What are the common causes of spotting after a period. How can you differentiate between spotting and normal menstrual bleeding. When should you be concerned about post-period spotting. What treatments are available for persistent spotting after menstruation.

What Is Spotting and How Does It Differ from Menstrual Bleeding?

Spotting is a common occurrence that many women experience, but it’s often misunderstood. To clarify, spotting refers to any light bleeding that occurs outside of your regular menstrual period. It’s important to distinguish spotting from light menstrual bleeding, which can sometimes be confused.

How can you tell the difference between spotting and light period bleeding? Here are some key distinctions:

• Timing: Spotting can occur at any point in your menstrual cycle, while period bleeding follows a more predictable pattern.
• Volume: Spotting is typically much lighter than menstrual bleeding, often not requiring sanitary protection.
• Duration: Spotting usually lasts for a shorter time compared to a full menstrual period.
• Color: Spotting blood may be pink, red, or brown, while period blood is usually bright to dark red.

Understanding these differences can help you better track your menstrual health and identify any potential issues that may require medical attention.

Common Causes of Spotting After Your Period

Experiencing spotting after your period can be concerning, but it’s often not a cause for alarm. There are several common reasons why you might notice light bleeding or spotting following your menstrual cycle:

1. Hormonal Fluctuations

Hormonal imbalances can lead to spotting after your period. These fluctuations may be caused by:

• Stress
• Sudden weight changes
• Thyroid disorders
• Polycystic ovary syndrome (PCOS)

2. Birth Control Methods

Many forms of hormonal contraception can cause spotting, especially in the first few months of use. This includes:

• Birth control pills
• Intrauterine devices (IUDs)
• Contraceptive implants
• Hormonal injections

3. Uterine Fibroids or Polyps

Benign growths in the uterus, such as fibroids or polyps, can cause irregular bleeding patterns, including spotting after your period.

4. Infections

Certain infections of the reproductive tract can lead to spotting. These may include:

• Sexually transmitted infections (STIs)
• Pelvic inflammatory disease (PID)
• Cervicitis

5. Pregnancy

In some cases, spotting after a period can be an early sign of pregnancy. This is often referred to as implantation bleeding.

When Should You Be Concerned About Post-Period Spotting?

While occasional spotting is often normal, there are instances when it may indicate a more serious condition. You should consult your healthcare provider if you experience:

• Heavy or prolonged spotting
• Spotting accompanied by severe pain
• Spotting that occurs consistently after every period
• Spotting along with other symptoms like fever or unusual discharge

These symptoms could potentially indicate underlying health issues that require medical attention.

Diagnosing the Cause of Post-Period Spotting

If you’re experiencing persistent spotting after your period, your healthcare provider may recommend several diagnostic tests to determine the underlying cause:

Physical Examination

A pelvic exam can help identify any visible abnormalities in your reproductive organs.

Blood Tests

Hormone level tests can detect imbalances that might be causing the spotting.

Ultrasound

This imaging technique can reveal structural issues like fibroids or polyps.

Endometrial Biopsy

In some cases, a small tissue sample from the uterine lining may be taken to rule out more serious conditions.

Treatment Options for Post-Period Spotting

The treatment for spotting after your period depends on its underlying cause. Here are some common approaches:

Hormonal Treatments

If hormonal imbalances are the cause, your doctor might recommend:

• Hormonal birth control methods
• Hormone replacement therapy

Medications

Certain medications can help manage spotting, such as:

• Tranexamic acid to reduce heavy bleeding
• Antibiotics for infections

Surgical Interventions

In cases where structural issues are causing the spotting, surgical procedures may be necessary:

• Myomectomy for fibroid removal
• Polypectomy for polyp removal
• Endometrial ablation for persistent heavy bleeding

Lifestyle Changes to Manage Post-Period Spotting

In addition to medical treatments, certain lifestyle modifications can help manage spotting:

Stress Reduction

High stress levels can impact your hormonal balance. Consider incorporating stress-management techniques such as:

• Meditation
• Yoga
• Regular exercise
• Adequate sleep

Dietary Adjustments

Some dietary changes may help regulate your menstrual cycle and reduce spotting:

• Increase intake of iron-rich foods
• Consume more fruits and vegetables
• Reduce caffeine and alcohol consumption

Maintaining a Healthy Weight

Being overweight or underweight can affect your hormone levels. Aim to maintain a healthy body mass index (BMI) through balanced nutrition and regular physical activity.

Tracking Your Menstrual Cycle and Spotting Patterns

Keeping a detailed record of your menstrual cycle, including any instances of spotting, can be invaluable in identifying patterns and potential causes. Consider using a period tracking app or a physical journal to note:

• The start and end dates of your periods
• Days when spotting occurs
• The intensity and duration of spotting
• Any associated symptoms (pain, mood changes, etc.)
• Lifestyle factors that might influence your cycle (stress, diet, exercise)

This information can help you and your healthcare provider better understand your menstrual health and make informed decisions about potential treatments or lifestyle changes.

Preventive Measures to Reduce Post-Period Spotting

While not all causes of spotting can be prevented, there are steps you can take to minimize its occurrence:

Regular Check-ups

Schedule annual gynecological exams to catch and address any potential issues early.

Consistent Birth Control Use

If you’re using hormonal contraceptives, take them as prescribed to maintain steady hormone levels.

Safe Sex Practices

Use protection during sexual activity to prevent sexually transmitted infections that could lead to spotting.

Balanced Lifestyle

Maintain a healthy diet, exercise regularly, and manage stress to support overall hormonal balance.

By implementing these preventive measures, you may be able to reduce the frequency and intensity of post-period spotting.

When to Seek Emergency Medical Attention

While most cases of spotting after your period are not emergencies, there are situations where immediate medical attention is necessary. Seek emergency care if you experience:

• Extremely heavy bleeding that soaks through a pad or tampon in less than an hour
• Severe abdominal pain or cramping
• Dizziness, fainting, or shortness of breath
• Fever over 101°F (38.3°C) accompanied by spotting

These symptoms could indicate more serious conditions such as ectopic pregnancy, miscarriage, or severe pelvic infection, which require prompt medical intervention.

Emotional and Psychological Impact of Post-Period Spotting

Dealing with persistent spotting after your period can have a significant emotional and psychological impact. Many women report feelings of:

• Anxiety about their reproductive health
• Frustration with unpredictable bleeding
• Embarrassment or self-consciousness
• Concern about potential underlying health issues

It’s important to address these emotional aspects alongside the physical symptoms. Consider the following strategies:

Open Communication

Discuss your concerns with your healthcare provider. They can provide reassurance and explain your condition in detail.

Support Groups

Joining support groups or online communities for women experiencing similar issues can provide emotional support and practical advice.

Mental Health Support

If spotting is causing significant distress, consider speaking with a mental health professional who specializes in women’s health issues.

Education and Empowerment

Learning more about your menstrual health can help you feel more in control and less anxious about spotting.

Remember, your emotional well-being is just as important as your physical health when dealing with menstrual irregularities.

Future Developments in Managing Post-Period Spotting

As medical research continues to advance, new approaches to managing post-period spotting are emerging. Some promising areas of development include:

Advanced Diagnostic Tools

Researchers are working on more precise methods to diagnose the causes of irregular bleeding, including:

• Improved imaging techniques
• More sensitive hormone tests
• Genetic markers for certain conditions

Targeted Therapies

New treatments are being developed to address specific causes of spotting more effectively, such as:

• Novel hormonal treatments with fewer side effects
• Minimally invasive surgical techniques
• Personalized medicine approaches based on individual genetic profiles

Integrative Approaches

There’s growing interest in combining conventional medical treatments with complementary therapies to manage spotting and overall menstrual health. These may include:

• Acupuncture
• Herbal medicine
• Nutritional therapy

While these developments are exciting, it’s important to remember that they are still in various stages of research and may not be widely available yet. Always consult with your healthcare provider before trying any new treatments or approaches.

