this period, periods may be scanty and even irregular. This installation process can take up to two years and should not cause concern to the girl. However, if something still bothers you, then go to the doctor. He will tell you in detail how changes should take place in your body, and in what situations it is better to seek help from specialists. In addition to scanty periods, both heavy and very long periods are observed during this period. If the formation of the cycle is very delayed and lasts more than two years, then this may indicate possible underdevelopment of the internal genital organs.
  2. Before menopause. After a woman turns 40, she may experience scanty periods. This is due to physiological changes in a woman’s body, which should not frighten. The female genital organs begin to work less actively, and the production of hormones responsible for human reproductive function decreases. The consequence of this is a decrease in both the number of periods and their duration. After 40 years, scanty periods of brown color may be observed, and as a result, periods end for good.
  3. Another factor that causes scanty periods is heredity. If a small amount of discharge was observed in the mother or grandmother, then this could be passed on to the young girl. Such minor discharge should not cause concern, because the possibility of having children is high.
  4. All women, even those in good health, experience months several times a year when the egg does not mature. In such situations, menstruation may be delayed for some time, and when it does come, it does not come for long and is not abundant. There is no danger to a woman’s health or her reproductive function. Accordingly, there should be no concern.

The egg does not always mature even in healthy women

Causes of scanty periods

In addition to the fact that the reasons for scanty periods can be natural and not threatening the life and health of a woman, there are other reasons. In some situations, external factors influence a woman in such a way that after their influence, a disruption in the functioning of the genital organs is observed. These reasons include:

  1. Significant change in weight. Numerous diets can negatively affect a woman’s health and lead to anorexia. Such weight loss has a bad effect on the functioning of the genital organs, which can lead to scanty periods, and in some severe cases, their complete absence.
  2. Various forms of anemia also lead to scanty periods.
  3. With hypovitaminosis and metabolic disorders, changes in the reproductive function of a woman are also observed. Such health problems lead to disruption of the functioning of the body as a whole.
  4. Stressful situations also have a bad effect on a woman’s body. Due to the fact that a woman is nervous, there may be changes in the menstrual cycle.
  5. If a woman has had injuries to the pelvic organs or surgery in the bladder area, this could affect the menstrual cycle. If a woman has had her uterus partially removed, this can lead to scanty periods.
  6. If a woman takes oral hormonal contraceptives, this may affect irregular periods. This is especially true for women who have not consulted a doctor about hormonal pills and their dosage. Diseases of the endocrine system can have an extremely negative impact on women's health in general.
  7. After an infectious disease, scanty periods can also be observed. Tuberculosis of the pelvic organs has a particularly negative effect on the female genital organs. If a woman is exposed to chemical or radiation radiation, then one of the consequences may be the appearance of scanty periods. Also, general poisoning of the body with any toxic substances can affect menstruation.
  8. Breastfeeding period. During this period, a woman most often does not have periods, but when they begin to recover, the woman may experience scanty discharge. It can take up to six months to establish the menstrual cycle.

Radiation negatively affects the entire body, including menstruation

Symptoms of hypomenorrhea

Every woman should know what symptoms a disease such as hypomenorrhea can have. In this case, if this disease appears, the woman will quickly know about it and will be able to take appropriate measures.

The first thing that should alert you is that there is no blood loss during menstruation. The discharge that is observed during the process is more in the nature of drops and acquires a dark brown color, or in some situations light brown. The duration of such periods varies, it all depends on what caused the appearance of hypomenorrhea. Menstruation can either lengthen or shorten.

In addition to the listed symptoms, others may be added. Listen to how you feel, do you have:

  • dizziness;
  • headache;
  • nausea;
  • back pain in the lumbar region;
  • feeling that you are short of air;
  • constipation;
  • bleeding from the nose.

If during the normal course of menstruation, you experience pain associated with contractions of the uterus, then with hypomenorrhea, when there are scanty menstruation, the uterus does not contract and there is no pain. You may also experience a decrease in libido. Sometimes a fever may begin, and a sharp increase in body temperature up to 40 degrees. If such symptoms are observed with regularity, treatment should be started immediately.

