The formation of mucous secretion in the female body is a natural protective reaction. Their character directly depends on the health of the reproductive system. When a woman sees brown discharge on her underwear instead of her period, of course, it scares her. In order to decide on further actions, you need to figure out where the pathology takes place and where the normal physiological processes are.
Brown discharge can scare a girl
Possible causes of brown spotting instead of menstruation
Vaginal discharge is healthy and normal. This is how cleansing occurs, removing bacteria, dead cells, and protecting against possible infections. The process of interaction between progesterone and estrogen is responsible for changes in the female body during different phases of menstruation; as a result, discharge may differ in quantity and color. For example, the presence of light brown spotting during menstruation is not a reason to panic, but if any other symptom appears, then you should consult a gynecologist.
After childbirth
During this period of life, the female body undergoes many changes and everything returns to normal after pregnancy, the restoration of the menstrual cycle begins. Menstruation may not immediately be regular, with a characteristic blood color, and the nature of the discharge may change. If earlier menstruation was heavy, then brown spotting may appear after childbirth, which is considered normal. However, it is still worth checking for a possible pregnancy, which provokes scanty discharge.
During pregnancy
If a woman has unprotected sexual intercourse, her periods are delayed and a brown spot appears after a few days. After some more time, menstruation may begin, which indicates a hormonal imbalance. If nothing happens except scant brown discharge, then it is worth doing a test for pregnancy, taking an hCG test, since in an interesting position a spot may appear, which indicates embryo implantation. If the test is negative when your period is late, then it was a hormonal imbalance.
If pregnancy is confirmed, but the discharge continues, this indicates insufficient production of hormones by the body that are necessary for the expectant mother to bear a normal fetus. A particularly dangerous sign is considered if brown discharge occurs at the moment when menstruation should have occurred according to the time (days of the cycle). This period is very dangerous for the fetus, since the risk of miscarriage is high due to a decrease in progesterone concentration.
When brown spotting instead of menstruation is a sign of pregnancy, the gynecologist will tell you this after an examination or tests. In other cases, an additional examination will be prescribed, the purpose of which will be to identify the diagnosis followed by a treatment regimen. Don’t be alarmed right away; the treatment may be quick and simple, although you will most likely have to undergo a course of procedures.
Contraception
While taking hormonal contraceptives, a decrease in ovarian function and endometrial atrophy may occur. Contraindications to the use of these drugs, their incorrect choice causes brown spotting instead of menstruation. If scanty menstruation is observed during 3-4 cycles of taking contraceptives, then it is necessary to abandon the contraceptives or replace them with others. Any hormonal disruptions affect the nature of the discharge during menstruation, since this is an imbalance of progesterone and estrogen.
Ovarian wasting syndrome
This condition indicates the premature cessation of ovarian function. Even a young girl can experience sweating, hot flashes, irritability, decreased libido, depression and other symptoms that women experience during menopause. Ovarian wasting syndrome is accompanied by brown spotting and a complete absence of ovulation. An accurate diagnosis can be made by a doctor based on the results of a study of various hormones, ultrasound, gynecological examination, and a medical history.
Symptoms of endometritis
Normally, menstrual flow has a scarlet or dark red tint.
Their volume ranges from 30 to 60 ml per day. In the first days, under the influence of hormones, the endometrium is intensively rejected, and at this time the uterus secretes the greatest amount of blood, often with dark clots, which are its inner mucous layer. The appearance of brown discharge indicates that there is little blood and it coagulates, oxidizes and darkens in the local environment before the vagina has a chance to release it. This phenomenon is naturally characterized at the end of menstruation, when the main part of the endometrium is released. This is also acceptable 1 or 2 days before the critical days, which is explained by swelling and the readiness of the mucous layer to be rejected.
When the period itself began with such brown discharge, we can talk about physiological changes in the woman’s body. These do not always mean pathology, but you shouldn’t lose control over the situation.
These discharges at the beginning of menstruation are scanty, often spotting, and are not bleeding. They contain a natural mucous secretion mixed with blood.
The hormone progesterone is responsible for preparing the endometrium for conception after ovulation. It is he who, in the second half of the menstrual cycle, contributes to the compaction and loosening of this tissue, which is programmed to accept and implant a fertilized egg into the uterus. When this does not happen, the endometrium is shed in the form of menstruation. If this does not happen, then in most situations everything indicates a hormonal disorder.
