Scanty flow or hypomenorrhea is a term used when duration is less than 2 days and amount is less than 80 ml its called scanty periods.The causes could be constitutional or genetic where the mothers or sisters have a history. This does not affect their fertility. This can be seen before menopause or also due to thin endometrium.This is also seen in thyroid disorders or due to anemia.Prolactin disorders, increased androgen, PCOD, women on oral contraceptives.Progesterone containing IUCDs and Injectable progesterones. Uterine causes like Asherman’s syndrome,adhesions. Scarring and damage of endometrium after DNC following myomectomy, radiation treatment.Ablative treatments and PID. Emotional disturbances and stress. During anxiety, depression and bulemia disorders.During exams, strenous atheletic treatment. Tests advised are follicle stimulating hormone, leutenizing hormone, prolactin, thyroid, oestrogen and progesterone androgens. Ultrasound pelvis look at uterus, ovaries , endometrial lining , follicles, adnexia, fibroids etc.MRI also can be done. DNC should be done . Tuberculin test should be done as well.

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