If you are already over 40 years old and you see scanty brown discharge instead of menstruation, then this may be a symptom of menopause. This can happen to women in their 40s. In this case, you should consult a doctor, but only for advice.

Nosebleeds may indicate hypomenorrhea

Treatment of hypomenorrhea

If this disease is associated with natural processes in a woman’s body, then it does not require medical intervention. Such processes include:

  • the period preceding menopause, which can be after 40 years;
  • during breastfeeding;
  • period of formation of the menstrual cycle in girls.

If you know that your problem is different, then you should consult a doctor and begin treatment immediately. After the examination and passing all the tests, the doctor will be able to prescribe treatment for you. If your problem is related to hormonal imbalance, then your doctor will prescribe you hormonal pills.

If the reason is psychological, then you should change your lifestyle. Eat healthy, drink soothing teas, and exercise.

How to prevent hypomenoria

It is impossible to predict whether you will get this disease, but you can take some steps to reduce your chance of getting it. To do this, you need to take some precautions:

Don't overdo diets. Fasting treatment will not benefit you, and can only harm you.

Maintain a healthy lifestyle. Eat healthy food and give up bad habits.

Follow all hygiene rules.

Get into the habit of walking outdoors, and don't forget to dress warmly in the cold season.

Watch your sex life, avoid casual contacts and unprotected sex.

Contact your doctor promptly.

Scanty periods are a failure in the menstrual cycle itself, expressed in the release of the minimum permissible amount of blood (less than fifty milliliters). This condition is also called hypomenorrhea.
Scanty periods often last less time than usual menstruation; sometimes it happens that there is no menstrual cycle at all. The reason for all this is all kinds of physiological deviations and pathologies of the female genital organs.

Hypomenorrhea can occur during a woman’s reproductive prime due to a malfunction of the ovaries, as well as due to the formation of the pituitary gland, which can affect the function of the menstrual cycle. In particular, this symptom manifests itself due to a physiological abnormality in the uterus, either after all kinds of “female” surgical interventions, or as a result of inflammatory processes.

Failure in the constant functioning of hormones leads to the fact that blood circulation in the uterus is disrupted, this provokes a change in the production of the endometrium during menstruation. This causes hypomenorrhea.

There are several factors that contribute to scanty periods:
A sharp decrease in body weight due to various diets, exhaustion of the body;

Such a dangerous disease as anorexia;
Anemia;
Acute lack of vitamins;
Metabolism failure;
Mental stress, stress;
Excessive physical activity, fatigue;
Deviations in the functioning of mental processes;
Surgical interventions or injuries in the genitourinary system;
Not complete removal of the uterus;
Delayed development of the female genital organs;
If such discharge began in connection with taking contraceptive medications, they were probably not chosen correctly;
Breast-feeding;
Diseases or malfunction of the thyroid gland;
Infections that affect a woman’s genitals;
Work in hazardous production;
Severe poisoning.
All of the above reasons directly affect the occurrence of scanty discharge in a woman during the menstrual cycle.

Symptoms of scanty periods

Discharge is classified as scanty if it appears in the form of brownish or light pink smears. The duration of such a cycle is usually reduced, but may remain the same.
During the period of hypomenorrhea, additional symptoms also appear in the form of painful tremors in the head, vomiting, painful heaviness in the back, pressure in the chest, constipation, and diarrhea.

Most often, scanty periods are not accompanied by pain or sensations of uterine contractions. Bleeding from the nose is not uncommon, and is observed with every menstrual cycle.

Hypermenorrhea contributes to a decrease in female reproductive function.

Most representatives of the fair sex do not express a desire to go to the gynecologist when they have scanty periods, due to the fact that it does not cause them discomfort and pain. If hypomenorrhea occurs in a young woman at the time of puberty, or before menopause, then this is not scary, since it is one of the signs of normal functioning of the body. But if you are a woman at the full dawn of childbearing age, then scanty or, conversely, too heavy periods most likely indicate serious deviations in the functioning of the reproductive system.
To prevent more serious consequences, if hypomenorrhea occurs, you should consult a specialist for a full examination of the body and diagnosis.