As our understanding of menstrual health continues to evolve, we can expect more effective and personalized solutions for managing post-period spotting in the future.

Common causes of spotting and why it happens

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Updated on June 20, 2019.

Top things to know:

• In Clue, spotting is any bleeding outside your menstrual period

• Light bleeding at the beginning or end of your period is not spotting

• Any unexplained spotting should be addressed with your healthcare provider

• Spotting can be a side effect of your hormonal contraceptive

What is the difference between the period, spotting, and bleeding?

The lines between menstrual bleeding (i.e. your period), spotting, and non-menstrual bleeding can get kind of confusing.

Menstrual bleeding is bleeding that is associated with the shedding of the endometrium at the end of the menstrual cycle.

Spotting has different definitions, depending on who you ask.

Download Clue to track your period and menstrual cycle.

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Researchers and healthcare providers often describe spotting as bleeding that doesn’t require sanitary protection (e.g. you don’t need to use a pad or tampon) (1).

However, this is kind of an arbitrary definition. Even if bleeding isn’t heavy, some people may just choose to use protection anyway.

In theory, spotting can happen at any time during your cycle, so around the period or between periods. Below we talk more about spotting vs. the period.

Bleeding that doesn’t seem to be associated with the period, such as bleeding during the middle of your cycle, that requires sanitary protection is called non-menstrual bleeding. Sometimes people describe this bleeding as heavy spotting.

In the rest of this article, we’re going to refer to all non-menstrual bleeding as “spotting” for convenience.

How does spotting differ from light period bleeding?

Sometimes people describe light bleeding that occurs at the beginning or end of their period as spotting.

It can be hard to differentiate spotting from menstrual bleeding by just looking at the amount. Generally, if you have light bleeding that occurs within 2 days of your period, you should consider that part of your period, not spotting (2). However, if it’s very, very light – like you only see a little on your toilet paper – that probably could be considered spotting.

For example, if you have light bleeding on Sunday, no bleeding on Monday, and bleed enough to require a tampon on Tuesday, you should consider Sunday the start of your period.

In Clue, there are four categories for bleeding:

light, medium, heavy, and spotting.

The first 3 categories – light, medium, and heavy – are for bleeding associated with your period. Any other bleeding should be categorized as “spotting” in Clue. That way, so Clue will be able to give you more accurate predictions and insights about your body and cycles.

What is the source of spotting?

Spotting can come from your upper reproductive tract (like your uterus) or your lower reproductive tract (like your cervix or vagina). Spotting is different from your period, which is the cyclical shedding of your uterine lining, your endometrium. Heavier spotting is most often from the uterus, while lighter spotting can come from the upper or lower tract (3).

Common causes of spotting

1. Hormonal contraception

Spotting is a common side effect of hormonal contraception, especially during the first few months of starting a new method (4).

If you’re taking combined oral contraceptives (the most common type of birth control pill), you may have spotting that goes away after a couple of months (4). If spotting between withdrawal bleeding continues, your pill may not be the best fit for you, and you may want to try another brand with a different chemical formulation (4). Spotting might also happen if you forget to take your pills and the levels of the pill’s hormones drop in your body.

Spotting is common and often unpredictable with the hormonal IUD, the contraceptive implant, the contraceptive shot (injection, and the mini-pill (a progestin-only pill) (5).

2. Pregnancy

Spotting is also a common symptom of early pregnancy. About 1 in 4 people experience spotting, usually gestational weeks 5 and 8 (or about 1 to 4 weeks after someone expects their period) (6). Spotting is usually nothing to worry about—research has shown that people with spotting aren’t more likely to have a miscarriage than people who don’t have spotting (6). However, heavy spotting or bleeding may be more of a concern. If you’re pregnant and bleeding, call your healthcare provider to check in, just so they know what’s going on.

While many sources call spotting in early pregnancy “implantation bleeding,” there isn’t strong evidence that it’s associated with an embryo’s implantation in the uterus. It may actually be related to hormonal changes, as the production of progesterone switches from the ovary to the forming placenta (6).

Spotting can be a symptom of an ectopic pregnancy (7). This is a pregnancy that is growing somewhere other than the uterus, usually the fallopian tube. Ectopic pregnancy bleeding may be coupled with other symptoms including abdominal pain on one side, shoulder pain, and/or dizziness. If you experience symptoms of spotting and suspect you may have an ectopic pregnancy, seek immediate medical help.

3. Physical conditions and infections

Spotting can also be caused by infections and physical changes in the reproductive tract, or hormonal imbalances. Physical conditions that can cause spotting episodes include fibroids (abnormal growth of muscle tissue on your uterus), uterine or cervical polyps(abnormal growths on your cervix or the inside of your uterus) and endometriosis (8).

Pelvic inflammatory disease (PID), which happens when certain pelvic infections (like STIs) go untreated, can also be another culprit for unscheduled spotting. Other symptoms of PID can include pain in the lower abdomen, unusual vaginal discharge, and fever (9). If you suspect you have spotting and other associated symptoms of PID or of physical pelvic conditions, it’s important to discuss this with your healthcare provider as soon as possible.

Urinary tract infections (UTIs) can cause bleeding from the urethra (where you pee from, between your clitoris and vagina). Pain while urinating, paired with a small amount of blood on the toilet paper, might be signs of a UTI (10).

Consistently spotting after penetrative vaginal intercourse is not considered normal. Bleeding after sex (postcoital spotting) is often caused by an issue with the cervix or polyps (11). Some people may experience spotting after their first intercourse experience, which is normal. If you’re noticing spotting after sex, talk to your healthcare provider.

4. Ovulation and/or hormonal issues

Spotting can also occur around the time of ovulation . It’s unclear why some people experience ovulation bleeding while others don’t—some research suggests it happens in people who have higher levels of some hormones (12).

Spotting a few days before the period starts, in the late luteal phase, might suggest low progesterone (especially if your luteal phase is unusually short) (13), but more research is needed.

Download Clue today to track spotting and discover your personal patterns.

Article was originally published on October 5, 2017

What causes bleeding between periods?

There are many different causes of bleeding between periods. Some may not be anything to worry about, but seek medical advice if you’re concerned.

Hormonal contraceptives

Irregular bleeding, such as bleeding between periods, is common during the first few months of starting hormonal contraception, such as the:

If you’re concerned about bleeding or it lasts longer than a few months, you should seek medical advice.

