brown discharge after menstruation
brown discharge after menstruation - is slight traces of dark clotted blood in the coming days of menstruation.If brown discharge occur after the first days of heavy menstrual bleeding continues long and independently tested, they are correlated with menstruation.About pathological spotting they say when they last much longer than a normal menstrual period.
independent significance this symptom has not, however, in conjunction with other clinical signs of anxiety is an important criterion in the diagnosis of certain gynecological diseases.
menstrual cycle is represented by physiological changes in the female body, cyclically repeated every month and ends with menstruation.It is usually calculate the time interval between the first two days of menstruation.For example, if the next month began on 28 September and the previous - September 1, the length of the menstrual cycle is 28 days.
first monthly starting in girls after the "turn on" the hormonal ovari
regular menstrual cycle can not be established immediately after the first month.Usually, during the formation of normal menstrual function it takes about two years.
representations of patients 'right' menstrual cycle are not reliable, so complaints smearing brown allocation after a month in all situations correlated with pathology.
characteristics of the menstrual cycle does not fit into the narrow framework.Every woman they contain individual characteristics, so have wide margins.For "normal" menstrual accepted those characteristics that are common to most women.
So, it is considered a normal menstrual period of no more than seven and no less than two days, which happens regularly every 21 - 35 days.The period of heavy bleeding should not exceed three day period.The most difficult to measure is the level of menstrual blood loss, because every woman is a subjective notion of "heavy periods" assesses its own way.The average blood loss during menstruation in 70% of women 50 - 70 mL with acceptable variations in the range of 40 - 150 ml.
For convenience, the amount of lost blood is measured by the number of sanitary napkins that changes a woman during menstruation.If their daily need no more than four, blood loss is related to the norm.
In fact, menstruation - is delaminated epithelium lining the uterine cavity (endometrium), and the blood flowing out of be-exposed vessels.
Menstruation is the result of complex, sequential changes not only in the uterus.The menstrual cycle begins to form in the central parts of the brain (hypothalamus-pituitary), wherein in a cyclic mode synthesized follicle stimulating hormone (FSH) and luteinizing (LH) hormones.These hormones are "controlled" occurring in the ovaries of structural changes.
With the participation of FSH under the outer shell of the ovary formed follicles - small "bubbles", consisting of an outer capsule and liquid contents.Inside each egg follicle develops.When the process completes its maturation, the follicle wall breaks, releasing the egg from the ovary.This moment (ovulation) conditionally divides the menstrual cycle in half.In the first half (the follicular phase) in follicles produce estrogen.They "help" egg shaped correctly.With the participation of estrogen in the endometrium also is changing: it expands and grows new blood vessels.
After ovulation, with the participation of LH in the ovary cells of the destroyed follicle forms a temporary hormone producing gland - the corpus luteum, it synthesizes progesterone and killed two or three days before the start of next month.In the second, luteal, phase of the cycle the dominant influence of progesterone leads to a process of rejection overgrown endometrium.The culmination of this process and is menstruation.
If strays beyond the ovary the egg is fertilized, the events in the genital organs develop in a different scenario:
- the corpus luteum continues to function the next four months to pregnancy preserve and develop properly, and then transmits its powers formed the placenta (it is also capable of producing progesterone)and dies;
- the endometrium is not rejected, and begins to prepare for the upcoming pregnancy: its volume continues to increase, it becomes more loose and continues to grow blood vessels.
menstruation should be taken not only during active bleeding, but also more scarce bleeding (including brown) recovering thereafter.Sometimes women complaining of brown discharge after menstruation, menstruation is considered only a "heavy" days, which is not true.Menstruation begins with the first drop of blood and ends only when the end all spotting.
smearing scant brown discharge during menstruation are normal if:
- they appeared after the heavy bleeding, but not in front of them;
- their number decreases rapidly from scarce to very scarce;
- they do not replace a full menstruation is not accompanied by pain and / or fever, and no unpleasant "putrid" odor;
- the total duration of bleeding and spotting brown discharge is not more than seven days, for some, this period may be extended by 1-2 days.
