Low menstrual flow

Introduction The menstrual cycle is basically normal, the amount of menstruation is significantly reduced, or even drip is clean; or the menstrual period is shortened by less than two days, and the amount of menstruation is also small, which is called "less menstruation." The amount of menstrual blood is light or dark. It is a menstrual disease. Menorrhagia is often seen in the later stages of menstruation, often accompanied by weight gain. The disease occurs in adolescents and women of childbearing age can develop into amenorrhea, and those who occur in menopause often enter menopause.

Cause

Over dieting for weight loss:

For a variety of reasons, many women have reached a demanding level of their own body. Women's menstruation has a great relationship with body weight and body fat content, especially women who have experienced menstrual problems should stop losing weight, strengthen nutrition and restore health.

Endocrine disorders:

Fast-paced life, high-intensity work, if you encounter a few days that are uncomfortable every month, it is estimated that many women will be crazy. If you dont pay attention to maintaining a good work schedule and relaxing, it is very likely Causes less menstruation.

Frequent sulking and mental depression:

Female friends have been wronged, don't squat, from the perspective of Chinese medicine, suffocation is easy to cause liver qi stagnation, which reduces the amount of menstruation. In addition, excessive mental stimulation, stress and psychological trauma can also result in less menstruation.

Abortion:

After artificial abortion, the ovary can generally restore ovulation function within 22 days, and menstrual cramps in about 1 month. However, a small number of women have prolonged menstruation, different lengths of menstruation, amenorrhea, etc. after abortion, and usually return to normal after 2-3 months.

Ovarian function decline:

The function of the ovary directly affects women's menstruation. In the later period of menstruation, the amount of menstruation is small. Most modern medicines are thought to be related to follicular dysplasia or no ovulation. Therefore, ovulation induction and strong ovarian function are the main links for treating menstruation.

Chest lesions:

Many women will have premenstrual breast pain but less menstrual flow. Don't underestimate this. Because of breast swelling and other symptoms, it may be liver qi stagnation, need to soothe the liver and qi, open the blood, so as to reach The role of overall menstruation.

Etiology and pathology:

Less menstrual flow refers to less menstrual flow than normal people, mostly due to blood deficiency, qi stagnation, blood stasis, cold coagulation pulse, stagnation and other reasons.

The etiology and pathology of menstruation is imaginary and virtual, and the multi-factors of the vain are weak, serious illness, chronic illness, blood loss or diet, spleen, or kidney damage, and the blood and sea deficiency, the volume is reduced, the actual number is more Due to internal blood stasis, or phlegm dampness, meridian block, poor blood flow, menstrual blood reduction.

The menstrual cycle is basically normal, the amount of menstruation is significantly reduced, or even drip is net, or the menstrual period is shortened by less than two days, and the amount of menstruation is also small, which is called less menstruation, which is also called less water. It is generally believed that the amount of menstruation is less than 30 ml, which means less menstruation. This disease is often a precursor to amenorrhea. Less menstruation can be seen with cycle abnormalities, such as less menstrual periods or less late periods.

If the oral contraceptive or intramuscular injection of the contraceptive needle leads to less menstruation, the drug should be discontinued and the disease can be treated according to the disease. A diagnosis with less menstruation usually means more than two consecutive episodes. If it is consistently normal, suddenly too little, should pay attention to whether the early threatened abortion in the first trimester, or a small amount of vaginal bleeding in ectopic pregnancy, must be further examined to identify.

an examination

Related inspection

Vaginal secretion examination gynecological examination blood routine

1. Pregnancy test.

2. Functional testing: Check for endocrine abnormalities.

Lutein stimulating, ovarian-pituitary function, estrogen (E2), follicle stimulating hormone (FSH), luteal stimulating hormone (LH), prolactin, male hormone (Testosterone, DHEA-S, 17OH- P), thyroid function (TSH T3 T4), thyroid stimulating hormone (TRH).

3. Structural examination of the uterus and ovaries: ultrasound, hysteral fallopian tube photography, hysteroscopy.

4. People who have stopped menstruating before the age of 30 should check for chromosomal abnormalities.

Differential diagnosis

Diagnostic points

1. The menstrual cycle is basically normal, the amount of menstruation is significantly reduced, and even the drip is the diagnosis of the disease, often with the late menstruation.

2. Some drugs can cause less menstruation, such as birth control pills, psychotropic drugs, anti-tumor drugs, treatment of endometriosis drugs (such as tamoxifen, dansole, NeiMetong, etc.), in addition to Lei Gong Rattan tablets, bromocriptine and other drugs can also cause menstrual reduction, and should be asked in detail about the medical history.

3. Multiple abortions or rough surgery, damage to the lining of the uterine lining or intrauterine adhesions, will cause less menstruation, it is also necessary to ask about the flow of surgery. Postpartum hemorrhage sometimes shows less menstruation and then amenorrhea.

4. Anovulatory dysfunctional uterine bleeding is less common in simple menstruation, sometimes a precursor to anovulatory amenorrhea. Polycystic ovary syndrome can also be seen with less menstruation, often accompanied by late menstruation, weight gain, and then amenorrhea. Premature ovarian failure is also the first to show less menstruation, followed by amenorrhea.

5. Menstruation with less menstrual period should first rule out abortion or ectopic pregnancy, urine, blood pregnancy test and B-ultrasound can be identified.

Clinical examination

If the amount of menstrual blood is too small, blood tests will be performed to check follicle stimulating hormone, luteinizing hormone, estrogen, prolactin, and progesterone to determine whether the ovary or the pituitary hormone is a problem. Secondly, the basal body temperature is plotted to see if there is ovulation or if there is a deficiency of progesterone. Ultrasonic examination can also be performed to detect endometrial thickness and ovulation. If it is caused by uterine occlusion caused by adhesion of the uterus, the hysteroscope can be used to separate the contraceptive device and then treated with hormone for 3 months. If the progesterone is insufficient, it can be supplemented with progesterone or treated with ovaries. Relaxing your mood and reducing stress in your life can also help your menstruation to work.

Discrimination method

Menstruation is a physiological reaction of periodic uterine bleeding. Generally, 30 ml per month is too little, and 180 ml is too much. Normal should be 60 ml each time. This requires us to pay attention to the amount of sanitary napkins used, no more than two packs per cycle. If it is not enough to use three packs of sanitary napkins each time, each piece of sanitary napkin is soaked, which is too much. On the contrary, every time a pack of menstruation can not be used, it is too small, you should go to the doctor as soon as possible.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.