Hypomenorrhea

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Classification according to ICD-10
N91 Missed, weak or infrequent menstruation
N91.5 Oligomenorrhea, unspecified
Hypomenorrhea without further details
ICD-10 online (WHO version 2019)

The hypomenorrhea (also hypomenorrhea) is a form of menstrual disorder, it is in a very weak, usually only short-lasting menstrual bleeding. In contrast, there is the hypermenorrhea , which is excessive menstrual bleeding.

Symptoms

In hypomenorrhea, menstruation lasts less than two days and there is only very little bleeding, so-called spotting. The blood loss is usually less than 25 milliliters. However, the duration of the cycle is not disturbed.

causes

Common causes are partial atrophy of the endometrium after repeated curettages or prolonged use of progestins, as well as constitution . Hypomenorrhoea often occurs at the end of the generative phase, in overweight women or in women suffering from anorexia . The reason is ovarian weakness: The ovaries produce hormones in too small amounts or for too little time. This in turn leads to a reduced breakdown of the uterine lining. Even after scraping, the lining of the uterus can be too thin, causing temporary hypomenorrhea.

diagnosis

The diagnosis is made after a thorough medical history through a gynecological examination; the palpation of the uterus and ovaries serves to rule out other causes. The thickness of the uterine lining can be measured using a uterine specimen. Measuring the hormonal status in the blood can also provide information about the cause of the menstrual disorder.

Fertility in hypomenorrhea

Women who want to have children should have a hypomenorrhea thoroughly investigated medically. First, it must be determined whether a cycle and thus ovulation is still taking place. To determine whether a regular cycle is still taking place, the basal temperature must be measured every morning after waking up. Women should note the strength and duration of their menstrual period on a menstrual calendar.

treatment

Hypomenorrhoeas can often normalize spontaneously. A gynecological examination and hormonal work-up is only advisable if other causes cannot be ruled out, if there is a desire to have children or if the hypomenorrhoea persists . The therapy is hormonal, through the administration of an estrogen-gestagen combination preparation as an oral contraceptive .

literature

swell

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