Blood from the vagina, but not menstruation: reasons, who to contact

Why is there bleeding in the middle of the cycle?

Light discharge that begins in the middle of the cycle with blood does not pose a danger to a woman. Their appearance in most cases is due to a sharp change in hormonal levels during the ovulatory period. At this time, the concentration of estrogens increases sharply, which affects the uterine mucosa. The appearance of bloody vaginal discharge between menstruation is normal if a comprehensive gynecological examination does not reveal diseases of the reproductive organs.

Among the causes of spotting that occurs in the middle of the cycle are:

• release of the egg during ovulation;
• the presence of an intrauterine device;
• implantation bleeding;
• taking oral contraceptives;
• use of medications that affect the menstrual cycle;
• taking medications that impair blood clotting.

The appearance of blood after cauterization of the cervix, curettage of the uterine cavity and other gynecological manipulations is considered normal.

But in the middle of the cycle, bloody discharge from the genital tract may appear due to hormonal imbalances, dysfunction of the thyroid gland, and pathologies of the reproductive organs. Any injuries to the abdomen or genitals can lead to the appearance of bloody discharge from the genital tract.

Bloody discharge 10 days after menstruation

If mucus with bloody streaks begins to be released from the vagina 10 days after the first day of menstruation, then gynecologists advise undergoing an examination. In patients with short cycles, this may be a sign of ovulation. If women have a cycle length of more than 25 days, then it is necessary to exclude hormonal imbalance or the development of diseases of the reproductive organs.

Bloody discharge on the 14th day of the cycle

About 30% of all women complain about the appearance of bloody discharge in the middle of the monthly cycle. They may not occur every month, but appear periodically.

Normal ovulatory spotting is characterized by:

• short duration, they last from 1-2 hours to 2 days;
• slimy consistency;
• small volume.

There is no need to use feminine hygiene products when they occur. For most people, they just leave a mark on the toilet paper.

Important! If blood appears in the middle of the menstrual cycle, it is necessary to exclude gynecological diseases and hormonal disorders.

If scanty bleeding continues for more than 3 days and is accompanied by pain and fever, then immediate consultation with a gynecologist is required.

Bloody discharge on day 19 of the cycle

In women whose menstrual cycle lasts more than 32 days, ovulatory bleeding may occur on the 19th day. In women with a short cycle, an egg may implant into the uterine wall during this period. As a result of the violation of the integrity of the blood vessels, a small amount of blood may be released.

Constant bleeding between periods

The appearance of discharge in the middle of the cycle, similar to menstruation, is considered a sign of pathology. They indicate hormonal imbalance, infections, endometrial hyperplasia, and inflammatory diseases. Many patients complain that the bleeding does not stop for a long time.

The occurrence of such a problem when taking oral contraceptives is a variant of the norm. The occurrence of breakthrough bleeding is allowed in the first 3 months of taking COCs.

If red vaginal discharge does not stop in the middle of the cycle, it is necessary to exclude endometritis, endometrial polyps, urogenital infections, and deterioration of thyroid function. Sometimes their occurrence is due to the growth of malignant neoplasms. There is no need to wait until they stop to visit a gynecologist. Their presence will not interfere with the examination.

Causes of blood clots

Blood clots are a situation that should definitely be discussed with a gynecologist, especially if the situation recurs more than once. The causes of such discharge can be some pathological conditions, for example:

1. peeling of the epidermis with endometriosis occurs too actively, given the intensity of the growth of the uterine mucosa. Thus, it is the appearance of clots that sometimes becomes the symptom because of which a woman goes to the doctor and learns about the diagnosis;
2. There may be a bend of the cervix. In this case, regardless of the root cause of the bleeding, the blood cannot come out normally, lingering at the point of inflection. Temporary stagnation leads to its coagulation, and then the masses come out in the form of clots. In such a situation, it is important that they come out and do not linger in the uterus, because otherwise it can become a focus of the inflammatory process;
3. the symptom may be a manifestation of the disease during menopause. Signs of a problem during such a period may include the following symptoms: heavy bleeding, discharge of blood masses after sexual intercourse, severe disruptions in the dates of menstruation.

