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Hypomenorrhea: A Guide to Diagnosis and Treatment

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Hypomenorrhea, also known as scanty or light periods, refers to abnormally light menstrual cycles in terms of both volume and duration. 

Women with Hypomenorrhea have periods shorter than 21 days or last for less than two days, with minimal bleeding or spotting. Hormone imbalances, stress, excessive activity, and underlying health issues are some of the known causes that can lead to light periods.

Continue reading to learn everything you need to know about Hypomenorrhea, including its symptoms, causes, and your long-term treatment choices.

Symptoms Of Hypomenorrhea

The primary symptoms include mild or irregular menstrual cycle. Other symptoms that may arise include:

  • Reduced menstrual length
  • Abdominal cramps
  • Spotting rather than normal monthly bleeding
  • The menstrual cycle starts later
  • Consistently low vaginal flow during periods

If Hypomenorrhea is accompanied by other health issues like Polycystic Ovary Syndrome or thyroid problems, it can lead to:

However, many individuals confuse Hypomenorrhea with Amenorrhea. But they are entirely different from each other. If you want to learn about Amenorrhea,Read ‘Amenorrhea’

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  • Causes Of Hypomenorrhea

    PerimenopauseSource: pixelshot
    Hormones and Perimenopause written on a paper

    Average menstrual bleeding lasts two to seven days. However, in Hypomenorrhea, there is a consistent decrease in menstrual flow, and bleeding lasts less than two days.

    Usually, the cause of light periods is directly or indirectly connected to the disruption in the menstrual cycle caused by several psychological and physical factors. These may include hormonal imbalances, certain medical conditions and medications, Perimenopause, structural abnormalities, and lifestyle choices.

    Hormonal imbalances: Low Estrogen levels can lead to the inadequate thickening of the uterine lining or ineffective shedding, resulting in lighter vaginal flow.

    Medical conditions: Polycystic Ovary Syndrome (PCOS) and Thyroid Dysfunction can affect the synthesis of hormones that control the menstrual cycle, resulting in irregular or light periods. 

    Medications: Hormonal birth control, such as birth control pills, patches, or Intrauterine Devices (IUDs), can lead to lighter menstrual flow when used in excess. 

    Perimenopause: Perimenopause is a transitional stage of Menopause where the ovaries of women begin to produce fewer hormones, leading to menstrual irregularities like light periods.

    Structural abnormalities: Menstrual blood flow disruption or damage to the uterine lining due to structural issues with the genital tract, such as uterine fibroids, polyps, or scarring in the uterus, can result in light menstrual flow.

    Lifestyle choices: The regular functioning of the reproductive system and the hormones controlling the menstrual cycle can be disrupted by high stress levels, intense exercise, or severe weight changes, which can result in Hypomenorrhea.

    Proper hydration is necessary for overall good health and may help manage your menstrual cycle.

    Hypomenorrhea Treatment And Diagnosis

    To diagnose Hypomenorrhea, your healthcare professional will do a thorough physical check-up and ask about your medical history. Your doctor will also carry out blood tests to determine your hormone levels and examine potential causes.

    In rare circumstances, your doctor may do a Hysteroscopy to look for problems in your reproductive organs.

    After proper diagnosis, your doctor will suggest the proper treatment depending on the underlying cause, which often involves medications and lifestyle changes.


    Birth control pills in woman's handsSource: towfiqu_barbhuiya
    Birth control pills

    For hormonal imbalance, your doctor will recommend hormonal treatment, such as birth control pills, Hormone Replacement Therapy (HRT), or other hormone-regulating medications. 

    Medicines like Clomiphene citrate or Letrozole may be suggested to help stimulate ovulation and regulate menstrual periods.

    Hysteroscopic Resection may be considered in situations where there structural defects in the reproductive organs. 

    Lifestyle Changes

    Hypomenorrhea can also be caused by lifestyle factors such as excessive exercise, stress, or an inadequate diet. 

    Stress reduction, improved nutrition, maintaining a healthy body weight, and moderate exercise can all assist in overcoming minimal bleeding during menstruation.

    Prolonged Hypomenorrhea can lead to complications like infertility. Consult a doctor for proper treatment options.


    Hypomenorrhea, or light periods, is a prevalent condition among menstruating women that can have serious consequences for their health and general well-being. 

    It is characterized by light and short menstrual flow during your monthly periods. Hormonal imbalances, certain diseases, Perimenopause, and lifestyle choices can lead to Hypomenorrhea.

    If you are experiencing symptoms of Hypomenorrhea, you should visit your doctor for an appropriate diagnosis and treatment plan. Medications and lifestyle modifications are often suggested to improve the symptoms of Hypomenorrhea.

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    Frequently Asked Questions

    What is the quantity of blood flow during Hypomenorrhea?

    Abnormally low bleeding during Hypomenorrhea is significantly less than 30 milliliters per menstrual cycle.

    Is Hypomenorrhea dangerous?

    Although light vaginal flow during menstruation isn’t a matter of concern if occurs occasionally.
    However, experiencing low vaginal bleeding during periods could be a warning sign for health problems like PCOS and thyroid issues that need to be addressed immediately.

    How to treat Hypomenorrhea naturally?

    Having a healthy diet, moderate physical activity like jogging and brisk walking, stress reduction by practicing yoga and meditation, and avoiding alcohol and smoking can help in reducing the symptoms of scanty menstruation naturally.

    Does Hypomenorrhea affect my fertility?

    No, Hypomenorrhea doesn’t make you infertile. However, the low levels of Estrogen can affect your menstrual cycle, making it difficult for you to conceive naturally. 

    Are light menstrual periods indicators of a probable pregnancy? 

    A lighter menstruation may occasionally be confused with early pregnancy implantation bleeding. However, implantation bleeding and Hypomenorrhea are two different things. Consider getting a pregnancy test or consulting your gynecologist if you think you might be pregnant.

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    Photo of author Janet Fudge
    Janet Fudge is a highly skilled and experienced pharmacologist who serves as a contributing writer for With a strong academic background from a premier US University and a passion for helping others, Janet has become a trusted voice in the pharmaceutical world. After completing her Doctor of Pharmacy degree, Janet embarked on a successful career in the pharmaceutical industry, working with various clients, including hospitals, retail pharmacies, and drug manufacturers. Her in-depth knowledge of pharmacology and dedication to patient-centered care has led her to excel in her field. As a writer for, Janet uses her wealth of expertise to provide readers with accurate, reliable, and up-to-date information on various topics related to medicine and healthcare. Her engaging writing style and ability to break down complex topics into easily digestible content make her a valuable resource for healthcare professionals and the general public.
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