I welcome all readers who need to know what problems women may have when bearing a child and how to find the right way out of difficult situations!
It is no secret to anyone that the first and main sign confirming successful fertilization is the cessation of menstruation. Nevertheless, in medical practice many cases have been recorded when pregnant women were registered in the third, fourth and even fifth month.
They were baffled by spotting in the early stages, which appeared exactly on schedule when critical days were to begin.
To get rid of unnecessary fears and fears, as well as to mentally prepare for a difficult 9-month period, it will be useful for women to find out whether there is such a thing as a period during pregnancy, how to distinguish this from normal menstruation, in which cases such a deviation can be considered normal and when it is an anomaly. We will discuss all this in detail and in an accessible manner later in the article.
Can there be periods after pregnancy?
According to female physiology, menstruation and expectation of a child are completely incompatible concepts. The menstrual cycle can be divided into three important periods: before the onset of ovulation (follicular), directly ovulation and the time after it, and before the onset of menstruation (luteal). In the first half of the cycle, the endometrium grows on the walls of the uterus. If the ovum does not fertilize upon ovulation, the endometrium begins to exfoliate and leaves the blood at the end of the cycle. This cycle is repeated every month.
If fertilization occurs during ovulation, then the fetal egg descends through the fallopian tube into the uterus, where it is implanted in its cavity. From this moment, the level of the hormone progesterone in the female body increases. It does not allow the endometrial layer to be torn off, but, on the contrary, strengthens it for additional protection of the unborn child. Therefore, there are no periods during pregnancy.
Can menstruation go during pregnancy
If blood secretion occurs in a natural mode, without severe pain, brown inclusions, or severe deterioration of well-being, they should not cause great concern, as this fact can be explained and not dangerous for the fetus. Abundant menstruation in the early stages of pregnancy with acute pain in the lower pelvis, sacrum and lower back can indicate dangerous pathologies and the threat of losing a baby.
At the very early stages of pregnancy, menstruation can go, while a woman may not yet know about her condition. If the pregnancy is confirmed (test, examination by a gynecologist, ultrasound), but menstruation has nevertheless come, do not immediately panic and worry. Menstruation in the first month of pregnancy may be the norm in those cases when they are not accompanied by additional negative symptoms.
If a woman is already aware of her condition, but at the same time she has started her period during early pregnancy, it is better to be safe and seek medical advice from a gynecologist. If the menstruation is very profuse, it can be bleeding, so you do not have to wait for an appointment with a doctor, you need to call an ambulance as soon as possible. Menses during pregnancy in the early stages can be both the norm and a sign of pathology and the threat of miscarriage. Only a specialist can find out by examining and conducting a special examination.
Menstrual flow in early pregnancy
Monthly spotting is an indicator of the beginning of a new reproductive cycle, monthly repeated in the body of a woman. By removing unnecessary waste products, the reproductive system signals a readiness to conceive a child. The hormones responsible for this process are produced by the hypothalamus and pituitary gland. If menstruation goes at the beginning of pregnancy, then it is necessary to find out the cause of such symptoms, because in some cases, if menstruation begins at the beginning of pregnancy, it can be a sign of certain health problems.
The cycle is conditionally divided into three consecutive phases. Each phase has characteristic processes occurring in the genitals. On the first day of menstruation, a new cycle begins. But the discharge that is released during pregnancy is only outwardly similar to the menstrual period, the symptoms of the onset of menstruation, in fact, during pregnancy, spotting from the vagina appears for another reason. In the article you can find answers to the most frequently asked questions, why the periods come at the beginning of pregnancy, whether the periods in the early stages of pregnancy can be signs of pathology, what are the monthly discharge in the early stages of pregnancy. Menstruation in the first month of pregnancy and their causes are very diverse, then in the article in detail about this.
Why can menstruation go during pregnancy in the early stages
There are a number of reasons why blood can be released in early pregnancy:
- Menstruation in its usual form and mode at the onset of conception can occur for a physiological reason - a short period of time between fertilization of the egg and the hormonal response of the body. Ovulation and the fertilization process in a woman occurs in the middle of the menstrual cycle - 7-15 days. Often, the endocrine system of a woman does not have time to timely respond to the onset of conception.
- During pregnancy, there are periods due to a hormonal imbalance, which should change immediately after conception. At the initial stage, a delay in the hormonal response to the onset of egg fertilization may be the norm. However, if during the development of pregnancy, the endocrine system does not produce enough progesterone, this can become a serious threat and cause interruption. If in the first month of pregnancy in a woman at the time of the onset of menstruation, bloody mucous discharge begins, accompanied by general malaise and pain, you should consult a doctor. A clear picture of the hormonal status of a woman can be determined after examination and examination.
- Mistaken for menstruation can be taken implantation of blood, provoked by damage to the vessels of the endometrium. This does not occur in all women, so many do not even suspect this phenomenon. Within 7-10 days after conception of a blastocyst (a fertilized egg), it moves down the fallopian tube to the uterine cavity. The embryo is introduced into the uterine mucosa (endometrium) to gain a foothold in it. This process causes swelling and irritation of the mucous membrane, violating the integrity of the capillaries of the walls of the uterus.
- Often a malfunction occurs in the body, which leads to the release of two eggs at the same time. This often happens when taking medications that stimulate ovulation. When two eggs exit, one of them is fertilized and passes the natural path through the fallopian tube into the uterine cavity and penetrates the endometrium, the second is rejected and comes out with menstrual blood. A similar situation can occur if the twins do not develop properly, when two eggs are fertilized. If one of the embryos dies, and the second is viable, bleeding leading to a dead egg can be taken as a period.
- With congenital and acquired abnormalities and abnormalities in the structure of the uterus, the menstrual cycle can continue, despite the onset of pregnancy. Congenital malformations include anatomical abnormalities such as the one-horned or two-horned uterus. Acquired pathologies include benign tumor neoplasms (fibroids, uterine fibroids, endometriosis). The preservation and development of such a pregnancy depends on many factors. With a one-horned and two-horned uterus, there is a high probability of preservation and successful completion of childbirth, but close and constant monitoring of specialists is necessary.
- One of the most dangerous causes of menstruation during pregnancy is an ectopic pregnancy. When a fertilized egg moves through the fallopian tube, a violation can occur that causes the embryo to invade the wall of the tube. Thus, instead of the uterine cavity, pregnancy begins to develop in the fallopian tube. Menstruation during an ectopic pregnancy can have a different nature - from brownish spotting spotting to heavy bleeding. An ectopic pregnancy is extremely dangerous, it can end with a rupture of the tube, internal bleeding and the subsequent inflammatory process. In this case, the help of a gynecologist is needed. The choice of treatment for ectopic pregnancy is determined by many individual factors. Retention and removal of the fallopian tube is possible, but the risk of relapse remains.
- Spontaneous abortion or miscarriage is also accompanied by profuse blood discharge, similar to menstruation. A characteristic feature of a miscarriage will be periodic cramping pains and a bright scarlet discharge. If a woman is aware of her pregnancy, an ambulance must be called. In clinical conditions, it is likely that pregnancy will continue at the initial stage of bleeding.
Menstruation (menstruation) and pregnancy, as possible
Many women, with the appearance of spotting spotting in the early stages, are wondering if menstruation is possible at the beginning of pregnancy. The answer to the question: can menstruation go in the first days, weeks of pregnancy, can menstruation begin in the first weeks of pregnancy, it is clear: this is impossible. The appearance of menstruation with suspected pregnancy is inherent only to non-pregnant women. Ovum fertilization is the first step in hormonal metamorphosis. The production of hormones in the next nine months and during the period of breastfeeding will be constructed in such a way that the maturation of new eggs is suspended.
After changing the proportional ratio of sex hormones in the blood with the onset of childbearing, the work of the main organ that ensures the vital activity and safety of the child, the uterus, changes. Therefore, in the period of intrauterine development of the embryo, the growth and detachment of the endometrium stops. Since it is it that is excreted through the genitals during menstruation, in pregnant women there are no menstruation. Therefore, if this time the menstruation was not as usual, then this may mean that the woman is pregnant.
Are menstruation always menstruating, menstruation at the initial stage of pregnancy
Many women are wondering if menstruation can go during pregnancy, can it be that I am pregnant, but I have menstruation, what can they mean? In most cases, the causes of spotting during pregnancy, as with menstruation, are not dangerous. But in some cases, such spotting in the first weeks of pregnancy, as during menstruation, may be due to the appearance of blood after intercourse, appear due to a gynecological examination. A dangerous cause of menstruation in the first days, weeks of pregnancy, is implantation bleeding.With such a problem, you need to seek medical help in a timely manner, and if necessary, call emergency medical care.
What is the difference between menstruation and spotting in early pregnancy?
If a woman does not know how to distinguish between normal menstruation and bloody discharge during pregnancy, then she needs to know that such symptoms are difficult to distinguish among themselves, although the causes of menstruation and discharge during pregnancy are similar to menstruation. That is why, if a pregnancy test shows two 2 strips, but a woman has gone on a period, such symptoms may not be a sign of the onset of menstruation, but mean the appearance of bloody vaginal discharge that appears in the early stages of pregnancy.