Early pregnancy

There is such a thing as implantation bleeding. Its essence is that the fertilized egg must attach to the wall of the uterus, penetrating into its mucous layer. Considering how well developed the vascular network is in this organ, there is a possibility that during such implantation the integrity of one of the vessels will be compromised, which will lead to bleeding. Taking into account the peculiarities of female physiology, implantation bleeding occurs without pain, about a week before the next period, but it does not occur so often. Thus, mucous discharge with bloody impurities may well be considered a sign of early pregnancy.

Natural physiological process

7-10 days before the onset of menstruation, spotting, which was already mentioned earlier, may occur due to ovulation or the implantation of a fertilized egg into the endometrium of the uterus - and this is a variant of the norm. It is also worth noting that within a few days, even within hours of the onset of menstruation, slight brown spotting may appear - this also should not cause you to worry.

After menstruation, drops of blood may appear for several days, for which a daily sanitary pad will be enough - this is a natural process, thus the uterus gets rid of the blood that could remain after menstruation. However, discharge before or immediately after menstruation may also be evidence of a problem. So, if a brown “daub” occurs almost at the very beginning of the cycle, then this is most likely a symptom of uterine endometriosis. Regular brown discharge before the start of your next period may indicate a hormonal imbalance, the presence of an inflammatory process or polyps in the uterus.

Other diseases already mentioned above remain relevant:

• myoma;
• infectious lesions;
• genital injuries;
• cervical cancer, etc.

Uterine bleeding may occur at any time during the cycle. It is necessary to be able to recognize such a process in order to contact doctors in a timely manner, otherwise the situation may become dangerous. The main features of uterine bleeding are:

• filling the pad in an hour;
• duration of the phenomenon;
• the presence of dark lumps in the discharge;
• periodically occurring acute pain in the genital area;
• signs of anemia;
• drowsiness, general weakness of the body.

Types of bleeding between periods

Experts identify several types of intermenstrual bleeding. They can be:

• scanty, smearing;
• abundant.

Separately, bleeding that began in the middle of the cycle is distinguished. Emergency medical attention is required for patients whose sanitary pad becomes completely filled within 1 hour.

Based on color, bloody discharge from the genital tract is divided into:

• brown;
• pink;
• aloe;
• brown.

In addition to intensity and color, it is advisable to pay attention to the presence of pain and unpleasant odor. The consistency and presence of clots is important.

Bloody discharge in the middle of the cycle without pain

Painless vaginal bleeding is not dangerous in most cases. But the situation cannot be ignored. Among the main reasons for the appearance of bleeding between menstruation without pain are:

• ovulation;
• implantation bleeding;
• changes in hormonal levels, including during the premenopausal period;
• taking contraceptives;
• uterine polyps;
• endometriosis;
• hypothyroidism

Bloody smear may be painless in women with sexually transmitted diseases.

Bloody discharge with mucus in the middle of the cycle

Most patients complain of mucus streaked with blood. Most often smears with blood in the middle of the cycle during ovulation. Its onset is indicated by discharge resembling egg white consistency. A small amount of bloody streaks may appear with them.

Attention! If an unpleasant odor, pus, or clots are added, inflammation of the endometrium can be suspected. Patients with such symptoms are advised to immediately get tested for infections.

Bloody discharge in the middle of the cycle with clots

If a patient experiences intermenstrual bleeding with clots in the middle of her cycle, a comprehensive examination is required. They can occur during various pathological processes occurring in the uterus:

• endometriosis;
• endometrial polyps;
• myoma, fibromyoma and other tumors;
• endometrial hyperplasia.

The doctor should refer the woman for an ultrasound and tests. If necessary, a hysteroscopy (including a biopsy) and diagnostic curettage are performed.

Heavy discharge in the middle of the cycle

Intense discharge in patients between menstruation indicates the development of problems with reproductive health. Their occurrence most often occurs when:

• endometrial hyperplasia;
• neoplasms located in the uterus and cervix;
• endometriosis.

