By the nature of vaginal discharge it is possible to judge the health of a woman. Normally, they change during the cycle, reflecting hormonal fluctuations. Bloody discharge or the like should be only during menstruation. And if suddenly there were light-brown menstruation, is it worth worrying?
Possible causes of discharge at the beginning of the cycle
In principle, there are no states when it could be unequivocally said that with it pathological excretions appearat any particular time. But there are a number of diseases that most often behave typically. Finally, the cause of brown secretions can be determined only by the doctor after the post-examination.
The first phase includes from 1 to 12 - 14 days, taking into account the ideal cycle. With a shorter one decreases and, with a longer one, increases.
Endometriosis
The first day should be considered the beginning of any discharge of bloody nature in a woman, even if it is a daub. Most often, light brown discharge will disturb a girl if she has endometriosis. This is an insidious disease, which for years can take little or little. With the progression of pathology, the woman begins to be troubled by pains in the lower abdomen during, before and after menstruation, a prolonged daub before and after the menstrual period. Also often endometriosis leads to infertility, undeveloped pregnancies and some other gynecological diseases.
If we talk about endometriosis, then first on the structures of the external and internal genitalia parts of the endometrium are spread, are introduced and grow in these foci. In more complex cases, such "islands" are found in the brain, in the intestine, and in many other structures.
Light brown or chocolate discharge will disturb the woman at localization of foci of endometriosis in the vagina and external genitalia, on the cervical and cervical canal, in the uterine cavity. Their intensity will depend on the number of such pathological "islets".
We recommend reading the article about brown discharge between menstruation. From it you will learn about normal and pathological discharge, diseases, causing pathology.
Hormonal preparations
Receiving oral contraceptives, plasters or other forms of estrogen and gestagen-containing drugs can lead to a similar clinical picture at the beginning of their intake .Allocations can periodically appear during two to three cycles, it all depends on hormonal disorders in the body of a woman, as well as on her individual characteristics for adaptation.
Why does it happen in the middle of the
cycle Why are the monthly light and start in the middle of the cycle, every two weeks? Closer to ovulation in the woman's body is a "change in power": the concentration of estrogens gradually decreases, and the gestagens - increases. The signal for such transformations comes from the pituitary and hypothalamus. The result is ovulation.
Sometimes there may be a small imbalance of hormones, which is manifested in the appearance of bloody brown discharge from the genital tract. They should not be plentiful( enough daily pads and normal hygiene regimen), in duration - no more than 2 - 3 days. In the opposite case, this is an obvious pathological condition requiring further treatment.
Similar ovulatory bleeding( it is customary to call the secretions, although their number is small) should not be monthly. Most often, they are provoked by stress, lifestyle changes, physical stress and other factors unaccustomed to women. If such discharges are repeated from month to month, it is necessary to undergo an additional examination - in 90% of the examinations reveal the pathology of the uterine cavity. Cases of polyps and hyperplasia can occur even in nulliparous and sexually active girls.
Causes of excretions at the end of the
cycle In the second phase of the menstrual cycle, if any discharge occurs, first of all, pregnancy should be excluded. In this case, there will be atypical monthly - the color is light, and the amount is insignificant.
Moreover, at this time the usual test strip for urine may not show a reliable result. Therefore, for the first time noticed a different shade of red or brown discoloration should consult a doctor. If there is a possibility and pregnancy is not excluded, it is advisable to take a blood test for HCG, which already from the tenth day of conception shows 100% reliable information.
The following options are possible with the appearance of light brown precipitates in the second phase of the cycle:
| Cause | Diagnosis |
| Short term miscarriage threat or implant bleeding | It is very difficult to distinguish one from another( sometimes the pelvic ultrasound helps), but the tactics of medical care are aimed atprevention of the worst;abortion of pregnancy. With regard to excreta, it can be either permanent browning, or single in the form of a slight stain on the laundry. |
| Non-developing pregnancy | Usually starts with a small amount of light precipitations instead of monthly excretions, but with time their intensity increases. The diagnosis helps to establish blood on hCG( in this case, the increase in indications is not in accordance with the norm), as well as ultrasound in dynamics( every 7 to 10 days before the symptoms disappear). |
| Ectopic pregnancy | picture which can be so diverse that sometimes it is extremely difficult to establish a correct diagnosis. One option is a small periodic brown daub of different shades, against this background the pain in the lower abdomen may or may not be. The pregnancy test does not give 100% of the information, there is a small pelvic ultrasound and blood on the hCG, and, of course, observation. |
Also, light brown discharge from the 14th to 28th day of the cycle may also appear with endometriosis. Their severity, intensity and duration largely depend on the location of the foci and does not differ from those in the first phase.
Look at the video about the causes of brown discharge:
Causes of precipitations that are independent of the phase of the cycle
Often this dependence on the phase of the cycle is difficult to detect, but there is a correlation with other factors.
