Why can there be scant periods after a delay?


Scanty periods (hypomenorrhea) is a fairly common female problem. From a physiological point of view, scanty periods can be called if the blood loss during menstruation is less than 50 milliliters. This condition is often accompanied by a decrease in the duration of menstruation and may precede amenorrhea (complete absence of the menstrual cycle). Scanty periods can indicate some physiological features of the body, or be a manifestation of pathological conditions.

Symptoms of the phenomenon

The hypomenorrhea is characterized by scanty discharge in the form of drops or traces of bleeding of a dark or light shade. Hypomenorrhea and menstrual delay may be accompanied by various signs of deterioration of well-being, including:

  • headaches,
  • nausea,
  • pain in the lumbar region,
  • chest tightness
  • dyspeptic symptoms (constipation and other digestive problems).

Sometimes this condition is accompanied by spasmodic uterine contractions. At the hormonal level, there is a decrease in the secretion of estrogen, which leads to inhibition of sexual desire and reproductive function.

In some cases, hypomenorrhea occurs without any signs and does not cause anxiety in women. If scanty menstruation is diagnosed during the period of formation of menstrual function at an early stage of puberty or during the period of menopause (during the extinction of menstrual function), then this condition is considered normal.

The scanty excretions during these periods of a woman’s life indicate natural functional changes in the body and are not considered as pathology. However, if hypomenorrhea is recorded in the reproductive age, it is necessary to find out its cause. To do this, visit the gynecologist and undergo a clinical diagnosis.

Possible causes of poor monthly

The reasons for the occurrence of menstruation may be very different. The most common factors that inhibit menstrual processes are contraceptives or medications to preserve pregnancy. If hypomenorrhea is observed during several menstrual cycles, it can be caused by thyroid dysfunction. By the way, serious violations in the work of thyroid can lead to a complete cessation of menstruation. Checking the thyroid gland in the clinic with hypomenorrhea is required.

A small amount of periods can be triggered by obesity. Fatty tissues tend to accumulate the female sex hormone estrogen: in excess, it negatively affects all the functions of the female body. And vice versa: hypomenorrhea can be observed too thin women, if with a lack of weight is not enough iron. This condition may be due to poor nutrition.

Scanty periods can be evidence of the transformation of the uterine mucosa due to genital tuberculosis and other serious diseases. Another common cause is surgery, such as early abortion, diagnostic curettage. Penetration into the uterus is always fraught with injury and circulatory disorders.

Other possible factors of influence:

  • depletion of the body due to excessive physical exertion,
  • metabolic disorders (diabetes, hypothyroidism),
  • vitamin deficiency
  • anemia,
  • stressful conditions
  • emotional exhaustion,
  • abnormalities of genital organs,
  • breastfeeding features,
  • infectious diseases,
  • climatic conditions (in particular, extreme heat or hypothermia),
  • serious systemic diseases
  • abrupt change of scenery
  • uncontrolled use of drugs.

The appearance of scanty periods during pregnancy requires special attention, since such secretions are dangerous for the fetus, as they indicate an early detachment of the placenta. This condition is fraught with termination of pregnancy: when these symptoms occur, immediate hospitalization is necessary. Timely appointment of special hormonal drugs can stabilize the condition and save the fetus.

In certain clinical situations, hypomenorrhea is caused by dysfunction of the pituitary or ovaries, which regulate and stimulate the menstrual cycle. An important factor on which to focus, is the color of the discharge. If scanty periods last 2 cycles or more and have a dark or cinnamon color, a visit to the doctor is necessary - the cause of the phenomenon can be inflammatory processes in the endometrium, tumors of the reproductive organs.

Hypomenorrhea and oligomenorrhea (reduction of menstruation time) can also be evidence of the onset of menopause. In this case, scanty discharge appears at the appropriate age (after 45) and, as a rule, is not accompanied by other pathological manifestations.

