Spotting

Spotting is normal

Pathological spotting

Diagnostics

Spotting vaginal discharge is one of the most frequent reasons for a woman to go to a gynecologist.

Such discharge may occur in different phases of the menstrual cycle, as well as during pregnancy. Such symptoms should always be a signal of danger, as this is the release of blood mixed with mucus and desquamated epithelial cells of the genital tract.

Spotting is normal

Under certain conditions and the absolute health of a woman, confirmed by a gynecologist, short-term, non-abundant and painless spotting, not accompanied by other painful manifestations, can be considered as a variant of the norm.

Splendid discharge before menstruation, occurring several hours or one to two days before the planned menstruation is the preparation of the mucous membrane for rejection, a sign of a decreasing level of progesterone and the beginning of the desquamation of the endometrium (rejection of the inner lining of the uterus with the exposure of blood vessels and bleeding).  

Lactation after menstruation may be an option to exit the last fragments of the uterine mucosa and coagulated blood through a narrow cervical canal. They should stop by 5-7 days from the onset of menstruation.

The spotting in the middle of the cycle is especially often noted by women who have recently used hormonal contraceptives or put a spiral, so the endometrium is adapted to work in new conditions for it. Also, slight spot bleeding can occur with ovulation.

Pink spotting may occur as a result of microtraumas after aggressive sex, with injury to the cervix, if there is erosion , as well as during the first sexual intercourse as a result of defloration. 

Spotting instead of menstruation can be a sign of implantation or pregnancy with a threat.  

Pathological spotting

Highlight brown smearing, especially appearing regularly or lasting for more than a week – this is a sign of serious problems of the body. They can be considered pathology if:

  • they occur after every normal sexual contact,
  • they are not related to menstruation,
  • they are not related to oral or other types of contraceptives,
  • there are fever, lower abdominal pain, itching and pain in the genital area,
  • the woman has a period of menopause , and before that menstruation has not been for over a year 
  • spotting during pregnancy.

Diagnostics

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When contacting a doctor about such discharge, a detailed examination is necessary:

  • detailed questioning and inspection of women
  • gynecological examination on the chair,
  • inspection in mirrors, colposcopy, 
  • smear fence for flora, cervical smear for atypical cells,
  • blood and urine tests for general analysis,
  • blood and smear for antibodies to infections,
  • Ultrasound of the genitals
  • blood for hormones.

If necessary, the exclusion of serious diseases of the sexual sphere are shown – hysteroscopy and hysterography, biopsy and diagnostic curettage of the endometrium, if necessary, MRI and laparoscopy.   

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