The symptom has other causes:
- Experienced stress, strain and illness.
- Taking hormonal contraceptives and other medications.
- Age-related changes.
- Normal and pathological pregnancy.
- Postpartum period.
- Little weight.
- Anomalies in the structure of the uterus.
- Pathologies (endometriosis, polyps, fibroids, other neoplasms, endometritis, infections).
Sometimes spotting, dirty discharge occurs due to delay - this may be a sign of hormonal imbalances and serious pathologies. Brown spotting instead of menstruation is typical for the following women's health problems:
- inflammatory processes in the organs of the reproductive and urinary system;
- infection in the genital area;
- benign and malignant tumors;
- ectopic pregnancy;
- miscarriage;
- other pathological processes.
To determine the exact cause of spotting, you should seek help from a doctor.
Endometritis is an inflammation of the endometrium, the lining of the uterus. The main reason for its occurrence is the presence in the body of streptococci, pneumococci, staphylococci, which enter the uterus as a result of abortion, complications of childbirth, etc. Acute endometritis is characterized by the presence of the following main symptoms:
- Prolonged brown discharge from the genital tract before and after menstruation;
- Frequent pain in the lower abdomen;
- Increase in temperature;
- General weakness of the body.
In the chronic course of the disease, an increase in body temperature, as a rule, is not observed. Endometritis is dangerous because it is practically asymptomatic.
A woman most often does not turn to a gynecologist until complications appear in the form of prolonged and heavy menstruation, which are a consequence of the onset of rejection of the uterine mucosa.
The most serious consequence of endometritis is infertility.
Endometriosis is a gynecological disease associated with the proliferation of endometrioid tissue cells, a benign tumor. Endometriosis usually affects women of reproductive age, from 25 to 40 years. The main symptoms of the disease include:
- Prolonged heavy menstruation (more than 10 days);
- Presence of pain in the lower abdomen;
- The appearance of brownish discharge from the vagina.
Most advanced cases of the disease end in infertility. A gynecologist diagnoses endometriosis.
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To establish a diagnosis, laparoscopy (examination of the abdominal organs through a special puncture in its wall) and ultrasound examination of the pelvic organs are required. Sometimes, to confirm the diagnosis, a special blood test is prescribed - a tumor marker test.
What diseases does brown discharge indicate?
What happens in the female body if there is a brown spot instead of menstruation? There are many reasons for this disturbance of menstrual function, which depends on factors such as age, sex life, climate change, nutrition, lifestyle, poisoning, stress, physical activity, surgical interventions, lactation period, after childbirth, pregnancy, diseases of the genital organs, other infectious diseases. Let's figure out what light or dark brown discharge indicates?
Light brown
Light brown spotting instead of menstruation indicates the following possible causes:
- Perimenopause provokes yellow, pink, light brown spotting. For some women they can be troublesome and very abundant.
- Light brown or pink discharge may indicate early pregnancy.
- Implantation bleeding is an early sign of pregnancy; the discharge may be red, pink, or light brown. This type of spotting instead of menstruation is considered normal and occurs 10-14 days after conception. This is caused by the implantation of a fertilized egg into the wall of the uterus.
- Atrophic vaginitis causes light brown spotting, bleeding, itching, and pain in the vaginal area. A woman may experience burning, vaginal dryness, pain during intercourse, and the discharge may have an unpleasant odor.
- Sexually transmitted diseases - light brown spotting can be an early sign of diseases that are sexually transmitted. The most common diseases are trichomoniasis, chlamydia, genital warts, and gonorrhea.
- Uterine polyps – lead to spotting and bleeding after sexual intercourse.
Dark brown
The following are considered common causes of dark brown spotting from the vagina:
- Menopause - before it begins, brown discharge is observed.
- During ovulation, the presence of spotting is considered normal and may last for several days.
- Pregnancy - in this case, daubing can last 3-4 days.
- Cervical cancer is a serious disease that is associated with brown spotting instead of periods. It is spread through the human papillomavirus. Other symptoms of cancer are: loss of weight, loss of appetite, pain in the pelvic area, pain in the legs, fatigue.