You may also bleed between periods if you:

Other causes

Some other causes of bleeding between periods include:   

• taking the emergency contraceptive pill
• injury to the vagina – for example, from having penetrative sex
• recently having an abortion – seek medical advice if you’re bleeding heavily
• sexually transmitted infections (STIs) such as chlamydia – it’s a good idea to get tested if you’ve recently had unprotected sex with a new partner
• recently having a miscarriage
• reproductive hormones not working normally – this is common in women approaching the menopause or in women with polycystic ovary syndrome (PCOS)
• stress
• vaginal dryness
• harmless changes to the neck of the womb (cervix) – this may be called cervical ectropion or cervical erosion
• cervical cancer – if you’re aged 25 to 64, you should be having regular cervical screening tests to detect any changes to your cervix; even if you’re up-to-date with screening tests, you should see a GP about irregular bleeding, particularly bleeding after sex, to eliminate the possibility of cervical cancer
• womb (uterus or uterine) cancer – this is more common in post-menopausal women and most cases of endometrial cancer are diagnosed in women over the age of 50; see a GP if you’re over 40 and have bleeding between periods to eliminate the possibility of uterine cancer
• vaginal cancer or vulval cancer
• cervical or endometrial polyps – non-cancerous (benign) growths in the womb or the lining of the cervix
• fibroids

Important:
Using sexual health clinics during coronavirus (COVID-19)

Call a sexual health clinic if you need help or advice. Only go to a clinic if you’ve been told to.

Find sexual health clinic contact details

When to seek medical advice

If you’re concerned about bleeding between periods, you should:

A healthcare professional will talk to you about your symptoms. Depending on your situation, they may suggest doing some tests, such as:

To diagnose some conditions, you may need an examination, such as:

• a speculum examination – a smooth, tube-shaped tool (a speculum) is inserted into your vagina to examine your vagina and cervix
• an internal examination of your vagina with gloved fingers (bimanual examination)

Find out the answers to more questions about women’s health

Further information

Page last reviewed: 5 November 2019
Next review due: 5 November 2022

Vaginal Bleeding & Blood Spotting Between Periods: Possible Causes

Why Am I Spotting Between Periods?

Most women have spotting between their periods at some point. Usually, it’s nothing to worry about. A number of things can cause it to happen. These are the most common:

• Hormone-based birth control. If you’re on birth control that contains hormones (pills, patches, shots, rings, or implants), you might spot during the first 3 months of using it. Doctors call this “breakthrough bleeding.” They believe the extra hormones may cause changes in the lining of your uterus.
• Some sexually transmitted infections (STIs), like chlamydia
• Infection of the cervix or lining of your uterus
• Blood clotting disorders, like von Willebrand disease
• Other health conditions, like hypothyroidism, liver disease, or chronic kidney disease
• Fibroids or polyps. These are noncancerous tumors that grow in the lining or muscle of the uterus.
• Polycystic ovary syndrome (PCOS). If you have this condition, your ovaries don’t release eggs the way they should. Your ovaries become enlarged with fluid-filled sacs that surround your eggs. Your body also makes too many male hormones (called androgens). This can lead to irregular periods, spotting, and sometimes no period at all.
• Cancers of the reproductive system. These include uterine cancer. They’re most common in women who’ve already gone through menopause. But if you’re over 40 and spotting between periods, see the doctor to rule out more serious problems.
• Perimenopause. As you get closer to menopause, your periods might be harder to predict. Your hormone levels change, and the lining of your uterus gets thicker. This can sometimes lead to spotting.

When Should I Call the Doctor?

Make an appointment if spotting concerns you, or if you have spotting along with the following symptoms:

• Pain in your lower abdomen
• Fever
• Symptoms that get worse or happen more often
• Any type of vaginal bleeding — including spotting — after you’ve gone through menopause

Spotting is different from persistent bleeding, and any woman with persistent, heavy, or prolonged bleeding should make an appointment to get it checked out.

You should also see a doctor if you think you might be pregnant.

Call 911 if you have unusual vaginal bleeding with:

Take notes about your menstrual cycle and the length and heaviness of the bleeding to help your doctor figure out what’s going on. They may order blood tests or other tests, like a transvaginal ultrasound or endometrial biopsy.

Spotting Between Periods: Complications

Abnormal vaginal bleeding may be minor. But it could signal something more serious or even life-threatening, such as a benign growth like a polyp or fibroid, a bleeding disorder, an infection, or an injury. It’s rare, but spotting can sometimes be a sign of cancer. To be safe, have your doctor check it out.

Abnormal Vaginal Bleeding | Michigan Medicine

Are you having any abnormal vaginal bleeding?

Bleeding is abnormal if it occurs at a time when you aren’t expecting it or if it’s a lot heavier or lighter than what you are used to.

Yes

Abnormal vaginal bleeding

No

Abnormal vaginal bleeding

How old are you?

11 years or younger

11 years or younger

12 to 55 years

12 to 55 years

56 years or older

56 years or older

Are you male or female?

Why do we ask this question?

• If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
• If your symptoms aren’t related to those organs, you can choose the gender you identify with.
• If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Are you pregnant?

Yes, you know that you’re pregnant.

Pregnancy

No, you’re not pregnant, or you’re not sure if you’re pregnant.

Pregnancy

Have you been skipping periods or bleeding a lot less than usual?

Yes

Periods are absent or lighter than usual

No

Periods are absent or lighter than usual

Has vaginal bleeding started before age 9?

Yes

Vaginal bleeding started before age 9

No

Vaginal bleeding started before age 9

Do you feel lightheaded or dizzy, like you are going to faint?

It’s normal for some people to feel a little lightheaded when they first stand up. But anything more than that may be serious.

Do you have new pain in your lower belly, pelvis, or genital area that is different than your usual menstrual cramps?

Yes

Lower abdominal, pelvic, or genital pain

No

Lower abdominal, pelvic, or genital pain

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

Has this amount of bleeding been going on for 4 hours or longer?

Yes

Bleeding 4 hours or more

No

Bleeding 4 hours or more

Is the bleeding happening at an expected time during your menstrual cycle?

Yes

Bleeding is at expected time during menstrual cycle

No

Bleeding is at expected time during menstrual cycle

Do you think that the symptoms may have been caused by sexual abuse?

Have you been bleeding for more than 2 weeks without stopping?

Yes

Bleeding for more than 2 weeks without stopping

No

Bleeding for more than 2 weeks without stopping

Do you think you may have a fever?

Do you have a rash that looks like a sunburn?

Do you have any bleeding after intercourse or douching?

Yes

Vaginal bleeding after intercourse or douching

No

Vaginal bleeding after intercourse or douching

Do you think that a medicine may be causing the bleeding?

Think about whether the bleeding started after you began using a new medicine or a higher dose of a medicine.

Yes

Medicine may be causing vaginal bleeding

No

Medicine may be causing vaginal bleeding

Do you use a form of birth control that contains hormones?

This could be birth control pills, implants, vaginal rings, skin patches, injections, or an IUD that contains hormones.

Yes

Hormonal birth control method

No

Hormonal birth control method

If your periods have stopped because of menopause, has it been at least 6 months since your last one?

Yes

In menopause and 6 months since last period

No

In menopause and 6 months since last period

Are you taking hormone replacement therapy, such as estrogen or progestin?

Hormones can cause changes in your normal bleeding patterns, especially when you first start taking them.

Yes

Hormone replacement therapy

No

Hormone replacement therapy

Have you had abnormal bleeding for at least 2 cycles or more than once a month?

Yes

Bleeding has occurred for at least 2 cycles or more than once per month

No

Bleeding has occurred for at least 2 cycles or more than once per month

Have your symptoms lasted longer than 2 weeks?

Yes

Symptoms for more than 2 weeks

No

Symptoms for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

• Your age. Babies and older adults tend to get sicker quicker.
• Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
• Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
• Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
• Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

• Try home treatment to relieve the symptoms.
• Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Severe vaginal bleeding means that you are soaking 1 or 2 pads or tampons in 1 or 2 hours, unless that is normal for you. For most women, passing clots of blood from the vagina and soaking through their usual pads or tampons every hour for 2 or more hours is not normal and is considered severe. If you are pregnant: You may have a gush of blood or pass a clot, but if the bleeding stops, it is not considered severe.