Discharges with partial bloody inclusions, which pregnant women can sometimes observe, are only similar to menstruation, but arise for other reasons. Such discharge occurs in almost a quarter of women in a special situation and is almost misleading. It is quite difficult to distinguish real menstruation from other bloody discharge, especially if they approximately coincide in terms of duration, duration and profusion. Often even the symptoms coincide.
To understand it, you need to clearly imagine how exactly in the female body menstruation passes. In medicine, they are often called regulators, since menstruation is a regular phenomenon. Bleeding is accompanied by rejection of the mucous membranes of the uterus. The main reproductive female organ gets rid of the functional layer of the endometrium only if it is not necessary - there is no pregnancy.
Typically, a woman’s menstrual cycle after completion of puberty lasts 28 days. However, longer and shorter cycles (20-21 days or 34-35 days) are also considered completely normal, provided that they are regular. The first day of menstruation is the beginning of a new menstrual cycle. At the end of physiological bleeding, the follicular phase begins.
An ovum matures in the ovaries, which has to exit the follicle around the middle of the cycle. When the follicle becomes large, under the action of special hormones, it ruptures, the egg goes into the ampullar part of the fallopian tube. This process is called ovulation. If on the day of ovulation or a day later the egg meets a male reproductive cell - a sperm, then conception and the onset of pregnancy are likely.
If conception does not occur, the egg dies 24-36 hours after leaving the follicle. The villi inside the fallopian tube push it into the uterine cavity. The mucous membranes of the genital organ thicken under the influence of progesterone from the moment of ovulation. A functional layer is necessary so that a fertilized egg can be fixed in it. If a dead egg falls into the uterus, after about a week the level of progesterone decreases. The luteal phase of the menstrual cycle ends (its second half).
The unclaimed physiological layer of the uterine endometrium begins to be rejected - menstruation begins, and at the same time the next menstrual cycle begins.
If conception has taken place, then the level of progesterone remains high. Approximately 8–9 days after ovulation, a fertilized egg, passing through the fallopian tube, enters the uterus, penetrates the loose and “prepared” endometrium for implantation. The hCG hormone begins to be produced, for which the chorionic villi are responsible after successfully fixing the fetal egg. Chorionic gonadotropin stimulates additional production of progesterone. “Customized” hCG, progesterone does not decrease. Endometrial layer rejection does not occur. Menstruation does not occur.
Menstrual blood is called blood very conditionally, because it does not have the ability to coagulate.In fact, during menstruation, a woman’s menstrual fluid is released from the genitals of a woman, which only partially consists of blood and uterine membranes. In addition to them, the mucus secreted by the cervix, the fluid secretion of the vaginal glands, and a number of enzymes that prevent the bloody fluid from clotting are determined in the fluid.
The average amount of menstrual fluid per cycle is about 50-100 milliliters. There are less and more plentiful periods. However, the volume of fluid lost less than 50 ml or more than 250 ml is considered a sign of pathology - such a woman must definitely be examined and find out the causes of the violation.
If a woman is pregnant, and after sex she has got periods (brown spotting), reasons, how dangerous is this?
Girls and women who are accustomed to leading an active sex life, with unprotected contact or a violation of the use of contraception can see menstruation in the expected time, but they will already be pregnant. Having allowed such situations, you should be checked with a test at the onset of menstruation and visit a gynecologist. If a woman has regular sexual intercourse and does not use or uses weak contraceptives not at every contact with her partner, even slight deviations from the usual course of menstruation can be indicators of pregnancy.
Are there after conception?
By nature itself, everything is provided so that after conception, if it took place, there are no menstruation. From the point of view of physiology, the onset of menstrual bleeding becomes completely impossible, but in practice anything can happen, because this is not about a machine or mechanism, but about a living human body.
It is no coincidence that some women, when contacting a gynecologist, claim that they came for the first time only because other symptoms of pregnancy appeared - the breasts increased, the weight began to grow, and some even had the first fetal movements. In fact, during the first trimester of such women continued monthly bleeding, which they took for menstruation. People used to say about such “menstruation” against the background of pregnancy that “the fetus is washed.”
What is really going on? From the point of view of medicine, there is little chance that in the follicular phase of the menstrual cycle, a woman will mature not one, but two or three eggs. Their output of their follicles will not necessarily be simultaneous. Imagine that one egg came out, “waited” for 24 hours and died without ever meeting a sperm. She descends into the uterus. In the body, processes begin that precede regular menstruation.
But the second egg may well be fertilized. While it will advance into the uterine cavity through the tube (this is about 8 days), it may well begin menstruation, which arose due to the death of the first egg. However, such periods will be noticeably different from ordinary ones. A woman can pay attention to the fact that the discharge, although they arrived on time, was more scarce, lasting not 6 days, as usual, but only 3-4 days or less.
I must say that this is the only more or less explainable and logical reason for the onset of menstrual discharge during pregnancy at the earliest possible date. In a month, under such circumstances, the menstruation will not come, as the pregnancy will already be developing at full speed.
Women who claim that their periods lasted every month until the end of 3-4 months are mistaken. Even if they had menstrual bleeding in the first month due to the second egg, then in the following months it was not about menstruation, but about the pathologies of pregnancy - the threat of miscarriage, hormonal disorder, or other reasons.
Sometimes gynecologists do acknowledge that a woman may have a bloody "daub" on the days on which her periods began before pregnancy.The reason for this phenomenon has not been fully studied and experts are inclined to believe that the hormonal memory of the body is “to blame” for everything. In fairness, it is worth noting that such a phenomenon is very rare in practice - in about 0.5-1% of cases.
Discharge of unclear etiology is indicated if a full and detailed examination of the pregnant woman does not reveal the slightest disturbance in her condition - the woman is healthy, there is no threat of miscarriage, placenta previa, the balance of hormones is normal, the fetus is healthy and develops according to the gestational age.
Typically, such inexplicable discharge passes by the end of the first trimester and does not return until the birth. Given the rarity of this phenomenon, one should not particularly rely on the fact that spotting that appeared in the early stages is just such a harmless and mysterious menstrual bleeding. Most often, the reasons are completely different, more dangerous and threatening.
To answer the main question of this article - can there be menstruation in the early stages, you need to clearly understand that in 99% of cases this cannot be. And only in rare cases can there be menstrual-like bleeding (not menstruation!) Due to the second egg. In all other cases, the appearance of spotting is an alarming symptom that has nothing to do with the physiological norm variants.
Dangerous reasons for menstruation during pregnancy
Among the most frequent deviations, the appearance of discharge is several days earlier, their profusion is less than usual, the color is unusual for menstruation, the duration of menstruation is shorter than always. The manifestation of two colored stripes on the test indicator clearly indicates a successful conception. Spotting is not clear evidence to the contrary. Bloody discharge or other abnormal discharge occur in most recently conceived women. Most often, they do not identify pathologies and are harmless to the mother and baby. However, in some cases, bleeding indicates the onset of an ectopic pregnancy or fetal freezing, as well as a miscarriage. To ensure your safety, it is strongly recommended that you undergo an additional examination with your gynecologist. Given the above, smearing discharge in the initial weeks of pregnancy is a common occurrence. Appeal of a woman for advice to a gynecologist is the most correct decision when it is detected. The appearance of blood can be quite safe, as with implantation, or harm the body, as with an ectopic pregnancy.
Implantation bleeding and vaginal discharge in early pregnancy, causes
Attaching an embryo to one wall of the uterus breaks the blood vessels of the uterine tissue. The secreted blood leaves through the vagina, and the woman sees it already in the form of smearing secretions. Each woman has this process differently, so some may find only a few spots on the underwear, while others observe dark discharge for up to a week. Bleeding due to implantation usually occurs from the 6th to the 15th day after fertilization. Sexual intimacy during pregnancy does not harm the baby and does not increase the likelihood of a miscarriage, but after it may discharge with a dark brownish tint.
This is due to blood flow to the vessels of the genitals, which is much more intense in pregnant women than in other women. The consequence of this change is an increased sensitivity of the mucous membrane inside the vagina and around the cervix to any, even minor irritants, in particular - to mechanical interaction with a man during sex. Seeing the discharge directly during intercourse, it should be stopped and a doctor should be visited. If the gynecologist does not diagnose abnormalities, sexual intercourse with a partner can be repeated.
During the period of gestation, if menstruation has begun in the first month of pregnancy, if there are vaginal discharge like during menstruation in the first weeks of pregnancy of a woman, then any discharge from the genitals should be absorbed using pads, the use of tampons or other means is contraindicated. The reason for an immediate visit to the antenatal clinic is abdominal pain and fainting symptoms accompanying suspicious discharge. If discharge is found after going to the doctor, do not be afraid of them. Before they are completed, you need to temporarily pause sexual intercourse. Use only pads, not swabs. If the discharge is scarce, there will be enough daily pads. Only if the discharge lasts more than two days, consult a specialist on this issue.