If after menstruation brown discharge started, you need to visit a specialist.The appearance of these secretions can indicate a completely harmless, and at a very good reason.Diagnostic measures necessarily include a pelvic examination, laboratory testing of hormonal status, an ultrasound scan.
specific treatment when a brown discharge after menstruation does not exist.As a general rule, if required, the appropriate treatment of the disease, which they provoked.
Why go brown discharge after menstruation
When the end days of heavy menstrual period, the number of precipitates decreases relatively quickly.Also, changing the color of discharge from the uterus - it becomes darker and becomes a brown tinge.When the uterine cavity, there is very small amount of blood, the intensity of menstrual bleeding is significantly reduced, and blood poured out before the outward time to curl.
Brown menstrual blood in the last few days of menstruation is associated with the process of coagulation.The past of the blood vessels healthy person collapses very quickly - for 3-4 minutes.Then it becomes like a jelly and becomes darker, light brown shade.Its appearance is due to the fact that if the blood is separated into two factions: one contains the actual coagulated blood clot brown color, and the second is a liquid and transparent part of the plasma is not able to clot.So there are light brown discharge after a month (or more precisely, after the "heavy" days).
In the next and final stage, a liquid and transparent part of the plasma leaving the clotted blood, so it becomes very thick and dark.At this stage, it appears dark brown discharge after menstruation.Due to the absence of the liquid fraction, they become thick and characterized women as "smearing brown allocation after month."
You can not make a mistake by saying that the release of brown after a month is absolutely familiar to all women without an accent on the age and state of health.Most of these relate to the allocation of the norm.By innocuous reasons that can "renew" the flow of blood for several days, include:
- mild respiratory infection, coinciding with the period of menstruation;
- strong psycho-emotional stress;
- physical exhaustion: heavy physical work overload in the gym;
- intimacy in the last days of menstruation;
- prolonged exposure to heat during menstruation;
- medications that alter blood clotting;
- error of hormonal contraceptives or their independent choice of the wrong.
A small number of women physiological menstrual period are more lasting and remain so for life without causing harm to health.But in order to ensure that the extended menstrual cycle, including smearing and dark discharge is individual rate, you need to complete a simple survey.
sometimes light brown discharge after a month for one or two cycles can be observed after the recent birth.The gestation period, especially labor, coupled with a high load on the muscles of the uterus.After the birth the uterus to be a difficult recovery period that muscle tone back to its original state.Brown allocation appear, if the first month after birth arrived early (so often the case with non-breastfeeding), and uterine wall did not have time to restore muscle strength.
Generally, if after a month began smearing brown allocation character without serious pathological reasons they last long, not accompanied by other anxiety symptoms and tested independently.
However, sometimes such separation have a pathological nature.In some cases, their appearance should cause concern?
First of all, to control their menstrual cycle and know about its individual features, each of the fair sex should maintain a personal calendar, which records the date of the beginning of the month and marked atypical symptoms of this period.If the background of usual menstrual rhythm suddenly appeared unusual brown discharge for no apparent reason, you should see a specialist.
week after menstruation brown discharge
dark brown discharge a week after menstruation can become their continuation, then menstruation will be longer due to the "anointing of days."They can also occur after one or two weeks, or even precede the next menstruation.As a rule, any delay in the appearance of smearing brown discharge is not menstruation and often triggered by one and the illnesses.
dark brown discharge after menstruation correlated with pathology, if they are accompanied by pain, fever, general malaise, have an unpleasant odor, or go on a background of delay.
try to elaborate on each of the anxiety related symptoms:
- Pain.Normal menstruation should not be painful.Slight drawing in "heavy days", their appearance is associated with uterine contractions, when the blood in the uterine cavity accumulates much for her speedy evacuation of the uterus have to decline more rapidly.