Inflammation of the
With active inflammation with localization in the vagina, cervix or appendages, a woman, in addition to brown intermenstrual secretions, can not bother anything else. The causes of the smear in this case are as follows:
- as a result of the involvement of blood vessels in the process;
- also, brown secretions can be due to the presence of actively producing leukemia of mixed sexual infection, for example, with trichomoniasis and mycoplasmosis, etc.
In addition to a masseuse, a woman is usually disturbed by a different intensity of pain in the lower abdomen, a violation of menstrual function, and the like.
Pathology of the uterine cavity
Endometrial hyperplasia and polyps are also most often detected when such a light brown dye appears. It can be in the middle of a cycle, then without additional inspection it is difficult to establish the true cause. It is also possible to isolate after physical exertion, sex, etc.
Oral contraceptives and their cancellation
In addition to taking various types of hormonal tablets, it can give brown discharge during their use, just as after the end of taking the body, it takes another 3 to 6 months for complete recovery. And during this period, various violations of the menstrual cycle are possible, most often it is an irregular swab.
It's not worth worrying, but if you contact a doctor, the prescribed treatment will help to speed up the recovery as quickly as possible. Vitamin complexes, moderate physical activity, blood-restoring means are usually good.
Malignant diseases
Any oncological pathology( vulva and vagina, cervix or uterine cavity, appendages) can begin its clinical manifestation precisely with an ointment. Self-treatment and delaying the diagnosis will only aggravate the situation.
Sometimes a woman notes that such light red "menstruation" appear only after sexual contacts or additional physical labor. This is due to the large trauma of the tumor and the appearance of bleeding of varying intensity from it.
Depending on the age of
During the first two years after the first monthly girl's period, and normally, the cycle may be irregular, periodically spotting spotting instead of monthly. In principle, if nothing else bothers her, you can watch for a while. For clarification, it is better to contact a pediatric gynecologist.
Also cautious of all sorts of such secretions should include women in menopause. Failures can only be a short while in the development of menopause. And after for a year the woman no longer had any discharge, the bloody brown daub is a clear signal of the disease. Behind these symptoms may be a polyp of the endometrium or cervix, a cancer of any localization of the genital organs. Rarely, this is due to hypertensive crisis or stress on the background of brittle vessels.
Sometimes women in the menopause have different problems with the blood supply of organs, which is why they undergo constant courses of metabolic therapy. The scheme sometimes includes various vascular drugs, against which a similar daub can also occur. But in any case, first you should exclude more dangerous situations.
Sexual life as the cause of failures
Often, women note that a light daub appears just after sexual intercourse and naively believe that this can be normal. In fact, in 90% of cases, this indicates the presence of some latent disease.
And only in the remaining 10%( a percentage higher in young and not married girls) - this is the allocation of microtraumas obtained during intimate relationships.
Operations as a source of violation of
After any gynecological manipulations, even at first glance insignificant, there may be irregularities in the menstrual cycle. Most often you have to deal with the following situations:
- Acyclic light brown discharge after curettage of the uterine cavity, including after interruption of pregnancy at different times.
- Any operations on the ovaries, for example, about apoplexy( rupture), with removal of the cyst, with polycystosis, infertility intervention, etc.
- Within 42 days after delivery, operative or natural, there may be light pink "monthly", which in this case is called lochia, sometimes it's just a streak of blood in the mucus.
Reasons why you should not contact a doctor
In any case, the appearance of such secretions should alert a woman and become a reason to call a doctor. Especially, one should be concerned with the primary detection of them against the background of apparent general well-being. In the following situations, you can observe your condition yourself:
- If there are bright, monthly, the causes of which are obvious. For example, after scraping, operations to remove the ovarian cyst, against the background of taking oral contraceptives, etc. Most likely, the doctor warned about them, and they will be held within a month or two depending on the clinical situation.
- If such a light brown discharge appears before or after the menstrual period for many years. In this case, we are talking, most likely, about endometriosis, which during routine examination can be clarified by a doctor.
We recommend to read an article about the masseuse instead of the monthly ones. From it you will learn about the causes of pathological discharge, the likelihood of pregnancy, diagnosis and treatment.
Symptoms that urgently need to go to the hospital
In most cases, you should consult your doctor without delaying your visit for a week or two. So, as soon as possible should act in the following situations:
- If a woman suspects a pregnancy or her likelihood is not ruled out.
- When attaching pains in the lower abdomen, if there are any other symptoms of the disease( weakness, malaise, fever, etc.).
- If the discharge has a sharp unpleasant odor.
- In case such a situation is observed after delivery, but it has already passed more than 42 days after them.
- When there is a discharge in the period of persistent menopause.
- If this contact small bleeding is one of the possible symptoms of the oncological process of the genital organs.
- In case a woman undergoes treatment for some gynecological disease, and the doctor did not warn about such discharge.
Light brown discharge in the days of the expected monthly or at any other time of the cycle is mostly indicative of some pathological process that can be completely asymptomatic for a woman. Therefore, in any case, should, if not immediately, then routinely undergo an examination with a doctor who will establish the true cause and prescribe the most appropriate treatment for the condition.