Accompaniment of spotting spotting in pregnant women with an unpleasant odor signals a progressive inflammatory process. To exclude it, you must go through an examination with a trusted gynecologist and pass a smear. Any inflammation that appears in a pregnant woman is harmful not only to her, but also to the unborn baby. Therefore, it is important for a woman to know when spotting during pregnancy is not dangerous, and when such discharge in the first weeks of pregnancy, like during menstruation, can mean certain health problems or be a sign of pathology.
Allocations in the first weeks of pregnancy and baby health
The question remains what pathologies cause menstruation during pregnancy, which discharge during pregnancy, which is similar to menstruation, can indicate the development of various kinds of diseases. Signs of factors that are unquestionably dangerous to health are saturated red discharge with pieces or lumps of tissue, dizziness, weakness, increased heart rate, and headache. It is important for a pregnant woman to remember that if there is bloody discharge like during menstruation during pregnancy, pain in the lower abdomen, when the stomach hurts on the right abdomen, on the left abdomen, when the entire lower abdomen hurts, nausea or vomiting appears, all these are symptoms of health problems that can not be ignored during pregnancy at any time during its course. In some cases, the danger of such symptoms is that lower abdominal pain and spotting in early pregnancy can be symptoms of serious health problems such as a miscarriage, ectopic pregnancy, or cystic drift.
If a woman has symptoms of an ectopic pregnancy, if there are symptoms of miscarriage or cystic drift, it is necessary to seek medical help as soon as possible, and if necessary, call emergency medical care.
Implantation bleeding is not a ubiquitous phenomenon and does not occur in everyone. But if it happens, then there is nothing dangerous in it. Discharges of a sacred or smearing nature may appear about a week after ovulation, when the fertilized egg reaches the uterine cavity. Usually a woman who is not aware that conception could have happened is surprised and thinks that the menstruation for some reason simply arrived ahead of schedule for about a week.
In fact, the blastocyst is introduced into the functional layer of the uterine endometrium. During this process, the integrity of the layer is disturbed and possibly a slight bleeding. Such discharge is usually scarce, they are not accompanied by pain. The color of the discharge can be from creamy pink to pronounced bloody. The amount of discharge is small. Usually implantation bleeding lasts from several hours to a couple of days, not more.
Tests will show pregnancy in about ten days, and a blood test for hCG will determine it within three to four days after a strange and untimely “daub”.
On the development of pregnancy, implantation bleeding does not affect in any way, the fetus and health of the future mother are not harmful. For many women, it does not occur at all or scanty secretions go unnoticed.
The reason for the appearance of bloody discharge, including on the days on which a woman has previously had menstruation, may be a lack of the hormone important for carrying a child - progesterone. A sufficient level of this hormone is necessary to prevent another menstruation while a woman is carrying a baby. In addition, progesterone suppresses the mother’s immunity, provides nutritional supplies for the baby, maintains smooth muscles of the uterus in a calm state, avoiding the tone and hypertonicity of the uterine muscles.
The reason for the lack of progesterone is most often the pathology of the corpus luteum of the ovaries, chorion, chronic diseases of the kidneys and liver, thyroid gland, pituitary disorders, as well as gynecological inflammatory diseases of the ovaries, fallopian tubes, endometrium. Earlier abortions are another reason why your own progesterone may be pathologically missed during a desired pregnancy.
The cause of the appearance of bloody secretions may also be due to a lack of hCG hormone. If it is not enough, then stimulation of progesterone production will be insufficient. Hormonal bleeding very often leads to spontaneous abortion, if left unattended. However, with timely access to a doctor, a woman is prescribed treatment with hormonal drugs - progesterone preparations, so the deficiency of this essential substance can be eliminated. When such a problem occurs, hormonal treatment is usually prescribed for a long course, up to 16-18 weeks of pregnancy, when the threat of miscarriage is considered less likely.
Hormonal discharge may vary in intensity, color, and duration. What they are depends on the individual characteristics of the body. Most often, women complain of the appearance of bloody discharge of red or brownish color, with impurities of mucus, but pink and bright orange discharge are also characteristic of the pathology.
The more abundant the discharge, the more likely an adverse outcome. When blood clots appear in them, it is often a question of a miscarriage that has begun.
Additional symptoms - pulls the lower abdomen, aching lower back, there is weakness and deterioration in well-being. Such signs are not always observed, sometimes the only sign of hormonal deficiency is abnormal discharge from the genitals.
The woman’s genital tract during pregnancy from the very first months becomes more vulnerable, because progesterone has a softening effect on the mucous membranes. Therefore, injuring the vagina or cervix becomes easier than ever, even without committing any dangerous actions. Mucous membranes during pregnancy are better supplied with blood, the amount of which, by the way, also increases. That is why even microtrauma of the vagina can lead to the appearance of bloody discharge, which a woman can mistakenly take for menstruation.
Typically, a woman receives such injuries during sex, especially if partners with the onset of an “interesting position” have not reduced the intensity of frictional movements, continue to use sex toys and generally make love often. After sexual intercourse, in this case, a woman can notice bloody discharge of scarlet color - the blood does not have time to change color, because it immediately flows out.
The discharge is not abundant, they are not accompanied by pain, they do not harm the child.
If the cervix is injured, the discharge is stronger, with impurities of mucus. A woman can be injured during masturbation, with the introduction of a tampon (which is prohibited during pregnancy!), As well as during a vaginal examination by a gynecologist.
Post-traumatic discharge is not long-lasting, usually they completely stop after a few hours. If you do not bring the infection to the place of injury, then inflammation will not occur and nothing will threaten the bearing of the baby. In some cases, with excess and clean bleeding of the vagina, the doctor may prescribe a more sparing regimen of intimate life for a woman, as well as iron preparations and hemostatic drugs that improve blood coagulation.
If a fertilized egg is not fixed in the uterus, but in the fallopian tube, cervix, or even enters the abdominal cavity, then for some time a woman may not be aware of this. Tests will be “striped” and even signs of toxicosis are possible. However, a pregnant woman may be bothered by smearing brownish discharge, which at first is associated with an insufficient level of hCG, because it will be produced less with an ectopic attachment of the fetal egg.
As the embryo grows, the walls and shells of the organ to which the fetal egg is attached will stretch. Quite localized abdominal pains appear, the discharge intensifies. Strong cutting pains, the occurrence of pain shock, loss of consciousness, profuse scarlet bleeding with large clots can indicate a rupture of the tube or the occurrence of neck bleeding. The gap threatens by the end of 8-12 weeks, if the fact of an ectopic pregnancy has not been established by ultrasound earlier than this period.
An ectopic pregnancy can be deadly for a woman. For the fetus, the prognosis is always only one - he will not be able to survive anywhere except the uterine cavity. An ectopic pregnancy needs surgical intervention, and the sooner this is done, the more chances a woman will have for a pregnancy in the future.
With early detection of pathology, doctors can save the fallopian tubes, the extraction of the fetal egg will be carried out by the laparoscopic method. With late treatment, alas, most often the pipe cannot be saved. In cervical pregnancy, it is often necessary to remove the entire uterus, but cases of attachment of a fetal egg in the cervix are a relative rarity.
The threat of miscarriage in the early stages can occur for a variety of reasons, and these reasons will not always be obvious. The fetus can be rejected by the mother’s own immunity, it may not be viable due to gross genetic pathologies, developmental abnormalities. The threat of miscarriage often occurs in women who have chronic diseases, reproductive health problems of infectious and non-infectious origin.
Pregnancy in the initial stages is very fragile. The abnormal nutrition of the expectant mother, her psychological experiences, stresses and shocks, hard physical work and sports, bad habits (smoking and alcohol), night shift work can disrupt her normal course. Miscarriages can be habitual, repeated. In this case, it is likely that the next will happen exactly at the same time as the previous one.
The threat of a miscarriage is often accompanied by discharge with blood. Their intensity, color, and consistency depend on the true cause of the threatening condition. With the appearance of discharge, similar to menstruation, a woman must necessarily see a gynecologist and an ultrasound scan.
With a threatening miscarriage, the fetal egg is usually not deformed, but the uterus is in high tone. With the onset of a miscarriage, the discharge is more abundant, the woman complains of increased anxiety, that her stomach hurts, pulls her lower back. Pain can be cramping. Ultrasound determines a deformed fetal egg of irregular shape. With a completed miscarriage, the bleeding is severe, the pain is cramping, in the discharge there are large blood clots and fragments of the endometrium and the fetal egg.On ultrasound, the fetal egg may not be detected or its remains determined. Fetal heartbeat is not recorded.
Modern medicine has many ways to help a woman and her child with the threat of a miscarriage and even with a miscarriage that has begun. But with the fait accompli, the doctors, alas, cannot do anything. The only solution will be curettage of the uterine cavity in order to avoid delay in it of the part of the membranes and subsequent inflammatory process and sepsis.
Chorionic presentation, detachment
If the fetal egg is fixed not at the bottom of the uterus, but at its very bottom, then the occurrence of bleeding due to small chorionic detachments is not excluded. The presentation can be complete when the entire cervical region of the cervix is overlapped, or it can be partial. It is possible to diagnose such a pathology only by ultrasound.