Early scanty periods


Scanty periods can appear at the very beginning of the menstrual cycle, as well as during conception.
When this diagnosis is associated with the first menstruation, you don’t have to worry, because it refers to absolutely normal manifestations of the female body.

However, hypomenorrhea usually entails symptoms such as pain in the abdominal, thoracic and pelvic areas.

Scanty discharge is brown or yellowish-orange in color. Subsequently, the cycle and intensity of menstruation normalizes on its own.

First scanty periods

For the first time, such periods can occur, as we have already described above, at the very beginning of the menstrual cycle, also after the onset of menopause, and sometimes in a woman in the childbearing “phase”. This is facilitated by:
Failure of a woman's hormonal levels;
Inflammation of the genital organs;
All kinds of injuries and surgical interventions;
Psychological disorders (stress, depression);
Anemia.

This list is far from complete; we have listed only the most common ones.
When there is an inflammatory process in the body, the discharge will be spotting, much lighter than the usual shade of blood. When tested, a large number of leukocytes will most likely be detected.
If a woman has suffered an injury, her discharge will be bright brown in color, and the blood will be “rich” in red blood cells.
In case of hypomenorrhea, a consultation with a gynecologist is necessary to establish a diagnosis and prescribe appropriate treatment.

Long, scanty periods

When a woman has hypomenorrhea for quite a long time, this most often indicates some pathology of the reproductive system, or a malfunction in the regulation of menstruation, due to a malfunction of the woman’s hormonal levels.
Similar diseases include:
Endometriosis;
Acute lack of vitamins in the female body;
Thyroid diseases;
Poor metabolism.

In such situations, you should not hesitate to visit a competent specialist, due to the fact that these disorders are harmful to women’s health. The sooner proper treatment is prescribed, the higher the chance of avoiding serious consequences, including infertility.

Scanty periods after childbirth

Hypomenorrhea often occurs after childbirth. Such deviations are classified as physiological, due to the fact that the hormonal levels of the young mother have not been properly normalized and the body is in active restructuring.

Usually, scanty periods after childbirth return to normal within fourteen days, without any treatment.


And if hypomenorrhea lasts much longer, then this may mean that problems arose after childbirth. An infection could have entered the young mother’s body, causing an inflammatory process.

It is not uncommon for a woman to experience severe stress during childbirth or breastfeeding, and therefore the body reacts with scanty periods. In such cases, specialists prescribe complex treatment that will eliminate hypomenorrhea, as well as the cause of its occurrence.

Brown discharge during scanty periods

Scanty discharge is often brown in color. This indicates that there was a malfunction in the functioning of the woman’s genital organs. The reason for this may be inflammation of the uterus, in particular its inner layer. This occurs due to surgical incursions into the uterus, various infections entering it, as well as postpartum inflammation.

Such discharge often has an extremely disgusting odor and is accompanied by nagging pain in the abdomen.
Discharge of this color appears due to hyperplasia of the inner wall of the uterus.

This causes metabolic failure, hormonal imbalance, and also diseases of the woman’s genital organs.
It is not uncommon for women to choose their own contraceptives. This can also be one of the reasons for the appearance of scanty brown discharge.
If at the very beginning of taking the drug this is the norm, then for longer discharge you should consult your doctor to prescribe a contraceptive drug that is suitable for you.

Scanty periods during pregnancy

Among many expectant mothers, there is an opinion that when a baby is conceived, periods stop. Frankly speaking, this information is not entirely correct. Bleeding sometimes continues until the second month of pregnancy.

This happens because the amniotic egg, as a result of fertilization, does not reach its “destination” and hormonal changes have not yet begun.

