Hypomenorrhea

Poor menstruation

Hypomenorrhea is a medical term that denotes menstruation not very abundant and, in general, of short duration; it represents the opposite phenomenon to hypermenorrhea, and is often associated with a lengthening of the intermenstrual period (oligomenorrhea).

Types of hypomenorrhea

First of all, primary hypomenorrhea must be distinguished from secondary: in the first case, hypomenorrhea appears due to an alteration of the anatomical structure of the uterus (rare probability) or following a "hypoplasia of the uterus. The" secondary hypomenorrhea, on the other hand. , is the consequence of psychophysical stress caused by consistent trauma (eg spontaneous abortion, excessive physical activity, malnutrition, bereavement, etc.); it is therefore clear that secondary hypomenorrhea is often accompanied by considerable anxieties and worries.

When to worry

Generally, if poor menstruation is a sporadic or otherwise occasional condition, the woman does not have to worry about it excessively. Hypomenorrhea, on the other hand, should arouse well-founded concern when it presents itself as a recurring phenomenon, except, of course, for women approaching menopause.

Hypomenorrhea and menopause

Statistics show that mature women, close to menopause, often complain of an irregular menstrual cycle, with a scarcely abundant flow: in this case, hypomenorrhea, albeit frequent, must not generate anxiety: the organism, in fact, approaches to a moment of considerable transformation both from a physical and psychological point of view, since the climacteric (pre-menopausal period) represents the passage from the fertile age to infertility. Hypomenorrhea in women over 40 years of age could, therefore, heralding the arrival of menopause, but not for this reason the lack of menstruation must be underestimated: it is always advisable to consult a doctor and, possibly, a check-up to ascertain that the hypomenorrhea does not depend on pathologies.

Related pathologies

In women, all the alterations affecting the menstrual cycle, including hypomenorrhea, can be a sign of diseases in progress, including polyps, uterine myomas, cysts, etc. Also changes in the hormonal and thyroid structure, changes in glandular secretions and debilitating diseases can cause hypomenorrhea. Obviously, when more than one of the aforementioned factors occur together in the woman, they could act synergistically increasing the chances of hypomenorrhea or any other alteration of the menstrual cycle. Synechiae (adhesions that interpose between the walls of the uterine cavities), lesions of the endometrium, inflammation and uterine hypo-sensitization could also be implicated in the onset of hypomenorrhea.
It has been shown that patients who tend to suffer from hypomenorrhea at a young age are prone to have poor development of the genital system, as well as general: the genital organs appear, in some cases, as those of the infantile type (infantilism) .

Hypomenorrhea and benefits

Although the pathological value of hypomenorrhea is almost relative, it must never be overlooked: unfortunately, by some women, hypomenorrhea is not even considered a disorder, but an almost pleasant phenomenon, given that they (almost) do not realize that they have menstruation. On the other hand, even the media advertise a lot of tampons, which, of course, are particularly suitable for women with a menstrual cycle that is certainly not abundant.

Difficulty with conception

Probably, the most "serious" problem associated with "hypomenorrhea, with the exception of uterine tumors, is represented by a possible (but not fully demonstrated) difficulty in conception: in fact," hypomenorrhea is an indication of insufficient development of the mucous membrane of the " uterus, for which the fertilized egg encounters difficulties in implanting itself.

Care

The treatment aimed at resolving low menstruation must not be directed at the mere elimination of the most evident symptom - hypomenorrhea in fact - but rather at the triggering factor, be it a tumor, a stress or an estrogenic alteration. When the menstrual cycle presents consistent irregularities, a gynecological check-up is absolutely essential: the doctor can therefore direct the patient towards a targeted treatment (eg hormonal treatment) to solve the problem.

Summary

I disturb

Hypomenorrhea

Description

Poorly abundant menstruation

Menstrual related disorders

Oligomenorrhea

Classification

Primary hypomenorrhea: appears due to an alteration of the uterine structure (rare case) or as a result of hypoplasia of the uterus
Secondary hypomenorrhea: scanty menstruation is a consequence of psychophysical stress caused by consistent trauma (e.g. spontaneous abortion, bereavement, etc.)

Incidence

Women of childbearing age, mature women approaching menopause

Causal factors

Alterations in the hormonal and thyroid structure, changes in glandular secretions, debilitating diseases, polyps, uterine myomas, cysts, synechiae.
Injuries of the endometrium, inflammation and uterine hypo-sensitization.

Possible complications

• patients who tend to suffer from hypomenorrhea are prone to have poor development of the genital apparatus, as well as general
• possible (but not fully demonstrated) difficulties with conception

Therapies against hypomenorrhea

Hormonal cure