Menstrual Bleeding Less, What Can Be The Cause?
Every woman of reproductive age, periodically menstruation It passes. Although the menstrual cycle is on average every 28 days, it may be shorter or longer in some women.
Menstrual bleeding normally, especially in the early days, especially Between 2 to 7 days It is ongoing.
Some women may have a higher intensity of menstrual bleeding, and some women may have less than 2 days of bleeding. In such cases, women are very worried and start to investigate, am I have very few menstruation, why? “
We are also in this article menstruationWe will try to explain the reasons for you in a clear language.
What is menstrual bleeding and how should it be?
Menstrual cycle The main factors are estrogen and progesterone hormones. In the first stage of the menstrual cycle, the hormone estrogen, also known as the female hormone, rises.
This hormone, when ovulation occurs, whether pregnancy occurs or not, in the case of pregnancy to hold and feed the embryo thickens the uterus. After spawning, the egg begins its journey into the fallopian tubes. Meanwhile progesterone ascends.If the eggs meet and fertilize with sperm, signals are sent to the body to stop menstruation; but not fertilization progesterone hormone decreasesIn the form of menstrual bleeding, the egg disintegrates and is excreted out of the body along with the uterine wall.
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A young girl in her new period and a woman in her thirties will of course not be the same. The amount and menstrual period of menstruation in young girls In 1 or 2 years he barely sits. The menstrual pattern of a woman's menstrual bleeding in the first days of 2-3 pads will change daily, a total of 50 cc (half a cup of tea) during the period to lose blood intensity. This does not have to be the same in every person.
Even 1 in 10 of this amount can be considered normal in some cases.
How to Decrease Menstrual Bleeding?If your menstrual period lasts for 2 days or less, your pad is not so much contaminated and you do not need to change your pad frequently, you can call it a menstrual bleeding. This situation in the language of medicine hypomenorrhoea It is called.
There is an obvious decrease in menstrual intensity in hypomenorrhea, and it should be investigated whether there are other reasons affecting women's health.
What are the reasons for menstrual bleeding?
The reason for hypomenorrhea, that is, menstrual bleeding is low, may be due to some disorders or conditions, as mentioned before.
These situations can be listed as follows:
The use of drugs that will negatively affect the secretion of estrogen and progesterone hormones that provide menstruation, less bloodmay be the cause.
Pituitary and thyroid gland disorders, which are effective in the production of hormones, are one of the main reasons for menstrual bleeding. Hormone imbalances such as low thyroid hormone, high prolactin hormone level, high insulin level and high androgen level less menstruationwhat can cause.
Liver and Kidney Disorders
As the liver and kidneys have an effect on the secretion of hormones, disorders in these organs may cause more or less secretion of hormones and therefore menstrual bleeding.
Asherman's Syndrome (intrauterine adhesion)
Generally, after the abortion infection and adhesions may occur in the uterus due to the remaining part of the uterus. This disease, which is sometimes seen after cesarean section, can also develop as a result of tuberculosis and some infectious diseases without any surgical intervention.
In this way, uterine blockages occur and the amount of menstrual bleeding decreases.
Polyp, fibroids, polycystic ovary, adenomyosis (uterine thickening of the inner layer of the uterus with the progression of the muscle layer) such as diseases adversely affect menstrual bleeding. If a woman has a polycystic ovary, irregular ovulation and therefore an irregular menstrual cycle occurs.
This can result in low menstrual bleeding simultaneously.
With menopause, female hormones decrease in women. This may lead to irregular and inadequate blood flow.
This syndrome is caused by excessive postpartum hemorrhage. This excessive bleeding causes damage to the pituitary gland and the pituitary gland works less than normal.
Therefore, estrogen and progesterone hormones cannot be secreted at normal levels and there is a decrease in menstrual bleeding.
Early Ovarian Failure (POF)
Unlike early menopause, early ovarian failure is the inability to produce eggs in women younger than 40 years. It is not a natural condition like menopause. As a result, menstrual irregularity and low menstrual bleeding can be seen.
Low Body Fat
Low body fat in women can cause menstruation and low menstrual bleeding.
Abnormalities of the uterus
Congenital uterine abnormalities as a result of some surgical interventions or menstrual cyclecan also cause less bleeding.
Stress is a factor that can affect all the functioning of our body. The problem may be psychological if there is no physical factor in menstruation. As stress can affect the hormone producing glands negatively, estrogen and progesterone hormones may not be secreted properly.
This is less bloodwhat or not (amenorrhea) why could it be.
In some cases, external factors such as air changes and altitude changes may cause menstrual irregularities and menstrual bleeding.
If you exercise regularly for long hours, hormone secretion may be impaired and menstrual bleeding may decrease, as this may cause you to lose weight suddenly and excessively decrease your body fat.
If your mother or grandmother has such a problem, you are at risk.
Excessive weight loss or excessive weight gain can change the amount of hormones can cause menstrual bleeding.
Birth Control Pills
In some cases, it can be seen that birth control pills, which provide protection by changing women's hormone levels, lower menstrual levels and even cause amenorrhea.
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If you have been bleeding for a few days in the form of spotting and this is only for that month, you may be experiencing implantation bleeding. This bleeding occurs during the placement of the baby in the uterus.
How is Hypomenorrhea Diagnosed?
If you go to the doctor complaining about the lack of menstrual bleeding, you will first encounter your medical history, then your daily life and some questions about whether your family has such a condition. Then you blood test You will be required.
This will look at how your hormone levels are. In addition, ultrasound can be performed to measure the thickness of the endometrial layer, which is the inner membrane of the uterus, and to determine if there are any problems with ovulation. In this way, if no results can be reached, MRI can be performed or the diagnosis can be made by taking the parts with dilatation and curettage.
How is hypomenorrhea treated?
Treatment of low menstrual bleeding varies according to diagnosis. What is important here is to make the diagnosis on the spot. Usually with hormone drugs, if there are other physical problems, this problem can be solved by various surgical operations, and if the problem is psychological, psychological problem can be solved by taking psychological support; however, in some cases, such as menopause or hereditary, the solution may not be possible.