At the end of the first month of pregnancy, the hormones return to normal, it begins to develop, and menstruation stops.
However, spotting after the moment of conception is not entirely correct to call menstruation; it is less abundant than during the normal period.
The occurrence of scanty discharge at the very beginning of the period has several reasons:
An attempt to separate the fertilized egg from the uterine wall. When there are no serious abnormalities, the woman’s body will correct everything itself and will not allow the egg to leave the uterus.

Sometimes such discharge may mean that the process of spontaneous miscarriage has begun. This process, in addition to severe bleeding, also manifests itself as acute pain in the abdomen.
Another cause of discharge is ectopic pregnancy.
Keep in mind that any bleeding during pregnancy cannot mean anything positive.

In this regard, at the first manifestations of discharge, immediately contact your gynecologist for examination.


If the discharge is profuse and accompanied by pain in the lower abdomen or other symptoms, for example, nausea, vomiting, high temperature, immediately call an ambulance. Hoping that everything will go away on its own is fraught with irreparable consequences for the woman and the life of the unborn child.

Treatment of scanty periods

To prescribe the correct treatment, if you experience scanty periods, you need to consult a doctor for the necessary examination.
When hypomenorrhea appears after psychological disorders, as well as as a result of excessive physical activity or violation of the regime, it is necessary to carry out treatment aimed at getting rid of these problems.

In order for the timing and intensity of menstruation to normalize in these cases, it is necessary to treat precisely the reason why they strayed from their previous course.

Doctors prescribe therapy using essential vitamins, as well as hormonal medications. In the twenty-first century, scanty periods are perfectly normalized after using homeopathic medicines, with the least impact on the woman’s body.
If hypomenorrhea occurs as a result of stress and depressive disorders, fatigue and apathy, then it is necessary to use psycho- and physiotherapeutic treatment to help eliminate the above disorders.

If scanty periods appear during breastfeeding, or during menopause, treatment is not prescribed, everything goes away on its own.

Keep in mind that if hypomenorrhea occurs, in order to avoid serious consequences, you must immediately contact a gynecologist. Be healthy!

During 1 period of menstruation (from 3 to 5 days), a woman loses a maximum of 150 ml of blood. This indicator varies depending on the woman’s body, her physique and external factors that affect the menstrual cycle. The minimum volume of blood lost is 50 ml. Menstruation during which a girl loses less than 50 ml is considered scanty. This deviation can have several causes and is characterized by several symptoms.

It is worth noting that scanty discharge may be accompanied by oligomenorrhea (a decrease in the number of days of menstruation) or preceded by amenorrhea, their complete absence. Very scanty periods or hypomenorrhea is a symptom that indicates the occurrence of one or another pathological process in a woman’s body or the manifestation of some physiological condition.

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    Main etiological factors

    The pituitary gland and the ovaries directly control menstruation in girls and women. Failures in these organs can lead to insufficient blood concentration in the uterus. In addition, frequent curettages, abortions, diseases that are accompanied by an inflammatory process in the uterus, deterioration in general health, as well as many other factors affect the development of the endometrium on the walls of the uterus.

    The pituitary gland is a gland that produces female hormones (estrogen and progesterone). During ovulation, estrogen is produced, which directly affects further fertilization. When fertilization does not occur, the egg dissolves and is released, and the concentration of estrogen in the female internal genital organs decreases significantly.

    Progesterone is a pregnancy hormone. The concentration of estrogen in a woman's body affects the stages or phases of the menstrual cycle. Based on the fact that the pituitary gland influences the ovaries and all internal genital organs, discharge will also depend on the concentration of hormones.

    The paucity of menstruation does not depend on which egg has dissolved. During the period of ovulation, a specific endometrium grows below, near the cervix, which, if fertilization occurs, will serve as a kind of cushion for the egg. The more the endometrium grows, the heavier the bleeding will be. If fertilization does not occur, detachment of this endometrium occurs. This is similar to cutting off a piece of skin, during this period women experience pain. The growth of the endometrium is affected by blood flow to the uterus, the presence of inflammatory processes, as well as a sufficient concentration of hormones.