The reasons why the pathology occurs most often have a maternal factor, that is, are directly related to a burdened history - the presence of curettage and abortion in the past, the presence of a tumor in the uterus, polyps that prevented the blastocyst from gaining a foothold where the development of the fetus would be safer.
The uterus grows in size, new blood vessels appear in the chorion, which should turn into a placenta by the beginning of the second trimester of pregnancy. Detachment occurs during presentation due to injuries of blood vessels.
If the blood does not come out, but accumulates between the wall of the uterus and the chorion, a retrochorial hematoma is diagnosed. With it, there may be no discharge and this is the most unfavorable sign.
If the blood comes out, there is a chance that the hematoma will resolve and the pregnancy will develop further. Allocations, if they appear, are most often brown. If red blood has gone, this is a sign of a fresh detachment, and the probability of losing a child due to total detachment is higher.
A child in the womb can at any time stop developing and die. There can be many reasons - from chromosomal abnormalities that made the continued existence of crumbs impossible, to the external adverse effects of toxins, radiation, medications, and infectious diseases.
Until a certain time, a woman may not be aware of what happened until she goes to an ultrasound scan or begins to discharge, reminiscent of menstruation. A dead fetus is usually rejected by the uterus 2-3 weeks after death. During this time, a woman can pay attention to the fact that she has lost signs of toxicosis, her chest has stopped hurting. If there was no toxicosis, the sensations will not change.
Discharges at the stage of rejection usually begin, like menstruation - with a daub, which gradually “diverges”, becomes more abundant. The color changes from brownish to scarlet, bright, cramping pains appear, blood clots appear in the discharge. The further course follows the scenario of a miscarriage.
How to distinguish from bleeding?
Menstrual blood is darker, resembling venous blood, while in most pregnancy pathologies, the discharge is either brownish or scarlet - the color of arterial blood. The accompanying symptoms and changes in her own condition should alert the pregnant woman. Any discharge, even if it is not bloody, accompanied by pain, a feeling of heaviness in the abdomen, pulling lumbar pains, a false desire to empty the intestines, is dangerous.
If the fact of pregnancy has already been proved by tests and examinations, treat bloody discharge exclusively as pathological. If there is even a slight “daub”, you need to see a doctor, and with copious sudden spotting, call an ambulance and take a horizontal position while waiting for the brigade.
Statistics show that in 85% of cases, with timely treatment by a woman for help from doctors, pregnancy can be maintained. The only exceptions are cases of a frozen, ectopic pregnancy, an accomplished miscarriage, and cystic drift.
If the fact of pregnancy is not yet obvious and the bleeding started before the delay of menstruation or a few days after the delay, the best way to establish the truth is a pregnancy test. You can do it from the first day of delayed menstruation. Prior to this, a blood test for hCG will come to the aid of a woman. If the diagnosis shows a pregnancy, you should also consult a doctor with complaints of spotting.
It should be remembered that bloody menstrual-like discharge during pregnancy is not similar to regular menstruation - they are less abundant. You can also find dozens of differences in a woman’s own feelings.
According to the reviews that women leave on thematic forums, it can be assumed that many representatives of the fair sex often encounter a phenomenon such as biochemical pregnancy. It occurs if the fetal egg dies or exfoliates almost immediately after implantation. In this case, a woman may have a pregnancy test, but her period will still come, though with a slight delay.
If a woman does not plan a pregnancy, she may not have a clue about what is happening and simply perceives her periods after a delay, as a consequence of fatigue, stress, recent flu or SARS. If the child is planned, then the woman is more closely monitoring her health in the second half of the cycle and, most likely, she will notice early signs of pregnancy.
Biochemical pregnancy does not affect the ability to conceive a baby in the next cycle. A doctor is not required, since she is not considered a miscarriage. Women argue that biochemical pregnancy is indicated not only by a slight delay, but also by more abundant than usual periods.
The stories that menstruation went every month up to 6 months of pregnancy are usually told from a third party - “my acquaintance”, “a neighbor told an incident” and so on. That is what causes some common doubt. Apparently, stories of the long-term threat of abortion of certain mythical characters are retold in this vein.
For lovers to read reviews, there is only one thing to be advised: if there is blood discharge, you need to urgently go to the doctor if there is a pregnancy. If she is in doubt, you can also go to the doctor to dispel doubts or keep the long-awaited baby, if something threatens him in the very initial stages of gestation.
Monthly or similar discharge can not be considered normal at any stage of pregnancy. About whether menstruation can go during pregnancy, see the next video.
medical observer, specialist in psychosomatics, mother of 4 children
Causes of Menstrual Bleeding
Indeed, during pregnancy in the early stages, menstruation can indicate danger, but not always. Of course, if menstruation appears at the beginning of pregnancy, this is a kind of pathology, but it can not carry a threat in itself.
Be sure to consult a doctor
Lean periods during pregnancy are not a threat if.
- A fertilized egg still does not have time to attach to the walls of the uterus before the onset of menstrual bleeding in the mucous layer. Then, it is likely that menstruation can go in the early stages of pregnancy. This stage does not provide for hormonal changes in the body, so menstruation can continue.
- In different ovaries, two eggs immediately matured, one of which was fertilized. Then the second is rejected and can cause menstruation in the early stages of pregnancy.
- The hormonal background is broken. For example, a woman is dominated by androgens - male hormones, or insufficient levels of progesterone.Both cases do not pose a threat to the unborn child. These problems can be easily fixed with hormonal agents; the main thing is to consult a specialist.
Pathologies that can cause menstruation at the beginning of pregnancy.
- Menstrual bleeding, which occurs at the beginning of pregnancy, may indicate detachment of the ovum, which leads to a miscarriage.
The body itself can solve this problem if the detachment is small. Then progesterone begins to be actively produced, and the secretions are scarce, smearing. If the case is more serious, then there are pains, heavy bleeding.
- It happens that during pregnancy in the early stages there are minor periods that appear due to mechanical damage to the vagina, cervix. For example, after examining a doctor and taking smears, a girl may have a small amount of blood.
- Minor bleeding may occur during intercourse. This should not cause concern, but for complete certainty it is necessary to undergo an ultrasound scan, as well as to monitor the development of the embryo.
- Abundant menstruation during pregnancy can be observed due to ectopic development of the fetus. In this case, the fertilized egg is attached to the fallopian tube, and as soon as the fetus begins to grow, it becomes cramped, so the tube may burst. This leads to internal bleeding, which is life threatening. In almost all cases, a woman’s life can be saved, but her reproductive system can be truncated, because the fallopian tube cannot be restored.
- Menstruation during pregnancy in the early stages can occur if there are any genetic disorders, or pathological conditions of the fetus caused by intrauterine diseases. To save the child in such cases is almost impossible.
Is it worth it to call a loop on your own?
The absence of menstrual bleeding, breast swelling, a nervous state and early toxicosis can indicate the development of a new life inside you, sometimes not quite desirable. Then many begin to wonder: “How to provoke menstruation?”.
As a rule, few go to the doctor, because everyone is trying to find ways on the Internet using various herbs and drugs. Every woman understands that if menstruation begins, the pregnancy will stop, so they are trying to purchase the necessary collection or pills at the pharmacy by any means.
This is fundamentally the wrong decision. First of all, you should turn to a specialist for advice, which will tell you the most effective and safe way for you. For example, some will do well with an injection that triggers the onset of menstruation. As a rule, oxytocin is used for this purpose - a medical preparation that causes rapid uterine contractions.
No less effective drugs that can quickly cause menstruation are Pulsatilla, Postinor, Norkolut. It is also possible to cause menstruation by Duphaston or Utrozhestan.
Do not call yourself - it is dangerous
All of the above drugs are very dangerous for a woman’s health, because they radically change the hormonal background and can lead to subsequent infertility. That is why, before taking any medications, visit a doctor.
How to prepare yourself?
The key to the health of the unborn child is not only the physiology of the mother, but also her emotional state. All experts recommend thinking through some aspects in advance. If you have a feeling of doubt, discomfort - wait a while with conception.
According to sociological statistics, about 10% of pregnant women are known to have prenatal depression. Having well studied all the early signs of pregnancy before the onset of menstruation, they are often not ready for what they have to do, because they will not be able to control their body and life.
The state of depression, despondency is transmitted to the growing fetus. To avoid negative consequences, you need to psychologically prepare yourself for this event.
The causes of prenatal depression may be.
- High expectations. Some girls are sure that preparing for bearing a baby implies a kind of plan according to which everything goes. The only thing they will need is to monitor all aspects from conception to birth.
- Unforeseen changes in the process of bearing a child can provoke high anxiety, stress or a nervous breakdown. It is necessary to accept in advance that moment that it is impossible to control all aspects of life, therefore all situations that arise should be taken calmly.
- Social interest. Not every girl is ready for the fact that her position will cause increased attention of surrounding people. Bad advice, intimate questions are sometimes asked not only by close people, but also by colleagues and acquaintances.
- As soon as the earliest signs of pregnancy appear even before the delay of menstruation, you must immediately tune in to the fact that you may have to learn how to give the right rebuff if the advice of others is inappropriate.