Scanty monthly after childbirth

If a woman does not breastfeed for any reason after childbirth, her menstrual cycle may resume after 1.5-2 months. Allocations may be either very abundant or minimal and irregular. The first postpartum menstruation may be brown and very scarce. Hormonal background is restored after several cycles: if no painful symptoms are observed, then you do not need to consult a doctor, scanty discharge in this case is a variant of the norm.

Happen that monthly renew even in the period of feeding - when the feeding of the child begins. If the production of the hormone prolactin responsible for lactation is reduced, this is a signal for the body to start ovulation. If hypomenorrhea after childbirth continues for 3 or more cycles, this may indicate the presence of infectious lesions that were postpartum complications.


A clinical examination is required to determine the primary causes of hypomenorrhea and assess the possible risk. Diagnosis begins with a preliminary consultation with a gynecologist, during which a thorough history is made (assessment of the severity of symptoms, identification of a connection with concomitant diseases and the physiological status of the woman).

Further diagnostic procedures are:

  • complete gynecological examination,
  • cytology of the genital tract (smear),
  • bacterial culture,
  • PCR for viral pathogens,
  • blood test for hormones and antibodies
  • Analysis of urine,
  • Pelvic ultrasound,
  • CT scan
  • biopsy and further laboratory examination of the endometrium.

  • Therapy is prescribed depending on the diagnostic results. If hypomenorrhea is caused by poor nutrition, psychoemotional factors, stress and physical exertion, then these conditions are corrected. In particular, a diet with a high content of iron and vitamins is prescribed and full emotional peace is prescribed.
  • Hormonal disorders are treated, respectively, with hormonal drugs. If the presence of infectious agents is detected, antibacterial, antiviral or antifungal therapy is carried out. In the treatment of scanty periods, due to an internal imbalance, homeopathic remedies often have a positive therapeutic effect.
  • If scanty periods are accompanied by depression, apathy, emotional lability, lethargy and frigidity, medicine practices psychotherapy, physiotherapy, and sanatorium treatment.
  • Among physiotherapeutic methods of treatment, reflexotherapy, in particular, acupuncture massage deserves special attention. Competent acupressure - pressure on certain points on the soles of the feet - will help restore the normal menstrual cycle and stabilize the general condition of the body. Hot foot baths for 7-8 days before the onset of menstruation also help. Foot bath should be carried out daily until the beginning of menstruation.

Warning measures

To prevent hypomenorrhea should:

  • spend more time outdoors,
  • eat rationally, consuming the required number of calories, trace elements, nutrients,
  • do sports or fitness, but be sure to dose the load to prevent overwork,
  • avoid emotional stress and exhaustion, master the technique of relaxation,
  • timely eliminate foci of infections in the body,
  • control weight at the level of norms.

In addition, to prevent the development of this syndrome will help regular visits to the gynecologist and the identification of any pathologies of the reproductive system at the earliest stages of their occurrence.

Age-related changes and physiological causes

Scanty periods after a delay may appear for reasons related to age-related changes occurring in the body of each woman. At the same time, the first menstruation, menarche, which is the beginning of the period of the girl’s menstrual cycle, is taken into account.

To better understand the situation, consider all the physiological causes of poor monthly flow after a delay.

  1. The instability of the hormonal background and, as a result, shifts in the menstrual cycle in girls 12-16 years old. Delays in menstruation, followed by a meager discharge, can be observed for 2 years, because it is during this time that the production of eggs occurs. In this case, menstruation may have a brown tint that may alert. But since this process is a physiological feature of the female body, the experience is absolutely vain.
  2. Active production of the hormone prolactin during breastfeeding causes inhibition of the ovulation process. Under these conditions, the complete absence of menstruation is also not a serious deviation. But if the child is not fed up with mother's milk, and he needs additional supplements in the form of dry milk formulas, the level of prolactin in the female body will gradually increase. As a result, scanty periods will periodically appear, but they can also occur with a delay.
  3. The reason for the poor menstrual periods that occurred after a delay in women over 40 is the inhibition of the hormone-producing functions of the pituitary gland. It occurs solely under the influence of age-related changes occurring in the female body, so it can be considered as a normal phenomenon.