    The main root causes of hypomenorrhea can be:

    • significant loss of body weight;

    Exhaustive diets, stress, significant changes in body weight - all this can affect the abundance of menstruation. In this case, they may disappear completely. Therefore, if you decide to lose weight and have lost a lot of kilograms, do not be surprised if your periods become less abundant.

    • metabolic disease;
    • various psychological diseases, overload, stress;

    Ordinary stress can cause hypomenorrhea or a delay in menstruation from 1 to several months. A woman’s body is sensitive to the environment; if it is constantly overloaded and under stress, the fertilization function may be suspended. This is due to maternal instinct; the body sees danger outside and tries to do everything to avoid pregnancy.

    • injuries to the female urinary and reproductive system, surgeries on the pelvic organs;
    • use of hormonal contraceptives;
    • lactation period (breastfeeding);
    • inflammatory processes, diseases, the influence of any radiation, etc.;
    • intoxication of the body, for example, severe poisoning.

    Thus, the main causes of hypomenoria can be a variety of factors.

    Associated symptoms

    Scanty periods and pregnancy or scanty periods after childbirth are the most common phenomena; they may not affect the woman’s health in any way or indicate any danger to the body. With periods that are short and scanty, a woman may notice:

    • scanty discharge, often smearing or in the form of small drops of blood. Such light discharge may be dark brown, brown or light red in color;
    • decrease in the number of days of menstruation;
    • headache;
    • nausea;
    • lower back pain;
    • digestive disorders and constipation;
    • pain or discomfort in the chest area.

    At the same time, the woman may not feel pain in the lower abdomen or contractions of the uterus. In addition, a woman may lose libido, the reason for this is a decrease in estrogen in the internal genital organs and blood.

    In some girls, scanty discharge is not accompanied by any additional symptoms. Hypomenorrhea in the early stages of a girl’s puberty and during the period of decline of reproductive function is a completely normal reaction of the body to the changes that occur in it. If scanty periods are observed in girls and women during the reproductive period, this can only indicate some kind of illness.

    Early menstruation

    Scanty menstruation may be present in the early stages of puberty. Menstruation without blood is also called the first menstruation in girls. Most often, girls' first periods are discharge without color or with a small amount of blood. Early menstruation can occur in two cases:

    1. 1. When the formation of menstrual function occurs.
    2. 2. After childbirth.

    In addition, bleeding in women may occur during pregnancy. This factor may indicate either serious disturbances in fetal development and lead to fading or spontaneous miscarriage, or minor hormonal disturbances. As a rule, bleeding during pregnancy can occur if fertilization occurs immediately before menstruation.

    The note! In the presence of inflammatory processes, weak, light-colored menstruation is observed, and a large number of leukocytes can be found in the discharge. If the uterus has suffered any damage inside or outside, your periods will be light brown or brown in color. Blood acquires this color due to the destruction of red blood cells.

    Prolonged spotting

    Girls' first periods may be long and produce little blood. In addition, such periods in women of reproductive age may indicate the development of some pathological process in the body.

    There are cases when girls do not get their periods for a long time, this may be normal, but if there is scanty discharge that lasts for quite a long time, there is pain in the lower back, lower abdomen, and later the pain appears all the time - this may be undesirable signal. This is nothing more than a fusion of the hymen.

    Explanation! The hymen has many different holes that allow menstruation and various discharges from the uterus to pass through. The fusion of the hymen is a feature of the structure of the girl’s internal genital organs. If this pathology is not identified in time and the appropriate operation is not performed, the secretions that accumulate inside the body can lead to undesirable consequences and even death.