Moderate bleeding means that you are soaking more than 1 pad or tampon in 3 hours.

Mild bleeding means that you are soaking less than 1 pad or tampon in more than 3 hours.

Minimal vaginal bleeding means “spotting” or a few drops of blood.

Many prescription and nonprescription medicines can cause changes in vaginal bleeding. A few examples are:

• Aspirin and other medicines (called blood thinners) that prevent blood clots.
• Corticosteroids, such as prednisone.
• Hormone therapy.
• Thyroid medicines.

Pain in adults and older children

• Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
• Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
• Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.

Adults and older children often have several symptoms of shock. These include:

• Passing out (losing consciousness).
• Feeling very dizzy or lightheaded, like you may pass out.
• Feeling very weak or having trouble standing.
• Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

• Call your doctor now to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care in the next hour.
• You do not need to call an ambulance unless:
  • You cannot travel safely either by driving yourself or by having someone else drive you.
  • You are in an area where heavy traffic or other problems may slow you down.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

• Call your doctor today to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care today.
• If it is evening, watch the symptoms and seek care in the morning.
• If the symptoms get worse, seek care sooner.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

• Make an appointment to see your doctor in the next 1 to 2 weeks.
• If appropriate, try home treatment while you are waiting for the appointment.
• If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Pregnancy-Related Problems

Missed or Irregular Periods

Why Am I Spotting Between Periods?: Kelly Morales, MD, FACOG: Obstetrics & Gynecology

It can be a little unnerving to experience spotting or bleeding at unexpected times between your periods. There are many reasons women may spot between periods, and while some of those reasons are nothing to worry about, others are more serious.      

At Kelly Morales OB/GYN, our team provides compassionate, patient-centered gynecological care to women in the San Antonio, Texas, area using the latest evidence-based medicine. Dr. Morales understands the frustration and worry that unexpected spotting can bring. 

Our care team has curated this information on spotting between periods to help you understand what’s normal and what’s cause for concern.

Is spotting between periods normal?

Most women experience unexpected bleeding between periods at least once in their lives. This intermenstrual bleeding is typically lighter than a period and is commonly referred to as spotting. 

If you experience spotting between periods, jot down the date on your calendar and write down any other changes you notice in your menstrual cycle. You should also make note of any other symptoms associated with the spotting.   

What causes spotting between periods?

There are many different reasons you might spot or bleed between your periods. For young women who are closer in age to puberty and older women nearing menopause, spotting is often caused by hormonal fluctuations. 

Here are some of the other common causes of spotting between periods:

Hormonal contraceptives

The most common reason women spot between periods is hormonal birth control. This is especially true when you first start any form of hormonal contraceptives as your body adjusts to the new hormones. 

Some forms of hormonal contraceptives include:

• Birth control pill or patch
• Vaginal ring
• Implant
• Intrauterine device (IUD)
• Birth control injections

If the spotting doesn’t change after three months of using the hormonal birth control, talk to Dr. Morales. 

Ovulation

Some women spot during ovulation, most likely because of hormonal changes in progesterone levels related to ovulation. Ovulation spotting typically lasts 1-3 days in the middle of your cycle and isn’t cause for concern. 

PCOS

Polycystic ovary syndrome (PCOS) is a condition that causes enlarged ovaries with many small cysts. PCOS can cause many symptoms, including irregular periods and spotting between periods. 

Endometriosis and other conditions

Conditions that affect the uterus, like endometriosis, adenomyosis, and fibroids, can cause spotting, cramping between periods, and heavy, painful periods. Other conditions that affect the cervix and vagina, such as polyps or injury, can also cause spotting. 

Implantation bleeding

Some women experience light spotting when the fertilized egg implants into the lining of the uterus. This spotting may be accompanied by mild uterine cramping. 

Ectopic pregnancy

When the egg and sperm implant in your fallopian tube rather than the uterus, the resulting pregnancy is called an ectopic pregnancy. In addition to vaginal spotting, ectopic pregnancies typically cause pain and other symptoms.  

An ectopic pregnancy is a life-threatening emergency. If you suspect you may be pregnant and are experiencing pain and spotting, call your doctor. 

Infection    

Sexually transmitted infections, like chlamydia and gonorrhea, can cause bleeding between periods. Other infections, like pelvic inflammatory disease or an infection of the cervix, can also cause unexpected vaginal bleeding.  

Certain cancers

Although it’s rare, bleeding between periods can indicate certain types of cancers, such as cervical cancer and uterine cancer. Cervical cancer is most common in sexually active women between ages 30-45, while uterine cancer typically affects menopausal or postmenopausal women. 

Because there are so many possible reasons for spotting between periods, it’s important to pay attention to any other symptoms you may have. Dr. Morales will be able to better diagnose the cause of your spotting and identify any underlying condition with a clear picture of all of your symptoms.

When do I need medical attention for spotting between periods?

Most times, spotting between periods isn’t a cause for an emergency visit. But since intermenstrual bleeding is never normal, you should talk to Dr. Morales about any spotting at your regular visit. If you have heavy or persistent bleeding or spotting between periods, it’s important to call for medical advice sooner. 

Ready to talk to us about spotting between periods? Our compassionate team at Kelly Morales OB/GYB can help. Contact our San Antonio office by calling 210-570-7277 to schedule an appointment.

Bleeding Between Periods? How to Tell If It’s a Problem – Cleveland Clinic

Contributor: Danielle E. Wehn, PA-C 

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Do you ever bleed between periods — or experience what doctors call intermenstrual bleeding (IMB)? It’s not only inconvenient — it can make you worry too.

Often, a clinician will consider your age when evaluating the possible reasons for bleeding. Many young women have irregular bleeding for normal reasons, and breakthrough bleeding during the middle of a menstrual cycle is not uncommon.

However, no matter your age, it’s important not to ignore this symptom. If you notice spotting between your normal cycle times, contact your doctor for an evaluation. While bleeding between periods generally doesn’t signal a problem, there are times that it does.

Causes for bleeding between periods

There are many causes for bleeding between periods. Some of these reasons are:

• Hormonal
• Structural
• Functional
• Related to medication use

When spotting occurs at the beginning or near the end of a woman’s reproductive years, such as puberty or near menopause, it may be related to hormones.

During a woman’s late reproductive years, such as in a woman’s 40s, the bleeding can be due to a benign growth, such as a polyp, fibroid, or growth on the cervix, vulva or vagina.

Other possible causes for spotting are bleeding disorders, pregnancy, cigarette smoking, infection (such as those sexually transmitted) or trauma. Rarely, bleeding between periods is due to cancer of the female genitalia or reproductive system.

What to do if you experience spotting

It’s important to track when spotting is happening and any other symptoms to share with your clinician.

You can make a few notes in a calendar on your phone or in a planner. Write down if you notice any major changes in the bleeding pattern or if the spotting is associated with symptoms that impact your life.

See your OB/Gyn or advanced practice provider if the irregular bleeding persists, gets worse, recurs, or if you experience any postmenopausal bleeding or bleeding after sex.

Also, if this irregular bleeding is associated with other symptoms, such as easy bruising, dizziness, fever, abnormal vaginal discharge or abdominal/pelvic pain, let your clinician know.

Your clinician may perform a pelvic exam, obtain cultures or order blood tests or imaging to take a closer look. He or she may also change your medication.