Bleeding between periods is a dangerous condition that requires immediate hospitalization of the patient.

Light spotting mid-cycle

The appearance of spotting between menstruation can be caused by ovulation syndrome, implantation bleeding, and various pathologies. Upon admission of a patient who complains of bleeding from the vagina in the middle of the cycle, the gynecologist must rule out hormonal imbalance, erosive lesions of the cervix, endometriosis, and the appearance of tumors. At the same time, hormone tests are prescribed.

When is discharge with blood a pathology?

Of course, for each woman, taking into account the age and individual characteristics of the body, the discharge with blood is purely individual.
If their duration is more than 2-3 days, they are in no way related to the onset of menstruation, or spotting brown discharge of blood appears instead, then this is a reason to visit your doctor. Discharges often provoke:

• stress;
• sudden change in weather;
• hypothermia;
• endometriosis;
• uterine fibroids;
• polyposis;
• hyperplasia.

The appearance of bloody discharge lasting more than 3-4 days after the end of menstruation should alert you, because this is already a reason to see a specialist and undergo a series of examinations. The gynecologist will examine the vagina and cervix with speculum. Will also be assigned:

• colposcopy;
• biopsy;
• Ultrasound of the vagina, peritoneal and pelvic organs;
• general, biochemical blood test.

Brownish discharge of drops of blood occurring in the middle of the cycle (days 12-16) should alert you. Especially if they go away along with a rise in temperature, pain in the lower abdomen, a burning sensation in the vagina, a feeling of soreness after sex.

You also cannot ignore bloody discharge during menopause, especially if there has been no menstruation for 1.5 years.

Causes of bleeding in the middle of the cycle

If you notice blood from the genital tract, you should not immediately panic. It can begin to be released under the influence of both pathological and physiological reasons. But it is necessary to undergo an unscheduled examination by a gynecologist. The doctor will assess the condition of the cervix, the size of the uterus and ovaries, and refer you for tests and ultrasound.

Physiological

If no diseases were identified during the examination, then the appearance of blood between menstruation is a physiological feature. Ovulatory bleeding occurs when the follicle ruptures and the egg is released from it. During this period, due to a sharp hormonal surge, blood vessels in the uterine mucosa may burst. No specific treatment is required, but a woman may be prescribed herbal preparations to prevent sudden hormonal changes.

If blood appears not during the ovulatory period, but after ovulation, then this may be a sign of implantation of a fertilized egg in the uterine cavity. A small amount of blood may be released from damaged vessels.

Pathological

With diseases of the reproductive and other body systems, both spotting and heavy intermenstrual discharge may appear. Among the main pathologies that they cause are:

• hormonal disorders;
• hypothyroidism;
• endometriosis;
• inflammation of the endometrium;
• polyposis;
• benign tumors;
• malignant neoplasms;
• sexual infections.

When receiving complaints from women about scanty periods that began 2 weeks ahead of schedule, doctors must first eliminate the effects of these factors.

Causes of bleeding in the middle of the cycle after 40 years

A disruption in the production of sex hormones in patients over 40 years of age can provoke menstruation in the middle of the cycle. Its occurrence is a reason for immediate consultation with a gynecologist. He must examine the woman and, if necessary, select appropriate hormonal therapy. Blood discharge can vary in intensity, duration, and consistency.

Comment! In the premenopausal period, bleeding often occurs in patients with polyps, fibroids and malignant neoplasms.

The most dangerous situation is when blood from the vagina begins to be released in those women who have entered the postmenopausal period. In most cases, its occurrence is associated with the growth of a malignant neoplasm.

In what cases is this normal?

Bloody discharge in the middle of the cycle may be a variant of the norm, and the first possible reason for this state of affairs is ovulation. The egg matures during the first half of the cycle, and in the absence of any deviations, exactly in the middle of it, it exits into the fallopian tube, moving towards the uterus, and being completely ready for fertilization. During this period, a large number of female hormones are produced, which may well cause a certain amount of discharge. They are usually slimy in nature with a reddish tint, or may be a dull brownish-red color. The appearance of barely noticeable bleeding is considered normal in women taking hormonal contraceptive drugs. However, if such a “daub” has been observed for several months, then it is worth contacting a specialist - perhaps there is a need to switch to another drug.