    Menarche after childbirth

    Scanty periods after childbirth are a common occurrence for a woman’s body, especially if she stops breastfeeding. During the five months after childbirth, a woman’s body adapts and returns to the state it had before pregnancy and childbirth. The hormonal background during this period is aimed at providing for the mother and child, progesterone continues to be released (a hormone that blocks estrogen and protects pregnancy). After the less heavy discharge has passed, the menstrual cycle will be restored within 2 weeks. If menstruation does not resume after childbirth, this may indicate:

    • the occurrence of an inflammatory process (complications);

    The inflammatory process after childbirth can occur due to the fact that not all pieces of the endometrium were removed from the inside of the uterus, or the uterine ruptures were stitched incorrectly, causing infection.

    • development of an infectious disease;
    • disruption of the pituitary gland, etc.;
    • body stress after childbirth;
    • stress from breastfeeding.

    In such cases, the obstetrician-gynecologist must determine the cause of this condition. All means should be aimed at eliminating the cause of the pathology, and only then at dulling the symptoms. Please note that any problems with the mother’s health can affect the baby’s health. So, for example, if a mother is breastfeeding and has some kind of inflammation in the pelvic area, this can affect her milk and cause mastitis. In this case, it will be bad not only for the mother, but also for her child, he will develop colic, bloating, loss of appetite, etc. That is why, if you have any complaints about the health of the genitourinary system, you should immediately consult a doctor. Don't forget about prevention too.

    The body's reaction to scraping

    Curettage is the process of cleansing the uterus from various tissues and secretions that accumulate inside the uterus. Curettage can be done when a tumor develops inside the uterus or after a spontaneous abortion. If after curettage your period does not go as usual, this may be an alarming sign for a woman. In one case, scanty periods after curettage are the body’s reaction to the stress experienced; in all others, if such periods are accompanied by an unpleasant odor and unnatural color of discharge, they can only indicate something bad. So, for example, if after scraping you have scanty periods of a brown color with an unpleasant odor, this may indicate rotting of the remains of the unscraped material inside.

    If, against the background of scanty menstruation, pain and discomfort in the lower abdomen also occur after curettage, you should immediately consult a doctor. In such cases, most often, repeated curettage is performed.

    Brown discharge

    The appearance of brown periods is most often associated with inflammation of the endometrium due to frequent surgical interventions or damage to the walls of the uterus. Against the background of this manifestation, chronic endometritis may develop. It is worth noting that if endometritis occurs inside the uterus, pain will be present in the lower abdomen. If endometrial disorders are detected on the body or cervix, there may be no aching sensation in the lower abdomen, and the discharge will be dark brown or dark red in color. Scanty periods and their treatment is a minor task for medicine; the main thing is to diagnose such a deterioration in time.

    Don't forget about contraceptives that women take orally. No matter how much the manufacturers tell us, all these drugs affect a woman’s hormonal levels. Many manufacturers warn about the possibility of certain complications after taking such drugs. If a hormonal contraceptive was prescribed after consultation with a doctor, this is one thing, but if a girl starts taking it without the doctor’s consent, the consequences can be very diverse, from the appearance of brownish discharge after menstruation, to bleeding, amenorrhea and infertility. Be careful, because with some drugs you may never give birth. And if, after taking capsules or tablets, your women’s days are not going well for more than 2 months, consult your doctor immediately.

    Menstruation during pregnancy

    The main reason for scanty periods during pregnancy is improper attachment of the fertilized egg to the walls of the uterus. Menstruation during pregnancy can either mean nothing or signal some undesirable process that arose during fertilization or attachment of the embryo. Scanty periods after a delay can occur in many cases; this may be associated with pregnancy or with other processes. So, such periods can indicate:

    • missed periods (dark brown, odorless discharge);
    • improper attachment of the embryo;
    • disruption of the endocrine system;
    • possible spontaneous miscarriage;
    • the occurrence of intrauterine bleeding.

    Menstruation can only be safe in the first month of pregnancy. If spotting occurs at 5-6 weeks of pregnancy, you should immediately consult a doctor; perhaps the pregnancy can still be saved. In most cases, it is the spotting of menstruation and pain in the lower abdomen that causes spontaneous miscarriage. Remember that only in 1 month of pregnancy reddish discharge may be normal. Scanty periods are dangerous, the reasons for their occurrence can be very different and dangerous.