- Family problems. The tale that the child is able to save the family is known to this day. Sometimes unlimited faith in it leads to unjustified hopes. That is why, at the first signs of an early pregnancy, even before menstruation, it is necessary to solve all the problems with your partner in order to know exactly whether you need this baby, whether it will be desired.
Consider a few reviews of women who had menstruation at the beginning of pregnancy.
The early symptoms of pregnancy appeared even before menstruation: the breast was swollen, there was a high sensitivity, and once even woke up feeling that she was pregnant. The next day, pounced on pickles, and another day later, the test showed a second strip.
As usual, menstruation went, so I did not even think that I could get pregnant. It was alarming that there were pulling pains from the lower abdomen after menstruation, my chest began to hurt - I went to the gynecologist, where they made me happy.
about the author: Borovikova Olga
Months after conception: can there be spotting in a pregnant woman or not?
To understand why many women continue to have red discharge during pregnancy and whether menstruation can go in the early stages, you should understand two important physiological processes in the female body.
Doctors say that for those who are in good health, menstruation during the period of bearing a baby is almost impossible. The fact is that during menstruation, when it proceeds normally, the unfertilized egg exfoliates, and a new one soon appears in its place.
During pregnancy, ovarian secretion of progesterone is observed, which stops the process of reducing the walls of the uterus, so that the fertilized organ remains in the body. So a pregnancy without menstruation is considered a normal and correct condition for the development of the fetus in the womb.
Despite this, the pregnancy forum contains a lot of evidence that there may be spotting in the period after conception, the duration and nature of which differ from normal menstruation.
There are reviews of women who confirm the appearance of menstruation during the period of bearing the baby due to the presence of a bicornuate uterus, when one part of the organ is fertilized, and the second continues to work for the first few months of the term, as before.
The reasons for the appearance of menstruation at the beginning of pregnancy: when you can not panic, and when should you sound the alarm?
Doctors confirm that during pregnancy, during its normal course, menstruation does not go. These two conditions are mutually exclusive.Nausea, mood swings, heaviness in the lower abdomen are the main signs of pregnancy, which the girl can recognize even before the date of the alleged menstruation.
If these symptoms are observed in conjunction with the coming red days, and after that two stripes also appeared on the test, you should not delay the visit to the antenatal clinic. The doctor will help you find out the cause of the discharge in the early stages.
There may be several:
- lack of progesterone in the body - the breast swells, body weight increases, the general condition worsens, lethargy and irritability appear, discharge with blood is observed and the stomach pulls,
- male hormone levels exceeded - there are pains in the lumbar region, primary symptoms, such as toxicosis and enlargement of the mammary glands, disappear
- ectopic pregnancy - The cause of such fertilization is various infectious and inflammatory diseases of the genital organs. In the first days of the delay, two strips can be observed on the test, toxicosis appears. With an ectopic pregnancy, brown discharge with blood occurs, which over time only intensifies, pains in the pelvic area and abdomen are also felt,
- cystic drift - intense discharge with dark blood and bubbles,
- frozen pregnancy - after the fetus freezes, all the symptoms of pregnancy disappear in the woman. Soon spotting starts, which gradually develop into a strong menstruation with scarlet blood, while the stomach hurts. Symptoms are similar to a miscarriage.
The most harmless condition in which unusual periods are observed after conception is implantation bleeding. This is a natural process that occurs due to the fixation of the egg in the uterus.
During this period, symptoms similar to those of PMS may occur. Doctors confirm that pain during pregnancy at the time of implantation can be the same as during menstruation with all concomitant conditions.
Distinctive characteristics of menstruation and discharge during pregnancy: how to recognize?
Many girls are interested in how they differ and how to determine menstruation during pregnancy in the early stages from simple menstruation. Menstrual blood is dark in color and resembles venous fluid, while the daub that appears after conception acquires a brown color and is similar to arterial blood.
Even if a woman does not know what the discharge looks like, the symptoms that accompany menstruation during pregnancy will help her. There is spasmodic and pulling pain in the lower abdomen, in the lower back and in the pelvic area, a feeling of heaviness in the uterus, and false urge to the toilet.
Pregnancy test during menstruation: is it possible to use and how to do it right?
If you conduct a test for conception during critical days, the result will be the same as in their absence.
And yet, for the most reliable result, you need to adhere to several rules:
- do not drink plenty of fluids before going to bed,
- pregnancy test strip and inkjet device is better to use the day before the expected menstruation,
- perform the procedure in the morning immediately after waking up,
- use a sterile container
- adhere to the instructions for use.
If the test showed two coveted strips, you can immediately find out the gestational age. To do this, there are special sites on the Internet that allow using the latest monthly and individual data to determine how many days, weeks or months the fetus.
A pregnancy calculator will help satisfy the curiosity of those who, for certain circumstances, cannot attend a maternity ward in the near future.
Attachment of the embryo to the uterus
About 7-10 days after the meeting of the sperm and the egg, the girl may experience the so-called implantation bleeding.In this case, the ovum passes through the fallopian tube and attaches to the wall of the genital organ. This is necessary for the cells to grow together with blood vessels, from which the fetus will feed on in the future.
The amount of blood released during implantation bleeding, as a rule, is minimal.
Hormonal disorders - this is another reason that can raise the question of a girl about whether menstruation can go during pregnancy in the early stages? The fact is that progesterone deficiency often provokes minor spotting in the first stages after conception. By the way, the secret is often noted precisely on those days on which menstruation should go according to the calendar. To normalize the condition and preserve the fetus, the gynecologist prescribes drugs that improve the hormonal background.
Pregnancy immediately after menstruation: is this possible?
It happens, and so, that immediately after the end of menstruation, a woman has symptoms of pregnancy, and soon her interesting position is confirmed. To understand whether this can happen, it is important for her to know the characteristics of her body, the individual cycle, and even take into account some external factors.
Pregnancy after menstruation occurs most often due to malfunctions in the menstrual schedule, sperm survivability, spontaneous ovulation, or due to an error in the calculation of “safe” days. During the period of carrying the baby, the mother should regularly visit the hospital and maintain a healthy lifestyle.
For those who try not to use medicines during this period, so as not to harm the fetus, it will be useful to listen to a lecture on vaginal inflammation and methods of eliminating secretions of various nature without candles and tablets from the obstetrician-gynecologist Irina Viktorovna Zhgareva.
With various injuries of the vagina, bleeding similar to menstruation is a natural occurrence. Such symptoms may occur after intercourse or a gynecological examination.
In this case, the doctor can quite reasonably ban the intimate relationship. Bloody or brown spots on linen may not appear immediately after sexual intercourse, but after a few hours.
Two eggs in one cycle
In women taking drugs that stimulate the onset of ovulation, not one, but two eggs can leave the ovary in one cycle. By the way, this often happens without taking any medications. If the first egg was fertilized and attached to the wall of the uterus, the second (unfertilized) leaves it naturally, that is, with menstruation.
In case there are any suspicious discharge, you should see a doctor as soon as possible. During pregnancy, there should be absolutely no periods, in any case, with a normal course. Therefore, it is very important to pay special attention to such a moment.
Recommend this useful and informative article to your friends and acquaintances on social networks for reading! They will be glad to get acquainted with new information data, which is better to know about. Be healthy and see you in other articles! I will be glad to reviews and comments!
Sincerely, Katherine Grimova, mother of a wonderful daughter!
Pregnancy during the period of menstruation
Contrary to the opinion of many women that fertilization is impossible during menstruation, it is quite realistic to conceive a child with menstruation. This happens infrequently, but such cases are regularly recorded in medical practice.
This happens when the hormonal background is disturbed, if the egg leaves the ovary immediately before the monthly bleeding.
Do menstruation during pregnancy differ from normal?
Reviews from women and doctors indicate that the symptoms are really different. This is manifested in the following:
- Bleeding occurs ahead of schedule.
- Allocations are scarce.
- The color is lighter or, conversely, bright scarlet.
- The duration of bleeding is less than usual.
Women who have an irregular cycle should first of all ask themselves whether menstruation is in the early stages during pregnancy. This will help to eliminate the unwanted conception and timely get medical records.
Menstruation and pregnancy: is it really possible
When the question arises whether menstruation is possible in early pregnancy, it is easy to answer negatively. From the point of view of physiology, this is impossible. During menstruation, the outer layer of the uterine mucosa is rejected. And this happens when an unfertilized egg undergoes extinction, the volume of progesterone in the blood decreases, the endometrium becomes thinner and part of it is excreted, being replaced by new tissues.
During pregnancy, the embryo formed in the middle of the cycle remains in the uterus, for which the body creates the necessary conditions for it. Everything happens exactly the opposite than before the critical days: progesterone grows, the endometrium loosens, thickens to fix the fetal egg in it.
For menstruation during pregnancy in the early stages, you can take implantation of blood.
After 7-10 days, counting from conception, the fetal egg moves down the fallopian tube to gain a foothold in the uterus. It is screwed into its inner coating, which is penetrated by blood vessels.
And the initial phase of pregnancy gives the tissues swelling and high sensitivity. Capillaries are easily destroyed, splashing out blood. The process lasts up to 2 days and falls precisely at the time of critical. The volume of discharge is minimal, but they look like menstruation in the early stages of pregnancy. With them, there may be a slight sagging pain in the abdomen.