Abnormal Uterine Bleeding: Causes, Diagnosis, and Treatment

There are several treatment options for abnormal bleeding. Your treatment will depend on the cause of your bleeding, your age, and whether you want to get pregnant in the future. Your doctor will help you decide which treatment is right for you. Or, if your doctor decides that a hormone imbalance is causing your abnormal bleeding, you and your doctor may decide to wait and see if the bleeding improves on its own. Some treatment options include the following:

Intrauterine device (IUD). Your doctor may suggest an IUD. An IUD is a small, plastic device that your doctor inserts into your uterus through your vagina to prevent pregnancy. One type of IUD releases hormones. This type can significantly reduce abnormal bleeding. Like birth control pills, sometimes IUDs can actually cause abnormal bleeding. Tell your doctor if this happens to you.

Birth control pills. Birth control pills contain hormones that can stop the lining of your uterus from getting too thick. They also can help keep your menstrual cycle regular and reduce cramping. Some types of birth control pills, especially the progestin-only pill (also called the “mini-pill”) can actually cause abnormal bleeding for some women. Let your doctor know if the pill you’re taking doesn’t control your abnormal bleeding.

A D&C, or dilation and curettage. A D&C is a procedure in which the opening of your cervix is stretched just enough so a surgical tool can be put into your uterus. Your doctor uses this tool to scrape away the lining of your uterus. The removed lining is checked in a lab for abnormal tissue. A D&C is done under general anesthesia (while you’re in a sleep-like state).

If you’re having heavy bleeding, your doctor may perform a D&C both to find out the problem and to treat the bleeding. The D&C itself often makes heavy bleeding stop. Your doctor will decide if this procedure is necessary.

Hysterectomy. This type of surgery removes the uterus. If you have a hysterectomy, you won’t have any more periods and you won’t be able to get pregnant. Hysterectomy is major surgery that requires general anesthesia and a hospital stay. It may require a long recovery period. Talk to your doctor about the risks and benefits of hysterectomy.

Endometrial ablation is a surgical procedure that destroys the lining of the uterus. Unlike a hysterectomy, it does not remove the uterus. Endometrial ablation may stop all menstrual bleeding in some women. However, some women still have light menstrual bleeding or spotting after endometrial ablation. A few women have regular menstrual periods after the procedure. Women who have endometrial ablation still need to use some form of birth control even though, in most cases, pregnancy is not likely after the procedure.

Your doctor can do endometrial ablation in several different ways. Newer endometrial ablation techniques do not require general anesthesia or a hospital stay. The recovery time after this procedure is shorter than recovery time after a hysterectomy.

Discharge after menstruation: norm or pathology

If the discharge appeared a few days after menstruation, or the duration of the menstruation itself is more than seven days, then it is necessary to be tested for pregnancy. By the way, with such symptoms, it may turn out to be ectopic.

Pathological vaginal discharge

The presence of scarlet bloody discharge says:

• about cervical erosion – a few days before the onset of menstruation;
• on the threat of termination of pregnancy – during pregnancy.They arise as a result of the exfoliation of the ovum or placenta;
• about the presence of microcracks in the vagina , which were formed during intercourse, erosion, cervicitis – after intercourse.

The appearance of bleeding may occur after an abortion . After one week, you must definitely see a doctor and do a control ultrasound procedure.

The presence of white mucous secretions or transparent mucous secretions with white streaks after the end of the cycle, before the onset of menstruation, says about cervical erosion, cervicitis (inflammation of the cervical canal) .In any case, this discharge is related to the cervix.

Thrush (candidiasis) is evidenced by the appearance of white cheesy or kefir-like secretions, films or white plaque on the labia, clitoris. As a rule, they are accompanied by a bread or sour milk smell and itching.

Vaginal dysbiosis is indicated by the presence of white, greenish or grayish exfoliating secretions accompanied by a fishy odor.

The presence of sexually transmitted infections is signaled by bubbling yellow-green discharge.

Acute bacterial infection in the vagina, acute adnexitis (inflammation of the ovaries), acute salpingitis (inflammation in the fallopian tubes) is indicated by the presence of abundant discharge of yellow or green hues.

A bacterial infection in the vagina, erosion, chronic adnexitis (inflammation of the ovaries), chronic salpingitis (inflammation in the fallopian tubes) is indicated by the presence of scanty discharge of yellow or green hues.

Purulent cervicitis is evidenced by the presence of purulent green discharge.They have a thick consistency, combined with mucus, aggravated by tension, during bowel movements.

The fact that a pathological process is taking place in the uterus is indicated by the presence of brown, dark spotting discharge within a few days after menstruation.

Detachment of the ovum or placenta is indicated by the presence of bloody, brown spotting in a pregnant woman in the early stages.

The presence of chronic endometritis, chronic endocervicitis is indicated by the presence of a ichor (discharge pink, like diluted blood), which has an unpleasant odor.As a rule, it appears in the premenstrual period.

Chronic endometritis or chronic endocervicitis is indicated by the presence of liquid, watery discharge with a dirty color on the pad, before and after menstruation.

The presence of large blood clots during menstruation indicates a bend in the cervix, a violation of the processes of blood clotting. Similar discharge can be found in women with an intrauterine device.

Discharge with the IUD

As a rule, the installation of the IUD is accompanied by bloody discharge for two weeks.

Brown discharge in women – what to do?

Date of last update: 05/26/2021

Average reading time: 7 minutes

Contents:

Causes of brown vaginal discharge
Pathological discharge

You may have noticed dark discharge on underwear on different days of the cycle. Usually they are scanty, “smearing”, creamy consistency, so their appearance is called blood smearing ¹² .Is there any reason to worry and what to do if the vaginal discharge turns brown, we will tell in the article.

Causes of brown vaginal discharge

Most often, the appearance of blood from the female genital tract is associated with physiological processes – those that normally occur in the body.

Brown discharge at the beginning and end of menstruation

Menstruation is the most common cause of spotting bleeding. At the beginning of menstruation, when the process of rejection of the mucous membrane of the uterus (endometrium) is just beginning ² , there is little blood.Sometimes it lingers in the vagina and, in contact with air, is oxidized, due to which the discharge becomes dark brown ¹ . As the menstrual bleeding gains strength ² , the amount of blood flowing from the uterus increases and becomes bright red ¹ . By the end of menstruation, the discharge again becomes scanty, smearing, at first burgundy, then brown and black, and only then does it stop ¹ .

Remember that if the total number of days of menstruation exceeds a week, then bleeding before and after menstruation will not be considered the norm ¹² – such discharge may indicate a violation, so be sure to make an appointment with your gynecologist.

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Bleeding in the middle of the cycle

The reason for the appearance of a dark speck of blood on a daily or underwear in the middle of the cycle may be hormonal changes in the body during ovulation ^4.5 . In the first half of the cycle, before ovulation, estrogens dominate, but after the release of the egg from the follicle, their level quickly drops, giving way to progesterone. This rapid transition can cause slight bleeding ^4.8 , which manifests itself as brown discharge ¹¹ .

Bleeding during ovulation is not a cause for concern ^{4. 5} , if it is short-lived, it is not accompanied by abdominal pain and other unpleasant symptoms ⁴ . If the discharge is combined with a deterioration in well-being, this is a reason to consult a doctor.

