
- One cause of hypomenorrhea is Asherman's syndrome (intrauterine adhesions), of which hypomenorrhea (or amenorrhea) may be the only apparent sign. The degree of menstrual deficiency is closely correlated to the extent of the adhesions.[2]
- Uterine: Scanty loss sometimes means that the bleeding surface is smaller than normal, and is occasionally seen when the endometrial cavity has been reduced in size during myomectomy or other plastic operation on the uterus. However, it rarely indicates uterine hypoplasia because the presence of this condition in a uterus which is responsive to hormones indicates ovarian under-activity, and this manifests itself by infrequent (oligomenorrhea) rather than scanty menstruation.
- Nervous and emotional: Psychogenic factors such as stress or excessive excitement may cause hypomenorrhea. Such factors suppress the activity of the centers in the brain that stimulate the ovaries during the ovarian cycle (to secrete hormone like estrogen and progesterone), and may result in low production of these hormones.
- Low body fat: Excessive exercise and crash dieting can cause scanty menstrual periods when the proportion of body fat drops beneath a certain level. It may cause a total absence of periods (also called amenorrhea).

Diagnosis
- Blood Tests: Most of the common cause of decreased flow of blood during the menses can be detected by blood tests. Tests for the level of hormones such as follicle-stimulating hormone, luteinizing hormone, estrogen, prolactin, insulin are important. In polycystic ovarian syndrome, there will be high levels of insulin and androgens.
- Ultra sonogram: An ultra sonogram can diagnose the thickness of the endometrium, size of the ovaries growth of follicles, ovulation and other abnormalities.
- Other tests: Tests such as dilation and curettage and MRI scans are sometimes needed to determine the cause of scanty blood flow during the periods.
Here are some home remedies which can help you with irregular periods
- Unripe Papaya. Green, unripe papaya is considered useful in regulating menstrual flow as it helps contract muscle fibers in the uterus. ...
- Turmeric. ...
- Aloe Vera. ...
- Practice Yoga and Meditation. ...
- Ginger. ...
- Cumin. ...
- Cinnamon.
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