This process is absolutely physiological, so a woman should not be afraid for her position. For some, it goes completely unnoticed.
A lack of progesterone, which ensures the normal course of pregnancy, can also lead to a woman wondering if menstruation occurs during pregnancy in the early stages. Bloody discharge is noted, very similar to them, but much smaller in number. Menstrual-like mucus comes out of the vagina on those days when the calendar would come critical. A woman may feel the discomfort inherent in them.
Such meager menses during pregnancy in the early stages are not dangerous, there is an opportunity to cope with them. The gynecologist will prescribe hormonal drugs that normalize the background. A woman should rest more these days and not think about the bad.
The appearance of discharge as a period, during pregnancy in the early stages showing obvious signs, possibly after sexual intercourse. This does not always mean an increase in uterine contractions and a ban on sex life due to the likelihood of interruption.
But during this period, blood supply to the genitals increases, so the vessels of the vaginal surface are easily damaged. Allocations may not come out immediately, but after a while in the form of a reddish daub. And if this happens on the dates when menstruation should begin, it seems that this is it.
In one cycle, two eggs
Months during pregnancy in the early stages can go if the body gave out two eggs in one cycle. This happens when using drugs that stimulate ovulation.
And sometimes nature itself gives such an opportunity to young and full-blooded women, especially if their family has had multiple pregnancies in past generations. But not always both female germ cells connect with sperm.
Fertilized remains inside the uterus, developing as it should, and “excess” is excreted, which gives a rare combination: early pregnancy and menstruation.The discharge is weak, but can be accompanied by all the symptoms characteristic of menstruation.
The onset of pregnancy during menstruation
The combination of a sperm and an egg is possible only in certain circumstances. They are created during ovulation, which occurs around the middle of the cycle. The germ cell becomes completely ready for fertilization, all the efforts of the reproductive sphere are aimed at its preservation and the favored regime.
Some women try to use this pattern in order to get pregnant. And the length of time after ovulation is considered safe in this regard, especially closer to menstruation. And having found two strips on the test, they ask whether pregnancy is possible during menstruation, the symptoms of which they feel. Although this seems to be unrealistic.
This situation is rare, but it occurs. Due to existing problems with hormones, a minor malfunction, ovulation can happen just before menstruation. The embryo is still in the fallopian tube, and the endometrium begins to slowly exfoliate and be excreted. It looks like pregnancy during menstruation, the symptoms of the latter with it differ from usual:
- They arrive a little earlier than expected on schedule,
- The discharge is noticeably less
- The color of the emerging mucus is different - lighter or darker,
- Red days are shorter.
Does the pregnancy that happened during menstruation
At the beginning of critical days, a woman's well-being changes, as during pregnancy. And when she senses this, she does not always know how to discern what caused the changes, because the main sign of her onset - the delay - is no longer there. The rest of the pregnancy through the monthly symptoms has the same as usual:
- Breast enlargement, soreness, especially felt near the nipples. Both mammary glands are the same size. When you click on the chest, fluid may come out, which is the precursor of milk.
- Spots appear near the areola on the skin. During menstruation, the chest is also painful, but in areas without discharge from the nipples,
- The need for urination is noted more often. This is caused by swelling of the tissues characteristic of pregnancy, a rush of blood to the uterus, and slight irritation due to this bladder. With menstruation, this only happens with cystitis,
- Aversion to food, morning vomiting, can change the taste for food, manifest strangeness in this sense, when you want to eat chalk, earth or something else unsuitable for this. Pregnancy through the monthly signs relating to this aspect will not be confused with critical days. During menstruation, the appetite disappears for a short time and there is no need to try inedible, only craving for sweets increases,
- Quick tired. Changes in the hormonal background provoke fatigue and irritability. It's almost like on critical days,
- Skin rashes. Hormones provoke the appearance of pimples and increased greasiness, both during pregnancy and on critical days. But in future mothers there is increased pigmentation on the face, stomach, which is not observed during menstruation. Pregnancy also “decorates” the skin of women with vessels translucent through it, thanks to estrogens.
Watch this video for signs of early pregnancy:
Start of interruption and miscarriage
Menstruation with clots in the early stages of pregnancy is almost always a bad sign, since they pose a threat to this situation. Endometrial tissues are rejected, it is easy to slip with them to a weak and tiny embryo.
If you drag with a visit to the doctor, the bleeding will end in a miscarriage, that is, detachment of the fetal egg and termination of pregnancy. Sometimes there are prerequisites for this in the form of a reduced volume of progesterone.
But its drawback is easily filled using synthetic or herbal analogues in the form of a medicine.Miscarriage can occur without obvious reasons, if the fetus initially had genetic defects, or it stopped developing. With him, a woman feels paroxysmal pain, weakness. Abundant periods during early pregnancy also indicate miscarriage.
Both conditions require the intervention of a gynecologist. With the threat of interruption, he is able to save the pregnancy. With a miscarriage, I must assess the condition of the woman and also provide the necessary assistance.
An improperly developing pregnancy is such that instead of a normal embryo, cysts are found in the uterus in the form of grapes. This is a cystic skid, in which an inferior egg cell is fertilized. She does not have chromosomes, so only paternal ones double during development.
The anomaly causes discharge, like menstruation, during pregnancy in the early stages, other signs almost do not appear. Unless toxicosis is more pronounced, gestosis can sometimes be observed. Get rid of cystic drift should be faster so that its tissues do not penetrate into other organs.
Menstruation during pregnancy: how to distinguish from ordinary
Comparative characteristics and how to distinguish between normal menstruation during pregnancy and normal are indicated in the table.
Number of Discharges
Scanty, sometimes enough daily laying
More often dark, brown
They can be bright at the beginning of a miscarriage at an early date.
In the beginning, they are darkish, as the discharge increases, they become brighter and bloody, at the end of critical days they become dark again.
Not the same as usual for a girl with menstruation - abnormally short (one to two days) discharge or, conversely, a prolonged, non-passing smear.
Normally, 5-7 days, if there are any gynecological diseases, it can be longer.
Other complaints of the woman
Additionally, pulling pains in the lower abdomen, in the lower back can disturb
When a miscarriage begins, they can become cramping in nature.
Normally, nothing should bother, in any case, the condition should not differ from the usual critical days.
However, the appearance of secretions during pregnancy is not excluded, various external and internal factors can become the causes of the condition.
How to determine pregnancy during menstruation
You can understand that pregnancy has occurred “during menstruation”, according to several factors:
- “Menstruation” is not the same as a girl usually does — less plentiful, come with a delay, without pain or, conversely, with pulling discomfort,
- the first signs of pregnancy appear - you feel sick, tastes are distorted, libido decreases, nipples and areas of the areola of the mammary glands become sensitive,
- to do a urine pregnancy test - it shows a reliable result already from 14-20 days from conception, which occurs in most girls just at the time of the next menstruation,
- undergo an ultrasound examination of the pelvic organs - at such a short time, ultrasound does not always show a reliable result - a fetal egg is found in the uterus, but in some cases the method will be informative,
- passing a blood test for hCG is one of the ways that will allow you to accurately determine if there is a pregnancy or not, regardless of where the fetal egg is located - in the uterus or only on the way to it.
The nature and color of menstruation during pregnancy is normal
Normally, during pregnancy, there can be no question of any periods, however, there may be implantation bleeding, by nature these are spotting, usually very scarce, for one to two days, and in color for everyone in different ways - from brown to reds. They are associated with the introduction of a fetal egg into the wall of the uterus. Implantation bleeding is rare, in no more than 3-5% of cases of all spotting during pregnancy.
For many women, such discharge is misleading, and they perceive them as menstruation.
False menstruation during pregnancy
For normal menstruation (colloquially called “false”), not knowing about their pregnancy, women can take the following complications of gestation:
- threat of interruption
- frozen pregnancy
- placental / chorionic detachment,
- contact discharge, especially in the presence of cervical erosion or polyps in the cervical canal.
Discharge in the days of menstruation during pregnancy
The days when a woman previously had menstruation during pregnancy also pose a danger - it is at this time that there are more frequent threats of interruption due to hormonal imbalance, and, as a result, spotting appears. A woman believes, especially in the early stages, that menstruation goes, but does not think about conception.
Watch this video on early pregnancy secretions:
Pregnancy and menstruation in the first month
As a rule, it is in the first month that women have doubts about pregnancy, and they often do not yet know that conception has occurred, therefore, spotting is mistaken for regular menstruation. But do not neglect this. If the plan was to have a baby, then it is better if you have any doubts to do a test or take a blood test for hCG.
Can there be pregnancy and menstruation at the same time
Normal pregnancy and menstruation should not be. A spotting is the result of such processes:
- implant discharge
- threat of interruption
- discharge from the cervix - in the presence of erosion, dysplasia, polyps.
Also, they can be in women with a two-horned uterus, while the fetal egg is localized in one horn, and in the empty one the usual changes occur and monthly periods appear.
Symptoms and signs of pregnancy through menstruation
Signs of pregnancy, despite the "monthly", correspond to the usual symptoms:
- nausea and vomiting, especially in the morning,
- positive pregnancy test
- change in mood, behavior, taste preferences,
- decreased sex drive.