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Brown discharge a few days before menstruation or instead of menstruation

Dark “daub” can be a sign of pregnancy, although it is very often mistaken for the onset of menstruation.In fact, bleeding is sometimes the result of implantation – the introduction of the ovum into the uterus ^{1.8, 13} . In the process of immersion in the deep layer of the uterine mucosa, the ovum ruptures the tissues and blood vessels, which causes slight bleeding ¹³ . Typically, implantation occurs 10 days after conception ⁴ . Therefore, if brown spots appear on your underwear on the eve of your period or a week before your expected start date, you may be pregnant.

On the eve of menopause, a woman may notice that instead of the usual menstruation, brown discharge is observed ² . At the age of 45-55 years, they are associated with the natural process of the extinction of fertility ⁶ . But, if you’re under 45, see your doctor. You may have a premature decline in ovarian function ⁶ .

Be careful: bleeding before menstruation in combination with abdominal pain can be a manifestation of an ectopic pregnancy.In this case, you need to urgently consult a gynecologist ^5.13 .

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Brown discharge when using contraceptive methods

Periodic dark discharge occurs in women using intrauterine contraceptives (IUDs) ⁷ – spirals containing hormones ³ , or copper-containing spirals ^{… The latter mechanically affects the uterine mucosa, causes its slight inflammation and increases vulnerability.When after 3-6 months the body adapts to the IUD, these symptoms disappear 10 .}

If you have chosen a hormonal method of contraception, you may have scanty spotting in the absence of full periods. They are called “breakout bleeding”. Most often, they occur while taking the long-acting progesterone birth control pill. They usually disappear within 3-4 months ^2.11 .

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Pathological discharge

Brown discharge in women can be a symptom of various diseases that disrupt the menstrual cycle or create conditions for bleeding from the genitals ^2.8 .

Bleeding may occur due to a violation of hormonal regulation of the genital organs. Hormonal disruptions affect the menstrual cycle, often lead to irregular heavy or scanty periods, or are manifested by bleeding on different days of the cycle 90 102 2,8,11 90 103. The latter are called acyclic, that is, not associated with menstrual bleeding. Sometimes they are abundant red, and sometimes little blood is released, so the woman only observes brown discharge ¹² .It also happens that heavy bleeding is replaced by scanty. Such manifestations, as well as not abundant, but prolonged bleeding after menstruation and in the intermenstrual period, is a reason to consult a doctor ¹² .

Also, the causes of pathological brown bleeding include ⁸ :

• Inflammatory diseases of the genital organs . Bleeding may be a sign of vaginitis ¹¹ (inflammation of the vaginal mucosa) or endometritis (inflammation of the lining of the uterus) ^2.12 .Sometimes it is observed with a latent genital infection, for example, chlamydia ^1.8 .
• Ovarian cyst . Scanty spotting against a background of delayed menstruation and engorgement of the mammary glands is a typical symptom of a corpus luteum cyst ¹¹ .
• Endometriosis . In this disease, tissue, which is similar in structure and function to the lining of the uterus, grows outside of it. Often, tissue enters the vagina and uterine appendages, forming endometrioid foci.They undergo almost the same changes as the uterine lining during the cycle, although to a lesser extent. Therefore, in endometriosis, bleeding occurs before menstruation and immediately after it ^{8. 11 , 14} . The reason is the accumulation of blood in the endometriotic foci, which, when examined, resemble “eyes”. Sometimes they open up, and a dark brown mass ¹⁴ stands out from them. Often, sexual intercourse 90 102 14 90 103 becomes a factor provoking the appearance of smearing dark discharge in endometriosis.

The smearing brown vaginal discharge is very uncomfortable. They can stain linen and clothes, irritate the skin of the external genital organs, and become a source of an unpleasant odor. To avoid these troubles, you should follow the rules of intimate hygiene: regularly wash and take a shower, use sanitary pads and remember to change them on time.

For small secretions, CAREFREE® panty liners are suitable. There are several types of panty liners in the CAREFREE® line:

• Carefree® Cotton Feel.A basic model that is able to absorb and hold inside a fairly large amount of secretions. The delicate top layer provides extra softness in contact with the skin, while four breathable layers allow the skin to breathe. In addition, Carefree® Cotton Flexiform, thanks to its modifiable shape, is suitable for both regular and tanga panties.
• Carefree® plus Large is wider and longer than the Carefree® Cotton Feel and Carefree® plus Long is longer.Therefore, they are suitable for large panties and provide extra protection against leaks, odor control for up to 12 hours and a long-lasting freshness.
• Carefree® Super Thin. Suitable for women who lead an active lifestyle and want to always look impeccable, wearing tight-fitting clothes. The compact individual packaging fits easily into even the smallest handbag.

CAREFREE® provide cleanliness and freshness, comfort and protection.They are invisible under clothes, perfectly absorb secretions and allow the skin to breathe.

The information in this article is for reference only and does not replace professional advice from a physician. Consult a qualified professional for diagnosis and treatment.

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References

1. Valinda Riggins Nwadike What does the color of period blood mean? // MedicalNewsToday / April 1, 2019 / https: // www. medicalnewstoday.com/articles/324848
2. Radetskaya L. E. Mechanisms of uterine bleeding in norm and pathology // Protection of motherhood and childhood / №1 (9). – 2007 .– S. 54-59.
3. Gulyaeva E.S., Lobachevskaya O.S. Methods and means of contraception // Study guide / Minsk: BSMU – 2009. – 36 p.
4. Carolyn Kay, M.D. Ovulation bleeding: What to know // MedicalNewsToday / July 24, 2019 / https://www.medicalnewstoday.com/articles/325847
5. Valinda Riggins Nwadike, MD, MPH Causes and treatments for a period that won’t stop // MedicalNewsToday / August 19, 2019 / https: // www.medicalnewstoday.com/articles/326094
6. T. Chebotnikova Premature ovarian failure: expert opinion // BULLETIN of Reproductive Health / September 2007. – pp. 22-32.
7. Carolyn Kay, M.D. How does an IUD affect periods? // MedicalNewsToday / October 3, 2019 / https://www.medicalnewstoday.com/articles/326543
8. Khadartseva K. A. Principles of diagnosis and treatment of uterine bleeding // Guidelines / Tula State University. Medical Institute / 2014.
9. Carolyn Kay, M.D. What does period blood smell like and why? // MedicalNewsToday / July 26, 2019 / https://www.medicalnewstoday.com/articles/325878
10. Code of Practice on the Use of Contraceptives // WHO – 2005 – 33 p. / Https: //www.euro .who.int / __ data / assets / pdf_file / 0005/126572 / 9241562846R.pdf
11. Gynecology. National leadership. Short edition / ed. G. M. Savelyeva, G. T. Sukhikh, I. B. Manukhina. – M .: GEOTAR Media, 2013 .– 704 p.
12. Kuznetsova IV, Menstrual cycle in the late reproductive period: disorders and reasonable correction. // Effective pharmacotherapy. – 2013. – No. 18
13. Aslih, Nardin & Walfisch, Asnat. (2011). Clinical Approach to Pregnancy-Related Bleeding. 10.1007 / 978-1-4419-9810-1_1.
14. Study guide on gynecology. Part II. Compiled by L.I. Trubnikova, N.V. Voznesenskaya, V.D. Tadzhieva, T.Yu. Kornilova, T.V. Kuznetsov. Edited by prof. L.I. Trubnikova. Ulyanovsk 2004.

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Bloody discharge in women of reproductive age

Why are women worried about spotting from the genitals, if it is still a long time before menstruation or they have only recently ended? In fact, there can be many reasons for the “unexpected” bleeding from the genitals that bother women before or after menstruation, and today we will consider one of the most common causes of this problem – endometrial hyperplastic processes.