    Necessary diagnostic procedures

    If any symptoms or scanty periods are detected, the girl must seek help from a gynecologist. The doctor should determine the cause of such symptoms based on:

    • patient complaints (history);
    • full examination;
    • bacteriological culture;
    • determination of hormone concentrations;
    • measuring basal temperature throughout the entire cycle;
    • Ultrasound of the pelvic organs;
    • biopsies, etc.

    Depending on your medical history, your doctor may order many different tests or procedures. It is worth noting that a short or moderate menstrual cycle can only be determined by basal temperature.

    Why have periods become scanty: this is a question many women ask themselves. At the same time, they do not even suspect the threat looming over them. All obstetricians and gynecologists know that for women, the presence of menstruation is as scary and unpleasant as the absence of menstruation. Severe itching, pain, discomfort, lack of libido - these are the most common consequences of ignoring scanty discharge. The world, moving forward all the time, finds many ways to solve women's problems. A woman’s health is only in her hands, because for her there is nothing worse than infertility and the loss of a child, and this is what indifference to one’s body can lead to.

Heavy menstruation, which leads to the development of anemia, definitely needs to be corrected. But what if the bleeding is small? In each individual case, you need to look for your own reasons for scanty periods. After correct diagnosis, undergo a course of treatment, because reproductive function may depend on it.

A small amount of blood loss does not always indicate pathology. This can be considered a variant of the norm:

  • in adolescence;
  • in women awaiting menopause.

But even after menarche (first menstruation) there is a period during which menstruation should return to normal.

What is considered hypomenorrhea?

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

  • hypomenorrhea - a decrease in the volume of blood loss (less than 50 ml);
  • oligomenorrhea - menstruation lasts less than three days;
  • opsomenorrhea - rhythm disturbance, five to seven weeks pass between menstruation;
  • spaniomenorrhea - infrequent periods up to four times a year.

Often these states successively replace each other. At first, menstruation becomes less voluminous, then its duration decreases, and the interval increases. As a result, periods appear very rarely, and amenorrhea develops.

Hypomenstrual syndrome can develop primarily in adolescents (disorders occurred during the formation of menstruation). Secondary hypomenorrhea is a condition in which a woman had normal periods, but under the influence of certain factors, a malfunction occurred.

Reasons for scanty periods

Menstrual function in women is a system finely tuned to hormonal regulation. Any external or internal influence can lead to failure. The menstrual cycle is associated with the cerebral cortex. This means that emotions and stress can also cause deviations. Most often, very scanty periods are observed in the following cases.

  • The formation of menstruation. In adolescents, hormonal regulation by the pituitary gland is still imperfect. Even the first menstruation can be scanty. It usually takes a year for the cycle to establish itself. If after this time your periods have not stabilized, you need to be examined by a doctor.
  • Eating disorders. Strict diets, anorexia nervosa, hypovitaminosis and a lack of certain food groups and vitamins lead to cycle disruptions such as hypomenorrhea.
  • Stress. Mental stress, nervous exhaustion, problems at work and physical fatigue activate stress hormones, which results in inhibition of the production of gonadotropic and sex kinins.
  • Injuries and operations. If surgical interventions were performed on the genitourinary organs, then it is necessary that the swelling of the tissues and the inflammatory reaction decrease. Similar processes are observed after abortion and curettage of the uterine cavity.
  • Endocrine pathologies. Damage to the thyroid gland, which leads to its hypofunction, is accompanied by the phenomena of oligomenorrhea and opsomenorrhea. A cycle failure such as hypomenorrhea is observed with hypofunction of the adrenal glands. Rare menstruation becomes the norm with hyperprolactinemia.
  • Lactation. While breastfeeding, prolactin should suppress ovarian activity. This is accompanied by decreased estrogen levels. Usually the endometrium does not grow. But sometimes this becomes possible, in small quantities. Then scanty brown periods appear.
  • Pregnancy. A fertilized egg has a certain period of time for implantation. But sometimes it happens a little later. When the embryo is immersed in the thickness of the uterine wall, the endometrium and its vessels melt. The embryo finds itself in a bed washed with blood. Some of the blood may leak out during implantation. Then scanty periods appear ahead of schedule. But pregnancy may be at risk. Scanty periods after a delay will tell you this. To be sure, you need to take a pregnancy test or get tested for hCG.
  • Infections. Infection with sexually transmitted infections or a general infectious disease can also lead to cycle disruption. This is associated with the activation of inflammatory mediators and swelling of the uterine wall.
  • Iatrogenic influences. Some medications can affect the menstrual cycle. Most often these are antidepressants and hormonal contraceptives that are incorrectly selected. With medical termination of pregnancy after artificially induced bleeding, the first menstruation may be scanty. But if instead of menstruation you just get a spot, you need to see a doctor.

