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Menstrual Discharge

Low blood comes out during menses what is the reason?
(14 Sep 2010)

The ‘blood’ that appears in your menstrual discharge is actually the inner lining of your uterus (womb). Once a month, your body produces mature ova (eggs) that are ready to be fertilized by healthy sperms, leading to conception and pregnancy. These eggs are held in the uterus, which forms an inner lining rich in proteins and red-blood cells.


If there is a successful fertilization, the developing fetus requires this nourishing environment. However, when there is no fertilization, menses occur, and the inner lining is expelled. In most healthy women, this cycle occurs regularly in about 28 days. The menses last for around five days, and have a volume of 50-80ml.

However, most women do not actually experience such a regular 28-day cycle in all the years between puberty and menopause. Generally, you may have experienced that the cycle varies between 25 to 32 days, and could change from month to month. Extremely irregular menstruation can also occur, where a period may be delayed (or missed) for several weeks. This is more common in adolescents, when the body adjusts to the new adult hormones and biological functions. Many menopausal women experience similar problems, since their hormone levels suddenly drop and disappear. Temporary factors such as stress, exercise, and diet also play a part in disrupting a women's menstrual cycle. In your particular case, if the quantity of blood is very low, or if you experience some ‘spotting’, you may be suffering from dysfunctional uterine bleeding (DUB). In most women, this leads to extremely heavy periods (menorrhagia) when the inner lining of the uterus overgrows due to high levels of estrogen caused by failure of ovulation. However, your case appears to be a result of low levels of estrogen, which has increased the levels of progesterone.

This hormonal imbalance leads to hypomenorrhoea, which leads to irregular shedding of the inner uterine lining, resulting in smaller discharges, including some spotting. This can sometimes be a side effect of progesterone-based oral contraceptives. If you are taking any, please consult with your gynecologist. This condition has also been linked to high stress levels, crash dieting, and excessive exercise. Try a low intensity exercise on a regular basis and include fresh, green foods in your diet, avoiding oil and processed foods. Also stay away from toxins such as alcohol and tobacco smoke. If your menstrual flows are still not regular after a couple of months, you are advised to see a specialist to rule out any serious condition, such as endometriosis or anemia.
answered by G M on 14 Sep 2010, 2:11:12

 

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