What are endometrial hyperplastic processes (GGE)?
Our menstrual cycle begins on the first day of menstruation and ends in the afternoon when they begin again. During the new menstrual cycle, the mucous membrane in the uterine cavity – the endometrium – actively grows and proliferates, this is how our body prepares for the onset of pregnancy. In the case of pregnancy, the fertilized egg on the seventh day after fertilization descends into the uterine cavity through the fallopian tube and begins to grow into the endometrium, which has already grown enough for this, attaches there and continues development and growth, if pregnancy does not occur, the endometrium at the end of the second phase begins to flake off, the woman begins her period – the old endometrium has not fulfilled its function and is rejected, a new one grows in its place.Normally, the endometrium before menstruation should be no more than 10 mm thick. We can clearly measure it on an ultrasound review. When the size is more than 10 mm, this indicates endometrial hyperplasia, that is, its excessive proliferation, and becomes the cause of spotting, bleeding, excessive menstruation, anemization of the body and even oncological processes, however, we can finally confirm the diagnosis after additional examination and pathological examination this very endometrium.One of the types of hyperplastic processes is polyps – endometrial polyps arise from a pathologically altered layer of the mucous membrane of the body of the uterus. The thickened foci of this layer are stretched, lengthened and take the form of polyps, which are located on a wide base, and then, under the influence of uterine contractions, on a thin one. You can see them using ultrasound, if the location is on or in the cervix – it can also be seen when viewed in the mirrors.
How
to suspect a disease and when is it worth contacting a gynecologist?
Dear women, if you have problems with the regulation of the menstrual cycle, that is: PMS symptoms, excessive and painful menstruation that end in prolonged bleeding, irregular menstruation, the intervals between which are long or too short, spotting or bleeding regardless of the phase of the menstrual cycle – You need to see a gynecologist for optimal diagnosis and care. 90,000 Discharge after menstruation, discharge after menstruation with a smell, after menstruation bloody, brown, dark, smearing, pink discharge

The main reasons for the appearance of discharge after menstruation

Discharge after menstruation is a fairly common complaint that gynecologists hear. But not every situation is alarming and requires examination. After all, the discharge accompanies the entire menstrual cycle of a woman, only their consistency changes, and sometimes their color.Let’s take a look at this issue.

What can mean brown discharge after menstruation? Usually women mean by this question “daub” in the last days of menstruation. This is normal if your period in total lasts no more than 7 days. If the “daub” is longer, then it is quite possible that the reasons for this are such unpleasant and sometimes even dangerous diseases as endometritis and endometriosis. The first disease, which occurs in a chronic form, just has a symptom – smearing discharge after menstruation and before them. The disease itself is dangerous because because of it the endometrium of the uterus suffers, as a result of which miscarriages may occur in pregnant women. Diagnosis is by ultrasound. After, for medicinal purposes, anti-inflammatory therapy is carried out. Endometriosis is a disease of a different plan, which occurs in young women under 30 years of age. The disease is characterized by the fact that endometrial cells are carried to other organs. So, during menstruation, a woman may bleed, for example, from the eyes … And one of the main signs of this unpleasant disease is dark discharge after menstruation.Another reason for unusual and “untimely” vaginal discharge can be endometrial hyperplasia. The disease occurs in women of different ages, but in the older generation, severe forms of hyperplasia are more often diagnosed, which become background for the malignant process in the uterus.

Thus, we have dealt with the main diseases. But even healthy women may experience spotting after menstruation, if they use hormonal contraception. Modern contraceptives are much safer than their predecessors due to their low hormone content. But such a “low hormone” still has a minus, and this is just – bloody, pink discharge after menstruation. If there is no real bleeding, but only “daub” – this is considered the norm, thus the body adapts to the new “regime”. But if the discharge lasts 3 or more months, even if it is meager, this is a reason to change the drug or method of preventing pregnancy.Not only does a meager discharge cause discomfort and spoil the intimate life, it also indicates the low effectiveness of the chosen contraceptive.

Another completely physiological reason for the appearance after monthly bloody discharge is the implantation of an embryo into the wall of the uterus. This happens about a week after ovulation, if, of course, there was unprotected intercourse. A few droplets of blood are usually discharged. And then, not at all.

After menstruation, there may be not only brown and bloody discharge, but also yellow, green, whitish. .. Normally, a woman during the menstrual cycle appears abundant whitish and yellowish discharge. Green, or discharge after menstruation with a smell and causing itching is a sign of the presence of an inflammatory process in the genitals, infection. The exact diagnosis in this case is made by the gynecologist after examination and taking gynecological smears.

90,000 Discharge from the nipples – the causes of the appearance, under what diseases it occurs, diagnosis and treatment methods

IMPORTANT!

The information in this section cannot be used for self-diagnosis and self-medication.In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For a diagnosis and correct treatment, you should contact your doctor.

Discharge from the nipples: causes of appearance, for what diseases occur, diagnosis and treatment.

Definition

Discharge from the mammary glands three years after the last pregnancy or in a previously non-pregnant woman should be considered pathological. Serous, colostrum and hemorrhagic discharge from the nipples can be classified as pathological. Pathological secretion is usually detected by chance – when the breast is compressed by the doctor during the examination or by the patient herself.

Varieties of nipple discharge

• Purulent nipple discharge due to bacterial infection.
• Bloody discharge from the nipples as a result of trauma or pathological process, including breast cancer.
• Colostrum-type secretions resulting from benign mammary glands or lesions of the endocrine system.

Possible causes of nipple discharge

The main causes of nipple discharge are: bacterial diseases (in most cases Staphylococcus aureus), breast tumors, and impaired secretion of female sex hormones.

Colostrum-like discharge from the nipples is usually caused by hormonal disorders.These include decreased thyroid function and adrenal dysfunction; an increase in the production of the hormone prolactin, which is directly responsible for the release of milk in a woman after childbirth; in a non-pregnant woman, prolactin levels may increase with polycystic ovary syndrome.

Discharge from the nipples, reminiscent of colostrum, is recorded in patients with some diseases of the internal genital organs, with severe pathologies of the liver and kidneys, as well as galactorrhea-amenorrhea syndrome (with this violation of nipple discharge, accompanied by the absence of menstruation, infertility, hirsutism).In addition, colostrum-like discharge can result from taking certain drugs: hormones, drugs used to treat heart, hypertension, peptic ulcer disease.

Purulent discharge is observed in the case of a bacterial infection of the ducts of the mammary gland; with mastitis or abscess. The appearance of a yellow-green liquid with an unpleasant odor indicates a purulent process that requires urgent treatment.

Greenish and dark discharge is usually a symptom of mastopathy or ectasia (enlargement of the ducts of the mammary glands).Mastopathy is diagnosed in about 40% of women over 45 years old. With this disease, cysts and seals form in the glandular tissue, which do not pass after critical days. The woman experiences pain and unpleasant distension of her breasts. In some cases, nipple discharge is possible. The reason for the expansion of the milk ducts is the stagnation of the fluid produced by the glandular structures. Ectasias often occur during menopause and in the presence of hormonal disorders.

The most alarming are spotting.They may indicate both benign processes (papillomas) and malignant neoplasms localized in the ducts of the mammary glands.

Another cause of hemorrhagic discharge can be injuries – due to a bruise inside the glandular tissue of the mammary gland, small vessels can burst, and blood can enter the ducts and leak out.

Which doctor should I contact if I have nipple discharge?