Do not forget about the influence of occupational factors on the menstrual cycle (working with chemicals, gasoline vapors).

For those women who have chosen the Mirena hormonal system as contraception, scanty periods become the norm.

Additional signs

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

  • discharge with an unpleasant odor;
  • temperature increase;
  • chest pain;
  • nagging pain in the lower abdomen;
  • nausea, diarrhea, or constipation;
  • decreased libido;
  • nose bleed.

In some women, scanty periods are accompanied only by nagging pain in the lower abdomen or associated symptoms are completely absent.

What examination is needed

Long, scanty periods should alert both the woman and her doctor. This can be observed with uterine fibroids, although the pathology is more characterized by heavy bleeding. To establish why there are scanty periods, a comprehensive examination is necessary, which includes the following steps:

  • examination by a gynecologist;
  • microflora smears;
  • general clinical studies;
  • blood test for hormones;
  • Ultrasound of the pelvis.

If it is necessary to clarify the clinical situation, the following is prescribed:

  • MRI of the pelvis;
  • X-ray of the brain;
  • Ultrasound of the thyroid gland, adrenal glands, liver.

If a smear shows an inflammatory process or, according to the results of an ultrasound, damage to the appendages is noticeable, then an examination for sexually transmitted infections is necessary. For a more accurate result, it is better to do this using the PCR method. Sometimes it is necessary to carry out bacterial culture to determine sensitivity to antibiotics.

Ways to normalize your cycle

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

  • Anorexia. Cycle failure that occurs against the background of anorexia nervosa is difficult to treat. In such a situation, treatment should be carried out jointly with a psychiatrist. It includes both restoration of body weight and a change in the perception of one’s own shell.
  • Endocrine reasons. This 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. For some pathogens, the absence of clinical symptoms of inflammation and a low titer in tests are an indication for watchful waiting. If there are clear symptoms of inflammation, as well as the detection of chlamydia, trichomonas, or gonorrhea, treatment is mandatory not only for the woman, but also for her sexual partner.
  • Pregnancy. If the cause of scanty periods is pregnancy, then this condition requires a special approach. In the post-Soviet space, pregnancies that are threatened with termination at a short term (up to 12 weeks) are sought to be preserved. Women are prescribed bed rest and hospitalized. Antispasmodics and progesterone preparations Duphaston and Utrozhestan are used for treatment. But often a miscarriage during this period is a natural process of getting rid of genetically defective offspring. Therefore, in many European countries and the USA, the threat of interruption up to 12 weeks is not treated with special measures, but is left to nature.

To normalize the cycle, birth control pills may be prescribed. They help the ovaries adjust to the desired rhythm of hormone secretion, which persists after discontinuation of the drug.

Treatment with folk remedies involves taking herbal remedies. Red brush and hog queen are often used. Reviews about this treatment are contradictory. But most women say that they first need to visit a doctor and undergo an examination, and then resort to “grandmother’s” methods and homeopathy.

Scanty discharge instead of menstruation is rarely within the normal range; the condition requires correction. But you can prevent disruption of the menstrual cycle: eat right, dose your exercise, avoid stress and infections.