Among other things, there is a possibility of slight damage to the vaginal mucosa during active sexual intercourse - the discharge will then be extremely scanty and will most likely be detected as no more than a few spots of blood on the underwear. In a single episode, the situation does not require medical intervention and is not a problem. If discharge appears in a woman over 40 years old, then it is likely a signal of the onset of menopause. In this case, they will be quite abundant and as similar as possible to menstruation.

How to stop bleeding mid-cycle

When a minor smudge appears, there is no point in thinking about stopping it. Usually it goes away on its own within 1-2 days. But the occurrence of heavy discharge requires treatment. For therapeutic purposes, gynecologists most often prescribe hormonal therapy. The patient is prescribed oral contraceptives, which must be taken for 3 months. After stopping treatment, the doctor evaluates the effectiveness of the prescribed therapy.

In parallel, to normalize the condition, hemostatic drugs and medications are prescribed that increase uterine contractions. The doctor may recommend Dicynon, Tranexam, tincture of water pepper.

Patients who are in menopause are immediately prescribed therapeutic and diagnostic curettage. It is also carried out for severe bleeding, during which 1 pad is not enough even for 60-90 minutes.

After examination by a gynecologist

Often, due to excessive vulnerability of the uterine mucosa, damage to the epithelial layer occurs if a woman undergoes a routine examination by a gynecologist.
This is quite normal and, of course, does not pose a particular threat to women's health.

Even ointments with a duration of up to 2 days can be used; menstruation will replace it and, as a rule, on time.

Abortion is a complex surgical procedure, when injury to the delicate vascular walls of the uterus cannot be avoided and, of course, bleeding is inevitable.

It happens that they do not stop for up to 2 weeks in a row after the procedure, because many depend on the physiological characteristics of the female body.

Your period may come with a significant delay of 2-3 weeks, and according to doctors, this is normal. The mucous membrane needs to heal, and this takes time.

Most of all, you need to be wary of the appearance of severe bleeding or discharge of discharge, accompanied by itching, burning, putrid or rotten odor. In this case, there is a high probability of infection of the uterine cavity due to curettage, and of course this is already an abnormal phenomenon. You need to see a doctor urgently.

Diagnostics

To identify the cause of bleeding and spotting in the middle of the cycle, a woman is prescribed a comprehensive examination. In addition to the standard examination, questioning and smear, an ultrasound is performed.

Attention! An examination may reveal damage or tears to the cervix and vagina. If genital injuries are detected, no other examinations are required.

In other cases, if in the middle of the cycle there is noticeable discharge streaked with blood, the doctor may perform a colposcopy of the cervix and take a biopsy of its tissue. If necessary, the following diagnostic procedures are also prescribed:

• hysteroscopy;
• diagnostic curettage;
• MRI;
• blood tests, including coagulation tests, hormone tests and urogenital infections.

If you have an unpleasant vaginal odor or yellow-green discharge, you should first be checked for infectious diseases.

When should you see a doctor?

You should consult a doctor immediately if spotting appears:

• immediately after a missed period;
• during pregnancy at any stage;
• instead of menstruation, they began accompanied by fever, severe pain in the abdomen, itching, burning in the genitals;
• became regular after sexual intercourse
• last more than 3 days in a row and are in no way related to menstruation;
• occurred in the middle of the menstrual cycle, with the exception of women taking hormonal medications.

Doctors' recommendations

Depending on the intensity, duration of bleeding and the presence of accompanying symptoms, gynecologists' recommendations will vary. If vaginal bleeding occurs, immediate hospitalization is necessary.

If the discharge is not abundant, then it is necessary to understand the reasons for its appearance. If infectious and inflammatory diseases, hormonal disorders or other pathologies are detected, appropriate treatment is prescribed.