Diagnostics should start with a visit to a gynecologist.If for some reason it is not possible to see a gynecologist, you can seek help from a therapist (general practitioner, family doctor) for a referral for mammography or (for women under 35) for an ultrasound examination of the mammary glands. If any deviations in the research results are found, the doctor may refer you to a mammologist, mammologist-oncologist, endocrinologist or gynecologist-endocrinologist.

Diagnostics and examinations in case of nipple discharge

Diagnostic tests to establish the cause of nipple discharge include:

• Ultrasound of the mammary glands to detect neoplasms and abscesses.

Implant Bleeding | Pampers Russia

If you notice spotting in the early stages of pregnancy, don’t panic. This is most likely implantation bleeding. It occurs when the ovum is attached to the lining of the uterus. As the egg moves, the vessels of the uterine wall may burst, causing slight bleeding or spotting. This is an absolutely natural phenomenon that does not pose any danger to the fetus.This discharge may resemble your period. How to distinguish implantation bleeding from menstruation, we will describe below.

Implantation bleeding or menstruation: how to distinguish?

At first, implantation bleeding can be confused with the onset of menstruation, especially if you first notice it 10-14 days after conception. It is at this time that the beginning of menstruation usually falls. Every woman has a different course of menstruation: for some, they are abundant, for others, meager. But you will still notice deviations from your norm.Be aware of any unusual manifestations. Even if you have an irregular cycle, the type, volume and duration of the discharge will be different.

Main signs of implantation bleeding:

• Bleeding volume. Implant bleeding is a light spotting, so if you usually have heavy periods, you can easily tell one from the other.

• Color Implantation bleeding is rarely intense, so the spots with it are pinkish or dark brown, and not bright red, as with menstruation.

• Consistency. Occasionally, thicker clots may come out during menstruation. This is uncommon for implantation bleeding, in which the discharge is always the same consistency.

Other early signs of pregnancy are further confirmation that you are having implantation bleeding and not your period. To be sure, try doing a home pregnancy test that responds to hCG, the main pregnancy hormone, or make an appointment with your gynecologist.

How long does implantation bleeding last?

Another distinguishing feature is the duration of bleeding. For most women, menstruation lasts four to seven days, and implantation bleeding lasts several hours to two days. If this is your first pregnancy, it is likely that the bleeding will take longer than in women who have repeated pregnancies. Implant bleeding will stop on its own – it does not need to be treated.

Is implantation bleeding dangerous?

Many questions and concerns can arise in the early stages of pregnancy, but implantation bleeding is not dangerous.During pregnancy, bleeding can occur for other reasons, from irritation of the cervix on examination to a mild infection. Just in case, for any bleeding, you should contact your doctor.

If the bleeding is profuse or prolonged, consult your doctor and find out the cause. Any other accompanying symptoms are worth discussing.

One of the most common problems with implantation bleeding is that you may not realize that you are pregnant, especially if you think that your period has begun.Because of this, it may be difficult to calculate the due date. More precisely, the due date will be determined by your attending physician during the examination.

Bloody discharge after menstruation – normal or pathological? – Rambler / doctor

It happens that women face a problem when, after the end of their period, they start bleeding. Often, ladies are afraid of this symptom, believing that it signals the problems that have begun in the body. However, doctors assure that despite the fact that spotting in most cases really indicates a problem, sometimes they are still normal and natural.And it is very important to learn to understand the difference.

“Intermenstrual bleeding can appear on the 10-16th day of the cycle, that is, almost immediately after the cessation of menstruation,” the expert comments. – Normally, such discharge is a mucous discharge with streaks of blood. Although spotting may be normal, it is still recommended to see a doctor.

Consultation is required in order to understand what is the cause of such discharge. It can be as fluctuations in the hormonal cycle, and endometriosis, polyps, chronic inflammatory diseases and much more.

Unfortunately, many women, faced with such a problem, immediately begin to read on the Internet how to stop spotting, communicate on women’s forums, instead of going to a doctor right away. After all, the problem is that the same symptom can have completely different causes. It makes no sense to list them all, because there are so many of them. And a problem that a doctor can help quickly solve if a woman turns to immediately, with self-medication can become neglected, chronic and lead to even more serious problems.Women at any age should remember this. ”

Contents of the article:

What to look for

Main causes

Bleeding after menstruation is a fairly common picture. According to statistics, almost every woman has seen such at least once in her life. They come in different types and types.

Experts even classified them into a list, according to which the discharge after menstruation can be:

pink (seemingly diluted blood) abundant bloody brown smears, etc.If you see bloody stains on your underwear, don’t panic right away. There are times when even a little bleeding is normal.

What to look for

Calm down and concentrate first. Your task at this point is to assess the situation and determine if there are any other accompanying symptoms. So, for example, if pinkish discharge is accompanied by an unpleasant odor, this may indicate the development of chronic endometritis. Such discharge requires treatment.

Lack of bleeding in the middle of the cycle is caused by fluctuations in the hormonal cycle. So, for example, discharge may appear during ovulation. Doctors describe them as follows: a small total volume, they go no more than 72 hours, they do not need additional use of special feminine hygiene products.

This “pathology” is considered quite common and occurs in 30% of women.

However, it is worth remembering that if the blood is intense enough and at the same time it is bright scarlet, it is necessary to urgently call a doctor and go to the hospital.

Intermenstrual bleeding may appear on the 10-16th day of the cycle, ie. almost immediately after the cessation of menstruation. Normally, such discharge is a mucous discharge with streaks of blood.

Although spotting may be normal, it is still recommended to see a doctor.

If you observe bloody discharge after menstruation in the form of a brown daub, this may indicate to you the presence of endometriosis in the uterus.

The main causes of bleeding

Doctors have identified a number of reasons that can cause spotting.

The list includes:

endometrial polyps genital trauma uterine myoma infection dysfunctional uterine bleeding cervical cancer For polyps, as experts say, discharge occurs in the middle of the cycle. The complete painlessness of the main menstruation can also become an indication of this disease.

In case of injury to the genitals: incorrect examination by a doctor, hard sex, etc. – blood may also appear. This happens as a result of rupture of the walls of the vagina.

Often women are ashamed of the fact of trauma to the genitals and try to treat it themselves with various compresses, lotions, etc. Doctors recommend abandoning this and using only official methods of treatment

Infections of the genital organs of a woman can also lead to the appearance of characteristic discharge after menstruation. Often, ladies do not even suspect that they have such a pathology, explaining this by the presence of a permanent partner. However, it should be understood that many infections can be asymptomatic for years, and some of them can generally be transmitted not only through sexual contact.

Uterine fibroids are characterized by cramping pains that appear in the lower abdomen along with bloody discharge. A regular period that comes on time will be quite painful.

Uterine bleeding is indicated by the prolonged nature of the usual menstruation, when by the end it does not subside, but, on the contrary, intensifies. A strong loss of blood threatens the lady with quite big trouble. Therefore, if you feel that something is going wrong, see your doctor right away.

Oncology can cause bloody discharge at any phase of the cycle, incl.hours and immediately after menstruation.

If you have discharge and this fact bothers you, see your doctor. This can be done as soon as they run out. Or, if the spotting does not think to end, at any time.

You should be especially concerned about the presence of pain or an unpleasant odor that accompanies the discharge. If you see such symptoms, be sure to see a doctor. After all, they can signal problems and are certainly not the norm. Also, a reason to visit a doctor is discharge that appears regularly.

But you don’t need to self-medicate.