Lean or abundant menstruation during early pregnancy
More often in the early stages there are scanty "monthly" during pregnancy. Abundant ones accompany a miscarriage that has begun or a large detachment of the chorion.
Miscarriage. 1 - uterus, 2 - cervix, 3 - fetal egg, 4 - hematoma.
a - in the uterus all the membranes, b - in the uterus the remains of the fetal egg.
Are short menstruation a sign of pregnancy?
Short periods in themselves are not a sign of pregnancy, similar cycle disorders can be caused by other factors - stresses, hormonal disruptions, diseases, etc.
However, abnormally short and very scarce menstruation should alert the woman, and if pregnancy cannot be ruled out, or there are some embarrassing signs, an additional examination should be performed to confirm / refute this fact.
Menstruation with clots during pregnancy
The appearance of bloody clots during pregnancy may indicate a miscarriage that has begun, they may even contain a fetal egg, which in the early stages has sizes up to 1 cm.
However, other gynecological diseases and conditions may be accompanied by the appearance of clots. Their detection after conception should be the reason for going to the doctor.
Is pregnancy possible if menstruation has gone?
Conception can occur even on the days of menstruation, especially if a woman has an irregular cycle, double, late or early ovulation occurs. Therefore, during critical days it is also necessary to use reliable contraceptives.
How do menstruation go through the fetus?
This is a household and absolutely non-medical designation of a concept. This does not happen that "menstruation went through the fetus."
Bloody discharge during pregnancy appears for other reasons (threat, detachment, discharge from the neck, etc.), and not as a result of regular periods.
If there were periods, is pregnancy possible?
Safe days for conception are days immediately after menstruation and on the eve of them. However, even at this time, conception is not completely excluded. With a high probability in the absence of reliable protection, pregnancy can occur in girls with an irregular, long or short cycle, under the influence of stresses (moving, psycho-emotional experiences, etc.).
Why are there no periods during pregnancy?
With the beginning of the cycle, the endometrium in women begins to grow and "prepare" for the upcoming pregnancy, later the fetal egg is introduced into this layer. If conception does not occur, menstrual flow appears. They are the result of rejection of the inner layer of the uterus, endometrium, due to a change in the hormonal background - gestagen to estrogen.
If pregnancy occurs, the endometrium is necessary for implantation of the fetal egg and normal growth, development of the fetus. Therefore, its rejection does not occur and, accordingly, there are no menstruation.
All these processes are accompanied by a special hormonal background - during menstruation, estrogens are alternately replaced by a predominance of gestagens. And during pregnancy, up to the very moment, a stable gestagenic background should remain normal.
Can there be full periods during pregnancy?
This is excluded, since the two processes contradict each other. Menstruation is a sign of an unsuccessful pregnancy or its absence.
There were all signs of pregnancy, but menstruation went - what does it mean?
Such a condition may indicate a miscarriage at an early date. This phenomenon is also called biochemical pregnancy - according to the results of blood and urine tests for hCG, a slight increase in indicators is recorded, but as a result, there is no fetal egg in the uterus, and menstruation occurs almost on time and is almost the same as usual.
Abortion for periods of up to 4 weeks is a consequence of the inferiority of the fetal egg, as a rule, such embryos are initially unviable or have serious genetic abnormalities.
Can there be periods in the first week of pregnancy?
Menstruation can not be, but spotting is not excluded for another reason, for example, if it is an implantation, from another uterine horn (with bicornism), the threat of interruption, and others.
It is extremely rare that pregnancy can occur during menstruation or on the eve of them - that is, fertilization occurs, but the egg still does not have time to get into the uterus, but "wanders" through the fallopian tubes. In this case, it is theoretically possible that there will be menstruation in the first week of pregnancy.
If your period came prematurely, can there be a pregnancy?
Earlier “monthly”, more precisely, spotting, which the girl perceives for critical days, can be during pregnancy, as a rule, in the early stages. This is usually a threat of interruption or implantation bleeding.
Can pregnancy come through menstruation?
Normally, fertilization and the onset of pregnancy occurs during ovulation - in the middle of the cycle. However, conception with unprotected sex during menstruation is not ruled out. The risk of becoming pregnant on such days is higher in girls with irregular periods, a long cycle (in case of late ovulation).
And here is more about what mothers do to keep their pregnancy early.
If, with a serious suspicion of pregnancy, a menstrual discharge suddenly appears, a woman should not think that the test and her own feelings fooled her. It is necessary to find out their nature together with the attending doctor in order to stop the bleeding and eliminate the existing danger. And if there is nothing wrong with the discharge, calmly wait for the baby to appear.
The main signs and symptoms of how to determine an ectopic pregnancy in the early stages. An ectopic pregnancy is a terrible diagnosis.
Pregnancy and menstruation. No matter how ridiculous this phrase may look, a similar, though rare, is found.
She just thinks that she had a failure in the cycle, painful and plentiful periods began. . Rubella in early pregnancy: is there.
In this case, the woman will simply notice a delay in menstruation. . How to prevent fetal fading during pregnancy.
Causes of spotting in early pregnancy
In the early stages, vaginal discharge with an admixture of blood can be similar to menstruation. A pregnant woman may have the idea that this is most likely a period during pregnancy. However, these secretions are called bleeding. This phenomenon occurs quite often and can not be called safe.
Allocations with blood during pregnancy are due to the following reasons:
- the threat of abortion,
- frozen pregnancy,
- ectopic pregnancy.
With the threat of a miscarriage, a woman has dark meager discharge. They are accompanied, as a rule, by pulling pain in the lower abdomen. This phenomenon can occur due to immune disorders in the female body, due to which the embryo is perceived as a foreign body. The mother’s body tries to get rid of it.
A frozen pregnancy may not manifest itself for a long time. But minor dark discharge, softening of the mammary glands and acute abdominal pain can identify the problem. This phenomenon occurs due to congenital abnormalities in the development of the embryo, increased uterine tone, or genetic pathologies.
With ectopic pregnancy, pain also occurs that is localized at the site of implantation of the ovum. The pain intensifies with a change in body position and physical activity. In this case, there is an abundant dark bleeding. Strong and prolonged discharge with an admixture of blood may indicate the most favorable outcome of an ectopic pregnancy - spontaneous exfoliation of the ovum.
Ectopic and frozen pregnancies require urgent surgical intervention.
Any condition of the above is very dangerous for women's health. If the pregnant woman worsens, you should immediately seek medical help. In addition to severe pains, a woman may notice a rise in body temperature, headaches and dizziness, nausea and vomiting, weakness, increased heart rate.
When are menstruation safe during pregnancy?
As a rule, any spotting in the early stages of pregnancy is a pathology, but there are still cases when you do not need to sound the alarm. Sometimes in the short gestation period, menstruation in the early stages can go for the following reasons that do not pose a threat to the mother and baby:
- implantation of a fetal egg,
- a feature of the structure of the uterus,
- fertilization just before menstruation,
- hormonal disorders,
- the output of two eggs in one cycle, one of which is fertilized,
- increased blood flow to the pelvic organs.,
- endometriosis and benign tumors of the endometrium and myometrium.
Sometimes a little bleeding occurs at the time of implantation of the ovum. But it is a meager spotting that a woman can take, like a period during pregnancy. They are caused by damage to the vessels of the uterus during attachment of the embryo. But most often this moment is not accompanied by the release of blood, so most women do not notice it.
With a two-horned uterus, a fetal egg is implanted in one part of it, and the second continues to menstruate for some time. With a two-horned uterus, a fetal egg is implanted in one part of it, and the second continues to menstruate for some time. This is exactly the option when conception occurred and at the same time, menstruation can occur during pregnancy.Of course, these menstruation during pregnancy are not the norm, but in practice a very small number of women meet with a similar pathology.
Doctors do not exclude the possibility of becoming pregnant even during menstruation. This is also true before the onset of menstruation, when late ovulation occurs. In this case, menstruation will begin as planned. A fetal egg is implanted in the uterine wall in rare cases for two weeks. In this case, the hormonal background does not have time to rebuild, and scheduled menstruation begins.
Because of this, sometimes a woman simply incorrectly determines the duration of pregnancy. So, for example, if unprotected sexual intercourse was in the last cycle, planned menstruation passed, there was no more intimacy, and after a while the woman finds out that she is pregnant. She thinks that her periods were already after pregnancy. But in fact, the beginning of pregnancy is not the moment of conception, but the time of implantation of the ovum. In this case, a logical explanation of the past menstruation is visible - late ovulation, when fertilization occurred in a cycle with an unprotected act, but the egg has not yet been implanted in the uterus.
A hormonal imbalance may be associated with a lack of progesterone or an excess of androgens in the female body. In this case, prolonged brown discharge may appear that does not constitute a hazard. Solving the problem of taking hormonal drugs. For several months, a woman may not have a clue what awaits the baby. This phenomenon is dangerous in that it leads a familiar lifestyle: it takes medications incompatible with pregnancy, experiences stress, heavy loads, and does not get rid of bad habits.