Patients with ovulatory bleeding are advised to reduce physical activity in the middle of the cycle and avoid stress. To restore health, vitamin complexes are selected. With prolonged bleeding, anemia may develop, so special attention is paid to the intake of iron in the body.

After childbirth

The appearance of discharge 3-4 days before birth in the form of brown-pink ointments indicates another hormonal restructuring in the body, and this is not scary.

The cervix gradually opens, the plug is pushed out. Bloody discharge appears 12-13 days before birth, which is associated with the expected date of delivery. Although there are cases of pathology development.

A common cause of bleeding after childbirth is the release of placenta. Lochia usually comes out within 2-3 weeks, dark in color, but in moderate quantities.

After a week, orange, lightened discharge may appear. It is possible for suckers to continue up to 2 months after delivery with a gradual increase in their quantitative discharge.

You need to see a doctor if the discharge after childbirth begins to look like heavy menstruation. But it is possible that the uterus is recovering and will return to normal, when after 2-3 weeks the discharge becomes not abundant, yellowish and gradually declines.

Dangerous reasons

Pathological causes of discharge with blood impurities include the following:

• STI;
• fibroids, polyps;
• advanced endometritis;
• vaginosis;
• uterine oncology;
• thrush;
• purulent inflammation of the cervix; eight to nine days);
• the period after an abortion or difficult childbirth.

The cause of discharge after menstruation may be problems with the thyroid gland, since its work is closely related to the ovaries.

Chronic endometritis can occur not only from infections, but also after gynecological manipulations - abortion, installation of an IUD, hysteroscopy. Endocervicitis and vaginosis provoke STDs. Inflammatory diseases of the genitourinary system, as a rule, are always treated successfully, but only if medical help is sought in a timely manner.

blood from the vagina during bowel movements

2014-02-11 20:48:58

Inna asks:

Good evening! I am 23 years old. She was seen by a gynecologist with a diagnosis of polycystic ovary syndrome. I took hormonal medications for Diana 35 and Jess (each for about six months). I haven't been taking it for the last six months. Ovulation in December ovulation took place. However, the following problems began in October: October 2013. After changing the sexual partner (namely after sexual intercourse), severe pain occurred when urinating (even blood was released from the urethra), itching and burning in the vagina, a feeling of dryness. I was tested for STDs, uroplasma, human papilloma virus, cytology - everything was negative. During the initial examination, the gynecologist diagnosed inflammation of the vagina. Polygynax and Canephron suppositories were prescribed. The symptoms went away, but after sexual intercourse they reappeared, stronger. When handing over the tank. vaginal cultures were sown: enterococcus faecalis 10 in 6, candida albicans 10 in 5, escherchia coli hemolitica 10 in 6. Geno-Pevarin was prescribed (1 suppository in the vagina, 3 days), nystatin 3 million for 5 days, fluconazole 150 mg once. Then it was necessary to drink tavannik, 1 gram for 5 days. The erosion was also cauterized before treatment began (it is not diagnosed at the moment). During treatment I did douching with soda. After the course of treatment, the symptoms decreased, but there remained pain in the bladder (sensation of inflammation) + more frequent urge to urinate, discomfort in the vagina (I am not sexually active) After visiting a urologist, I received the following diagnosis: chronic cystitis, recurrent course, urinary tract infection . nephroptosis of the first degree on the right. Treatment: flemoxin solutab 1000 mg, one tablet 2 times a day for 10 days, indomethacin suppositories 1 time for 7 days, phytolysin 1 teaspoon 3 times a day, 10 days. At the same time, I passed a repeat tank for vaginal culture. After the repeat tank. vaginal cultures did not reveal enterococcus faecalis, escherchia coli hemolitica, or candida albicans. Staphylococcus epidermidis was sown 10 to 2 (normal). In addition, the condition of the teeth worsened at the same time. On the advice of the gynecologist, a throat culture was taken (in order to exclude enterococcus faecalis in the oral cavity). Staphilococcus aureus 10 in 3 and candida albicans 10 in 4 were detected. At the moment, I continue to take antibiotics prescribed by the urologist and further actions suggested by doctors: 1) Urologist. Finish the course of antibiotics. After 1 month from the date of completion, hand over the tank. urine culture. At the same time, see a gynecologist. 2) Gynecologist. The gynecologist advises you to donate the tank. vaginal seeding after menstruation again, buy clean point or beautiful life tampons. Also, echinacea injections to restore immunity. (I do) Question: 1) My period was supposed to come on 02/9/14. There are none yet. Could antibiotics affect this? 2) In addition, is it necessary to test feces for dysbacteriosis and generally restore the flora after taking antibiotics? Constipation and pain during bowel movements are noted. 3) Is it necessary to treat staphilococcus aureus, candida albicans in the oral cavity? Which doctor should I contact? Could these bacteria cause gum inflammation and plaque? 4) How to restore immunity in this situation? What recommendations for further treatment could you give? ps against the backdrop of this whole situation there was severe stress and overwork.