- An endometriosis cyst is accompanied by spotting, pain during sexual intercourse, disruption of the urinary system, intestines, weakness, nausea, and apathy.
- Pelvic inflammatory disease is a serious disease that requires urgent treatment. Occurs due to infection of the fallopian tubes, uterus, cervix, vagina, ovaries. These diseases are painful and can cause pain during sexual intercourse, in the abdomen, back, and infertility if not properly treated.
Brown spotting instead of your period can be a normal, harmless occurrence. But in some cases it is a symptom of very serious diseases that require urgent treatment. Therefore, be attentive to your own women’s health and consult a gynecologist in a timely manner.
Monthly bleeding is a normal symptom for women of reproductive age. They appear at intervals of 28-36 days and indicate the release of a dead egg and dead endometrial particles to the outside. Spotting instead of menstruation is a reason to visit a doctor. They can be associated not only with physiological, but also with pathological factors. It is necessary to understand in more detail in which situations treatment is required, and in which an examination by a gynecologist will be sufficient.
Brown discharge due to gynecological diseases
In non-pregnant women with a regular cycle and no hormonal problems, a common cause of brown discharge is inflammation of the genital organs and sexually transmitted infections. In infectious pathologies, the discharge can be not only bloody-brown, but also yellow-green, white and curdled, purulent. Vaginal infections are accompanied by the following symptoms:
- foul putrid or fishy odor of discharge;
- itching, irritation of the vulva;
- swelling of the mucous membrane;
- discomfort during intimate contact.
Diseases that cause spotting:
- cervicitis;
- salpingo-oophoritis;
- endometritis;
- syphilis;
- gonorrhea;
- chlamydia;
- trichomoniasis;
- bacterial vaginitis.
In all cases, the lower abdomen usually hurts. If you suspect inflammation in the genitals, you should immediately visit a gynecologist. Such diseases do not go away on their own and often lead to complications such as infertility.
If a woman has a delay, no menstruation, instead there is a brownish smear, but the test shows a negative result, this may be a symptom of an ovarian cyst. Cysts of the corpus luteum, as a rule, resolve on their own, but they should be monitored by a gynecologist (we recommend reading: corpus luteum cyst: where does it hurt and how to recognize the formation?). If the cyst grows, it is removed surgically.
Thick dark brown mucous discharge containing pus that continues for several days in a row and does not stop is a very dangerous sign. This symptom may indicate cancer of the cervix or uterine body. Malignant diseases rarely manifest themselves in the early stages, so if such mucus appears, you should immediately consult a gynecologist.
Physiological reasons
Discharge is considered harmless if it persists for 2-3 days and then gives way to heavy bleeding. In this case, the symptom indicates a gradual release of dead endometrial particles. They give pinkish and brownish shades to transparent vaginal secretions. Situations when periods are smeared with brown, but do not start for more than 3 days, should cause concern.
A symptom like this is normal:
- when consuming oral contraceptives;
- during the maturation of the genital organs (in teenage girls);
- before menopause;
- after surgical interventions;
- after suffering moral shocks;
- after active sexual intercourse;
- during the period of ovulation.
The reason for spotting instead of menstruation is the initial use of oral contraceptives or the replacement of one drug with another. Bloody discharge in this case is a symptom of the body’s addiction to hormones.
This period can last from 1 to 3 months.
Atrophy of the mucous membranes of the uterus is another reason for scanty menstruation. The absence of exfoliated endometrium leads to a decrease in the amount of bleeding or its complete absence. This condition in women can be caused by hereditary factors, taking potent medications, a tendency to early menopause, or numerous IVF procedures performed in the past.
Hormonal changes and puberty are another reason why menstruation smears and does not go. An unstable cycle is observed in adolescents from 13 to 17 years. Their menstrual cycle normalizes within 2 years after the onset of menarche.
After this, the cycle should stabilize. Similar symptoms are observed in women during menopause. They smear blood, but menstruation does not appear due to the extinction of the reproductive function of the ovaries. At first, menstruation becomes rare and scanty, and then disappears altogether. If menstruation is not observed for more than 3 months, this means that menopause has arrived.
Regular spotting instead of menstruation is a reason to consult a gynecologist.
In case of a disease of the reproductive system, the discharge smears for three days or more, and then is replaced by copious bloody secretion. As a result, a woman notices a lengthening of her cycle.