It also happens that in both ovaries, the egg ripens at the same time. Only one of them is fertilized, and the second leaves the body along with menstruation.
During pregnancy, blood flow to the pelvic organs increases, so a woman can observe minor spotting after intercourse or examination by a gynecologist. This happens due to damage to the uterine mucosa and, as a rule, does not pose any threat to the child.
During pregnancy, diseases such as endometriosis, fibroids, cysts, fibromyomas or polyps can also provoke discharge similar to menstruation during pregnancy.
How to distinguish spotting from regular menstruation
On the part of physiology, rejection of the inner lining of the uterus, into which the fetal egg is implanted, threatens the life of the embryo during pregnancy. Therefore, doctors call any discharge of a bloody nature during pregnancy called bleeding.
Many bleeding does not pose a threat to the life of the mother and the unborn baby, but it is important for a woman to listen to her feelings. If menstruation at an early stage is due to a hormonal shift, while the expectant mother feels well and there is no pain, then nothing terrible will most likely happen.
Particular attention should be paid to excessive bleeding, its color is too dark or watery discharge. Especially if these phenomena are accompanied by acute pain. It is these symptoms that indicate the threat of a miscarriage, an ectopic pregnancy, or an inflammatory process.
When a woman does not yet know about her interesting situation, the following phenomena should alert her:
- change in the duration of menstrual bleeding,
- unusually meager or, conversely, plentiful periods,
- the absence of signs of premenstrual syndrome, swelling of the mammary glands does not pass after the end of menstruation,
- blood flow in the middle of the cycle.
If these phenomena are accompanied by acute pain and poor health, then you should not postpone a visit to a doctor. If pregnancy is suspected, a test or blood test for hCG should be done.Pregnancy is diagnosed at the very shortest time and with the help of ultrasound.
What are the dangerous periods during pregnancy?
- If any kind of bleeding occurs during pregnancy, a woman needs to soberly assess the situation. As a rule, spotting, comparable in duration and intensity with menstruation, cause the loss of a child. Belonging to such adverse events is bleeding, accompanied by severe cramping pains.
- Scanty spotting, which are sometimes regular, as a rule, does not threaten the life of the unborn child, but in any case, the woman needs a gynecologist's consultation. Of course, there are isolated cases when a woman has menstruation during the entire period, and the pregnancy ends with the birth of a healthy baby.
- Such phenomena are exceptions to the rules. This happens due to the monthly preservation by the body of the hormonal background preceding the onset of pregnancy. Moreover, this condition is critical for bearing the baby.
- At the earliest stages of pregnancy, a single passage of menstruation is permissible for the reasons indicated above. But even so, a woman must evaluate her well-being and the nature of the discharge. If you feel worse, you must seek emergency medical help. Acute pain and bright red discharge of an intense nature are a reason for immediate hospitalization. If there is a threat of miscarriage, a woman is prescribed hormonal drugs, treatment of diseases and long-term therapy to preserve the fetus.
If a pregnancy test and the level of hCG in the blood already indicate pregnancy, then bleeding of any nature should be considered as a deviation and become the reason for seeking medical help.
What is important to know about menstruation during pregnancy
The expectant mother should know the following important points related to spotting during pregnancy:
- In the very early stages of an interesting situation, a woman often encounters bleeding, which is normal, but usually differs from menstruation. If discharge with an admixture of blood occurred for a period of more than 12 weeks, you should immediately consult a doctor.
- Bleeding during pregnancy, comparable to menstruation during pregnancy, is usually a pathology that threatens the life of the mother and baby.
- With the most insignificant discharge of blood, it is best to consult a gynecologist and find out its cause.
- Profuse and prolonged bleeding, especially with the presence of abdominal pain, usually indicates spontaneous abortion.
- Prolonged menstrual bleeding due to the well-being of the woman and normal development of the fetus in rare cases are associated with the unwillingness of the expectant mother to change the hormonal regimen.
- After taking birth control pills, the female body needs time to adapt to the natural hormonal background. During this period, even when pregnancy occurs, false menstruation can occur, occurring at a time corresponding to the onset of menstruation.
A pregnant woman needs to visit her doctor regularly, take all tests, and listen carefully to her body. An optimistic attitude will benefit both the expectant mother and the baby.
Ectopic fertilization of the fertilized egg
Due to various provoking factors, it happens that a fertilized egg does not attach to the uterine wall, but, for example, in the fallopian tube. This phenomenon is called an ectopic pregnancy, that is, it develops outside the uterus. It should be noted that the test may show two bars.
The signs of an ectopic pregnancy in the early stages are not much different from the symptoms after the onset of the usual conception:
- A woman experiences nausea.
- There is weakness, malaise, dizziness.
- Breast is poured.
- Pulls the lower abdomen.
- Appetite is reduced.
- The test shows two bars.
Despite this, this phenomenon is considered pathological and poses a serious threat to the life of the patient. If you do not interrupt it in a timely manner, rupture of the fallopian tube and internal bleeding may occur.
You can read more about ectopic pregnancy in this article.
Is it possible to distinguish between washing the fetus from regular menstruation?
So, let's see if monthly can still go into the first month of pregnancy, and also how to distinguish such discharge? You can find a comparative analysis in the table.
|Signs||After fertilization||Normal monthly bleeding|
|Offensive||Often with a delay or, on the contrary, ahead of schedule||On time|
|Secret volume||The discharge is barely noticeable, are scarce and pale in color.||Usual|
|Hue||Pale or, conversely, brown. Scarlet blood may indicate a beginning miscarriage||Ordinary|
|Duration||Often last 1-2 days. Sometimes there are prolonged smeared discharge||As usual, from 5 to 7 days|
|Associated symptoms||When it comes to a beginning miscarriage, a woman often experiences pulling or cramping pains||The condition is not different from regular menstruation|
In the normal course of pregnancy, there should be no bleeding. If the test turned out to be positive, but after a month or two the woman develops pathological spotting, this is an occasion to immediately consult a doctor.
Abundant periods with a bright scarlet shade, accompanied by cramping and pulling pains in the lower abdomen, should especially alert. Such symptoms often indicate a miscarriage.
How to find out about pregnancy if menstruation goes?
So, we figured out the question of whether a girl can be pregnant during menstruation and what symptoms arise. It's time to find out how to confirm the fact of the onset of conception. We will try to answer this question. The first thing you should pay attention to is the nature of the bleeding. As a rule, critical days with an interesting position last less, and the nature of the discharge is distinguished by its scarcity.
Already in the first weeks, the future mother can feel the characteristic signs. These include:
- Morning sickness and malaise.
- Frequent mood swings.
- Strengthening or, conversely, a decrease in appetite.
- Dyspeptic disorders (impaired stool, flatulence, heartburn, belching).
If a girl is faced with such manifestations, she should definitely undergo a medical examination, even if the test shows a negative result. The hospital will need to undergo the following tests:
- Analysis of urine. A reliable result can be obtained within 2-3 weeks after the onset of conception.
- Ultrasound of the pelvic organs. This method will not only be able to identify the embryo, but also exclude other conditions that cause disturbances in the health of the woman (cysts, tumors, ectopic attachment of the embryo).
- HCG blood test. This method is very likely to establish the presence of pregnancy in the early stages.
If an interesting situation is confirmed, the expectant mother needs to get medical records.
With an undesirable conception or the presence of contraindications for bearing a baby, an artificial termination of pregnancy is carried out.
How long can women have critical days in a position?
The duration of menstruation after fertilization can be very diverse. More often, the duration of critical days is less than usual, but sometimes a daub is observed for 1-2 weeks. If we talk about how long such discharge can be observed, then medical practice shows that washing the fetus is more often observed up to three months.
Signs of the onset of conception during menstruation
Can there be periods in the first month of pregnancy and what are the symptoms? According to the reviews of women, manifestations of an interesting situation are not much different. The future mother experiences the following symptoms:
- Toxicosis, which often appears in the morning. This applies to nausea, vomiting, dizziness.
- The test shows two bars.
- Change in taste preferences.
- Exacerbation of odors.
- Decrease or, conversely, increased sexual libido.
- Frequent mood swings.
With accuracy, only laboratory tests can confirm the onset of conception in the early stages. We must not forget that even a positive test is not a guarantee of pregnancy in a woman.
Lean short menstruation
Such discharge most often indicates directly the onset of fertilization and the attachment of the ovum to the uterine walls. How long do they go and is it normal? In duration, such bleeding usually takes from several hours to a day. Often women do not even notice him. In addition to conception, this symptom can appear with various infectious and inflammatory diseases in a girl, tumors, or after suffering a strong emotional shock.
Abundant discharge also often indicates a miscarriage beginning.
If the pregnancy was confirmed, and the girl had this symptom, a visit to the gynecologist should be mandatory. You need to do this as quickly as possible.
Action algorithm for women
The first thing a girl should do when she encounters a period after the conception is to visit a doctor as soon as possible. If medical care was provided in a timely and competent manner, negative consequences are usually avoided. This also applies to a beginning miscarriage. It is strictly forbidden to act independently at home and take any medications to save the baby. This can cause serious harm to a woman’s health.