Thank you very much in advance!

February 15, 2014

Wild Nadezhda Ivanovna answers:

1. If your period is late, take a pregnancy test and ultrasound. In addition, a delay is possible due to the presence of polycystic ovary syndrome or a lack of minerals, vitamins..... 2. Dysbacteriosis is possible. If possible, get examined.

3. The infection must be treated wherever it is. But, I have a question: why is the intestinal microflora in the vagina and oral cavity? Features of sex? Has the man undergone treatment? He should be treated in parallel with you. Have you taken blood tests for HIV, RV?, hepatitis B, C, total blood test, blood sugar, coagulogram? I recommend getting examined and it will become clear who to treat and the scope of treatment.

2009-06-18 23:31:08

Yana asks:

Hello! I am 27 years old. 2 years ago there was a frozen pregnancy at 7 weeks. Currently pregnant. Last menstruation April 11, 2009. There was bleeding. They threatened to interrupt. They prescribed duphaston (3 t/day), Vit. E, folic acid, dicinone (2 times/day for a week). At the moment, I am worried about the following: when defecating, blood comes from the vagina. And my back hurts between my shoulder blades, as if it were burning with fire. And the pelvis hurts on the right side, radiating to the leg. What to do? My husband and I are really looking forward to this baby.

July 06, 2009

Yavorskaya Miroslava Bogdanovna answers:

Obstetrician-gynecologist

All consultant answers

Yana, good afternoon. You are at risk for pregnancy (previous miscarriage) and are currently experiencing problems. Therefore, I recommend that you immediately consult a doctor and undergo treatment in a hospital under medical supervision.

2015-12-02 07:06:44

Vladimir asks:

Hello! I am 35 years old. I have been to a dozen urologists, but they only make all their diagnoses from prostatitis, prostatodynia, prostatorrhea and ending with spermotorrhea. They prescribed various antibiotics, vitamins AEvit, Selzinc, Selmevit, Speman, HCG 2000, this is only the small part that I had to take.

There were also Vitoprost, Prostatilen, Longidaza, Prostacor, and Genferon suppositories. They also prescribed prostate massage, but these experiments had no effect on me. I have this problem! There is a discharge in the canal of the penis, in the morning it is white in color, reminiscent of sperm, and during the day it is colorless, after defecation it comes out as a clot.

Urination is normal, I go 4-5 times a day, at night there is no desire to urinate, but there is a feeling of not completely emptying the urine, although I took uroflowmetry and the remainder is zero. When urinating, I feel like something is about to come out of the anus.

Constant aching pain radiating to the pubis, sacrum, perineum, rectum, scrotum, glans penis, groin area. In some cases, the pain intensifies after sexual intercourse, radiating to the anus.

How this discharge appeared, premature ejaculation appeared, sometimes immediately after insertion of the penis into the vagina, then the erection weakened and the ability to experience orgasm during ejaculation disappeared. Sperm does not shoot out but flows out. If there is a second sexual intercourse immediately, then there is no sperm or very little.