Severe menstrual pain, combined with smearing brown discharge after menstruation may indicate a serious hormone dependent pathology - adenomyosis (endometriosis, uterine form).The essence of this disease is reduced to a violation of the right of the structure of the uterus, the endometrium when sites are beginning to grow into its layers, and there be changes cyclically in accordance with its intended purpose.We can say that endometrioid pockets "menstruate" in isolation from the endometrium.These structural changes affect the ability of the muscular wall of the uterus to contract, delayed menstruation and become painful.For adenomyosis is also characterized by spotting the eve of menstruation.
Pain in combination with a change in the character of menstrual functions inherent in sluggish inflammatory processes of the genitals.
Appeared brown discharge after menstruation odorless combined with painful sensations on the background of an intrauterine device may indicate that the spiral has shifted, "ingrained" in the uterine wall (if there is more than the due date) or provoked local inflammation.
considerable pain on the background of menstrual dysfunction triggers uterine fibroids.The presence of fibroids in the uterus it deforms the cavity, interferes with the proper contraction of the muscle wall and increases the amount of menstrual blood loss.Monthly become painful, abundant and elongated due to the continuing after the end of the spotting.
- Fever.A significant increase in temperature is almost always refers to the inflammatory process.Most severe fever in combination with smearing poslemenstrualnymi secretions and pain manifests infectious-inflammatory process in the uterus - metroendometritis.It is necessary to think about it, if the brown discharge after menstruation with the smell came after recent childbirth or abortion.Chronic metroendometritis usually provokes spotting at any time during the cycle, especially when the infection is exacerbated.
- Malaise.If monthly abundant last long, and then begin a long spotting, there are prerequisites for the development of anemia.Even if spotting appeared no danger of the reasons they are the cause of a serious condition and requires medical intervention.
- unpleasant odor.Most brown discharge after menstruation odorless.In menstrual blood it has a particular, natural smell.If a woman observes a proper hygienic conditions during the month, no smell, it does not feel.
brown discharge after menstruation with the smell indicated the presence in them of pathogenic microflora.Pathogenic bacteria may be in the uterine cavity (in case of purulent metroendometrity), vagina (vulvo-vaginitis) and / or the cervical canal (endocervite).The presence of infection in the mucous changes its structure and function: loosened epithelium, glands begin to actively "fight" with infection via enhanced secretion.Mucous swell and become more vulnerable to infection, which rapidly penetrates deeper when germs get into the glandular structure, there are abundant purulent discharge with an unpleasant, "stale" odor.Damaged infection epithelium becomes more vulnerable vessels - more fragile, so a vaginal discharge becomes brown.
- Delay the next menstruation.Untimely monthly point to the potential uterine or ectopic pregnancy, as well as a high probability of an interruption.Besides spotting latecomer after menstruation are associated with hormonal dysfunction.Sometimes the background of excessive secretion of estrogen the endometrium grows excessively (hyperplasia), so menstruation change their usual rhythm.
Brown after months of isolation may not trigger subjective feelings, such as when certain uterine and cervical polyps.A polyp is formed by a local proliferation of the endometrium.Large polyps may distort the uterine or cervical cavity, impeding the outflow of menstrual blood, so it is retained in the uterus and has time to curl.Some cervical polyps have a "leg" - long basis, providing greater mobility polyp.During menstruation are even small polyps, moving through the cervical canal after the bleeding, it can partially block and hold the blood in the uterus.
Brown isolation without regard to the last menstruation more likely to have a hormonal cause.The simplest explanation - incorrect hormonal contraception.Unfortunately, a large number of hormonal contraceptives in the public domain provokes women to decide independently about their choice in accordance with the advice of friends or pharmacy staff.Hormonal konratseptiv should be selected only after studying the hormonal status of the individual, to take into account age, endocrine and immune systems, as well as the presence of extragenital diseases.