Surgeries on the ovaries affect the regularity of menstrual bleeding. Instead, women may experience spotting on their underwear. Usually, after successful manipulations, the cycle improves within 2-6 months. After hysteroscopy and curettage, the cycle stabilizes within 30 days. Spotting is possible after hysteroscopy.
Other physiological factors that cause brown anointing but no menstruation:
- Poor nutrition or strict diets. Estrogens are female hormones produced in adipose tissue. The lack of this hormone leads to serious problems in the girl’s body, including cycle failure. With significant weight loss, prolonged amenorrhea may occur, which can be eliminated with drug treatment.
- Emotional turmoil and regular stressful situations.
- Heavy lifting or excessive exercise.
- Abrupt climate change.
- Work in hazardous production.
Menstruation stabilizes after normalization of the work and rest regime, elimination of external provoking factors. Brown spotting should not appear instead of menstruation. Normally, women should lose 150 ml of blood during 1 menstruation.
Contraceptives
Hormonal medications are designed to correct a number of problems, but their main task is to prevent unwanted pregnancy. Their use is aimed at correcting natural hormonal processes by changing the level of progesterone or estrogen at different periods of the menstrual cycle. These manipulations with the natural functioning of the reproductive system often manifest as disturbances in the usual course of the cycle.
This is why it is so important to start taking these medications after a complete diagnosis and under the strict supervision of a doctor.
Some deviations from the usual menstruation are acceptable, including brown spotting at the beginning, in the first 3 months from the moment you start using the drugs. Later, such a sign is a cause for concern.
Spotting during pregnancy
Pregnancy is the main reason why periods are smeared with brown, but do not start. In order to confirm her status, a woman needs to take a home pregnancy test. If 2 stripes appear on the test, this means that she will become a mother in the near future. Spotting during early pregnancy is also a reason to consult a doctor. The symptom may be due to poor attachment of the fertilized egg to the uterine cavity. If medical attention is not provided in a timely manner, spontaneous miscarriage may occur. Read about the signs of pregnancy in the early stages before the delay in the article at the link.
Discharge for a week without menstruation, abdominal pain and smearing with blood is a sign of insufficient progesterone production, ectopic pregnancy or poor attachment of the fertilized egg.
During the normal course of pregnancy, the symptom in question lasts no more than 1-2 days and stops on its own. The main cause of minor bleeding in the 1st trimester is rupture of blood vessels after embryo implantation.
If a woman does not have the opportunity to purchase a test, she can suspect pregnancy based on a number of signs:
- feeling of nausea;
- minor pain in the lower abdomen;
- dizziness;
- loss of appetite;
- changes in taste preferences;
- lowering blood pressure;
- changes in the color and shape of the nipples;
- increased sense of smell.
Scanty periods and nausea are reasons to consult a gynecologist. Pregnancy pathology should be excluded.
Severe pain and spotting will accompany an ectopic pregnancy. The problem appears two weeks after fertilization of the egg and is due to the fact that the fertilized egg injures the fallopian tubes and contributes to their stretching. The doctor will be able to determine the dangerous condition using an ultrasound. Ectopic pregnancy can only be eliminated surgically.
Probability of pregnancy
It is also necessary to consider the appearance of brown discharge instead of menstruation as a sign of pregnancy. Therefore, if your period starts for a long time, you first need to do a test or check your blood for hCG. And then look for other possible reasons.
When fertilization occurs, a spotting discharge of a beige, brown, or dark shade may appear if there is a delay. Conception can only occur during the period of ovulation, but it must be taken into account that sperm remain active in the vagina for up to 7 days.
You can assume early pregnancy if you have brown discharge instead of menstruation and a slight ache in the lower abdomen or pain in the mammary glands.
Spotting after childbirth
After the birth of the baby, the woman experiences lochia for two months. The duration of spotting will depend on the method of feeding the baby and the individual characteristics of the female body. Usually, with artificial feeding, menstruation will begin in the third month. With breastfeeding, this period can be extended until the end of lactation or the introduction of complementary foods.
At the beginning, women who have given birth will have spotty and scanty periods. If a woman is not breastfeeding, but her cycle has not normalized within 6 months, then she should consult a gynecologist for advice. Spotting instead of bleeding is also possible in the first months after abortion, during which the lining layers of the uterus are injured.