This is only the smallest part of the factors that can lead to the appearance of scanty discharge during menstruation, which occurred with a delay. But there are other reasons that need to be known, because some of them are not so harmless, and can have very serious consequences.

The most common factors

Very often scanty monthly periods that come after a delay occur because of:

  • sudden weight gain or weight loss
  • tight diet
  • constant stress
  • lack of sleep
  • inferior rest,
  • excessive physical activity
  • malnutrition,
  • adverse living environment
  • harmful work,
  • tobacco smoking
  • alcohol abuse.

If after a delay scanty periods have gone, and this is not the last time, it may be due to congenital malformations of the genital tract. As a rule, such a deviation can be noticed already at a young age and in a timely manner to diagnose it.

Another reason for which scanty periods can go after a delay is the previous surgical interventions of the woman in the area of ​​the urogenital organs. Under such conditions, a specific treatment for a woman is not required - it should take a little time to restore the menstrual cycle.

If the situation remains unchanged after that, a mandatory medical intervention is necessary.

Ectopic pregnancy as the cause of poor monthly

Scanty periods after a long delay may occur due to the occurrence of an ectopic pregnancy. In this case, a woman should be alerted:

  • brown vaginal discharge
  • pulling, cramping abdominal pain,
  • bouts of dizziness (up to pre-marrow or complete loss of consciousness),
  • nausea,
  • headaches.

If the scanty monthly periods that occurred with a delay really arose because of an ectopic pregnancy, the test in this situation would be negative. That is what should be a good reason to contact a gynecologist.

Genital pathology

Scanty periods after a delay can be the result of transferred or current pathologies of the genitals. In particular, a similar deviation is observed when:

  • colpitum
  • adnexitis,
  • bacterial vaginitis.

Very scanty brown discharge during menstruation can also be caused by venereal diseases (chlamydia, trichomoniasis, gonorrhea, syphilis, etc.). Sometimes even ordinary thrush, familiar to most women and young girls, can lead to a decrease in the amount of blood secreted during menstruation.

Hormonal imbalance

Scanty menstruation is often the result of hormonal disruption (or adjustment), which can occur due to:

  • hormonal contraceptive abuse,
  • disruption of the ovaries,
  • abortions,
  • childbirth,
  • diagnostic or therapeutic curettage, etc.

If scanty menstruation has a very unpleasant smell, brown color and too thick consistency, you should immediately make an appointment with a doctor.

What to do?

Whatever the cause of poor menstrual flow, it is very important not to take any “blind” actions to correct the situation on your own. Experiments with the health of the genitals can have extremely dangerous consequences!

What to do in this situation? The only correct way out is to contact a gynecologist and undergo the necessary examinations:

  • Ultrasound of the pelvic organs,
  • colposcopy
  • PCR analysis,
  • PAP test (if necessary)
  • pass a smear for bacteriological examination.

Another important analysis is a blood test to determine the level of female sex hormones. Comprehensive examination is the key to making an accurate diagnosis and prescribing adequate treatment. And before a woman does this, she should review her lifestyle and menu, give her body a good rest and, if possible, avoid emotional turmoil.

general information

The average duration of the menstrual cycle is 28 days. Sometimes he deviates in one direction or another for 7 days.

The situation when menstruation begins after a delay is familiar to many women of different ages. The delay can be both functional and pathological. Functional due to the influence of external factors. On the development of a disease in this case, there is no question. The main instigator that the menstrual cycle gets off is stress.

It is only necessary to stabilize the emotional state of a woman, as the cycle normalizes.

The pathological nature of the delay in menstruation often signals the occurrence of serious disease processes. In this case, you should not hesitate with a visit to the doctor.

When you need to sound the alarm

Often, after a delay, mucous clots of a reddish or brown tint appear. Do not wait for the end of menstruation. The danger is that the appearance of such clots often indicates rejection of the ovum. That is, it is not the beginning of menstruation, but a miscarriage that occurred in the early period of pregnancy, and is also called spontaneous abortion.