Testosterone dropped to 2.87 ng/ml, sexual desire almost completely disappeared. Having sex without desire. Testosterone was artificially increased "NEBIDO" but desire did not appear. The severity of pleasant sensations during sexual intercourse decreased. Psychosis, neurosis appeared, and sleep completely disappeared. I did an ultrasound and examined the prostate, everything was normal.

Ultrasound did the little ones normally. I had a urethroscopy and everything was fine. Analysis of prostate secretions; leukocytes 2-3, erythrocytes 0-1, epithelium 2-3, lecithin grains +. A three-test urine test showed no sugar, leukocytes in all 3-4. Spermogram is normal. No microflora cultures were detected. Blood sugar was 4.5. Hemoglobin 155. If you can please help, I will be very grateful.

December 10, 2020

Yulia Aleksandrovna Mazaeva answers:

Good afternoon, low testosterone could cause prostate hypotension. You need a comprehensive examination by an endocrinologist for all endocrine glands, incl. pituitary gland Also visit an orthopedist to rule out pathology of the lumbosacral spine and a neurologist to rule out systemic diseases of the nervous system.

2013-05-26 10:56:32

ANGELA asks:

Hello! I am 39 years old and had an IUD inserted about 2 months ago.

Now I am worried about brown discharge, which begins 10 days before menstruation; during sexual intercourse and defecation, scarlet-colored bloody discharge appears from the vagina; this is the second cycle after the introduction of the IUD and the previous periods were very heavy with clots; I previously took hormonal pills for contraception. , decided to give them up due to side effects. The doctor said that such symptoms can occur with an IUD and you need to wait 3 cycles. She is gynecologically healthy, all the results of smears and blood tests are normal, ultrasound did not reveal any pathology, she is therapeutically healthy. Could these symptoms be associated with the presence of a spiral in the uterus? After menstruation, these symptoms stop. And what should I do, delete it? Because such contraception does not suit me, because I still cannot have intimate relationships due to this incessant discharge. Or should I wait until 3 months have passed? Can I be shown the Mirena hormonal device if I have previously used Depo Provera and experienced side effects from gestagens in the form of excess weight, engorgement and enlargement of the breasts and acyclic brown discharge? Most likely, I will probably observe these symptoms after the introduction of Mirena? Thank you in advance for your answer.

May 29, 2013

Ivanna Ivanovna Korchinskaya answers:

The body gets used to the spiral up to 3 m.c., so I advise you to wait another month. Have you had an ultrasound? Perhaps the spiral has shifted. If the symptoms do not stop, then the coil needs to be removed.

Depo-Provera contains a high dose of gestagen, Mirena is a combined drug (barrier method + hormone therapy).

Gestagen is released in small, stable doses; it is not a fact that the side effects of Provera will recur after Mirena is installed.

Source: https://www.health-ua.org/tag/15303-krov-iz-vlagalishta-pri-defekatsii.html

Prevention measures

To prevent pathological bleeding and preserve reproductive functions, it means not to neglect simple preventive measures:

• avoid hypothermia, bad habits (alcohol, smoking, taking hormonal drugs);
• do not use intrauterine devices;
• refuse to engage in casual sex;
• do not neglect the rules of intimate personal hygiene;
• normalize nutrition;
• carry out hardening;
• take tests and conduct laboratory tests in a timely manner;
• visit a gynecologist 2 times a year;
• use aseptic techniques after childbirth;
• carry out vaccinations with drugs ( Amistar, Varix, Gardasil ) against the possible development of cervical cancer;
• relax more, stay in the fresh air;
• dose physical activity;
• develop emotional stability.

Bleeding is dangerous at any age, which all women should remember and know and immediately visit a doctor if there are constant delays, prolonged and painful menstruation, or scanty periods.

The reason for visiting a doctor should be the appearance of discharge, mucus streaked with blood, even in small quantities, especially in the middle of the menstrual cycle. Health must be protected from a young age, and even minor scarlet discharge can indicate serious pathologies, and then the development of inflammatory diseases in the genital organs.

Only timely visits to the doctor and diagnostics will protect women from serious pathological diseases and the development of oncology in the future.