Usually, the doctor prescribes an additional curettage of the uterus. This way you can avoid the development of inflammation caused by the remnants of the ovum. If this is not done, the pathological process will progress rapidly. This condition can even lead to the death of a woman.

Poor menstruation after a delay is considered a rather dangerous symptom.

If the beginning of the menstrual cycle is extremely scarce, this may indicate the development of ectopic pregnancy. In this case, the attending physician is obliged to appoint a woman to undergo an ultrasound examination.

If scanty periods come after a regular ten-day delay, this can also be a sign of danger. But if a failure in the menstrual cycle occurs no more than 1-2 times a year, then there is no reason to worry.

The main provoking factors

The premature menstrual cycle, characterized by the appearance of scanty monthly periods, is often explained by a decrease in progesterone level. The hormone is responsible for the functioning of the adrenal glands. If its level decreases, it will lead to the fact that a thick layer will not be formed in the uterine endometrium,
intended for rejection. Against this background, the monthly may not begin at all.

Other provoking factors include:

  • frequent stress
  • trauma,
  • excessive exercise
  • incorrect diet,
  • failure of the nervous system
  • malfunction of the vascular or cardiac system.

Frequent stress

Today, many women are in a state of constant stress. This is especially true of the fair sex living in large cities. Strong experiences often cause a malfunction of the reproductive system.

The female body does not have time to reanimate.This leads to the fact that there are monthly ahead of time. It is possible to restore the activity of the nervous system with the help of sedative medications. In addition, women who are under stress are advised to relax more, go outdoors and play sports.

The impact of trauma

Some of the fair sex often face difficult situations. After experiencing stress, a woman often mentally returns to unpleasant memories, causing significant harm to their own health. Help in this situation can only be a qualified psychotherapist.

Usually, treatment consists in a thorough analysis of what happened. If the problem lies very deeply, a group psychotherapy session is prescribed to the woman. When this condition is accompanied by insomnia, the doctor may prescribe sedative medications to the patient.

Excessive physical activity

Today, the fair sex can be passionate about even male activities. Sometimes the chosen specialty is closely related to excessive exercise. Against this background, women have uterine prolapse. It not only leads to the appearance of scanty menstruation, but also significantly reduces reproductive function.

Help in this case can only be a radical method. A woman who wants her menstrual cycle to return to normal should either reduce the load or move to another job.

Temperature effect

Some women notice that their menstruation began earlier in the week after extreme cold or exhausting heat. High temperatures have an adverse effect on the functioning of the body. If the young woman has a lack of fluid, this adversely affects the production of the hormone progesterone.

Incorrect diet

Monthly can start earlier on the background of malnutrition. Both obese women and very thin young ladies suffer from this. The unbalanced diet also plays an unfavorable role. Metabolism is disturbed due to the abuse of such products:

  • shop sweets
  • carbonated drinks
  • smoked meats
  • salty food
  • spicy food.

Normalize the cycle is possible only after a radical revision of its daily menu. It is desirable that it contains fresh juices, red vegetables and fruits. Particular emphasis should be placed on the use of persimmon. In the summer it is recommended to lean on cucumbers, watermelons and melons.

Impact of moving

In many women, the menstrual cycle is lost on the background of a change in familiar surroundings. This is especially true for those young ladies who change the time zone. Against this background, the body is under severe stress and is trying to defend itself. For this reason, there is a failure in all systems. Such a state may be temporary, but it is important to bear in mind that a sharp change in climatic conditions adversely affects the sexual and nervous system.

Disease development

Sometimes too early arrival of menstruation is justified by the development of endocrine diseases. Often this symptom is observed in persons suffering from diabetes. At the same time, the functioning of the ovaries significantly worsens, the production of progesterone is slowed down.

Another provoking factor may be a failure in the functioning of the vascular or cardiac systems. Restoration of the menstrual cycle is possible only after appropriate treatment.