Postpartum period
After childbirth, the body experiences a lot of stress. A sharp and intense hormonal change begins, the reproductive system tends to gradually return to its previous mode of functioning.
When a woman breastfeeds her baby, the menstrual cycle does not return to its usual rhythm for a long time or there is simply no bleeding under the influence of the hormone oxytocin, which is responsible for the contraction of the uterus and the flow of milk.
With the end of lactation, menstruation returns quite quickly, and in the first months it may begin with a brown spot.
Pathological causes
Hormonal imbalances lead to the fact that menstruation does not go away. During the period of taking contraceptives, spotting secretion instead of heavy bleeding may appear for 4, 6 or more months. The list of non-gynecological symptoms leading to scanty pinkish leucorrhoea includes:
- anemia (lack of hemoglobin in the blood);
- vitamin deficiency, in which there is an insufficient supply of oxygen to the body;
- hormonal imbalances;
- cardiovascular diseases;
- slow metabolism;
- psychological disorders;
- gastrointestinal pathologies.
The list of gynecological reasons includes:
- Ectopic pregnancy. It is difficult for a woman to determine that she has conceived, since pregnancy tests give negative results. She will feel severe abdominal discomfort and symptoms of body intoxication. The absence of heavy menstruation is the only sign by which a dangerous condition can be suspected. Additional symptoms of the pathology: nagging pain in the lower back, discomfort when going to the toilet, flatulence, enlarged mammary glands, severe manifestations of toxicosis. The most dangerous complication of an ectopic pregnancy is internal bleeding due to a ruptured fallopian tube. The problem more often than other gynecological pathologies causes infertility in girls.
- Risk of miscarriage. According to statistics, about 10% of pregnancies end in miscarriages. The main symptom of the onset of a miscarriage is if brown mucus smears for 4 days. The main reason for termination of pregnancy is a lack of the hormone progesterone in the female body.
- Inflammatory processes of the uterus and ovaries. If there is a problem, the blood vessels penetrating the genitals bleed under any mechanical influence.
- Sexual infections that occur in a latent form: gonorrhea, chlamydia, trichomoniasis. If there is a problem, the spotting whites will have dark shades and an unpleasant odor. In the secreted secretion, a woman will be able to see inclusions of pus. With an exacerbation of STIs, the clinical picture is supplemented by pain when urinating, burning in the lower abdomen, and itching in the vagina.
- Endometriosis. The disease is diagnosed annually in 10% of women of reproductive age. One of the manifestations of the disorder is brownish leucorrhoea instead of menstruation for the second month. The patient may feel discomfort during sexual intercourse.
- Cervical erosion. Represents manifestations on the mucous membranes. Deep erosions lead to minor bleeding after sex or during the use of vaginal suppositories. Thickening of the endometrium of the uterus. The disease is accompanied by scanty spotting instead of menstruation and, if not treated in a timely manner, can be complicated by oncology.
- Adenomyosis is a pathology that occurs after numerous abortions and curettages. Instead of menstruation, dark red discharge appears on the pad. Adenomyosis is accompanied by cutting pain above the pubis and a general deterioration in well-being.
What diseases lead to uncharacteristic discharge during menstruation?
The pathology is distinguished by a sudden change in the nature of menstruation, as well as accompanying symptoms that appear gradually.
Endometritis
Inflammation of the uterine mucosa as a result of the spread of infection from the vagina. Accompanied by cutting pains above the pubis, pulling in the lumbar region, brown discharge with clots. Characteristic signs are an unpleasant odor of the liquid, itching of the genitals, and increased body temperature. This happens when there are STI pathogens in the vagina, as well as other pathogenic bacteria, fungi or viruses. They spread to the uterus when immunity decreases, for example, during hypothermia. Treated with antibiotics and other auxiliary drugs.
Endometriosis
When clots of the intrauterine mucosa do not come out, but begin to function independently and spread to other organs, the woman notices a brown spot in the middle of the cycle, as well as on the eve of menstruation. This condition develops when there is a severe imbalance of hormones and is difficult to treat. To get rid of it, combined contraceptives and surgical removal of lesions are used.
Attention! The frequency of spotting, when it occurs during menstruation or in the middle of the cycle, may indicate the presence of hormonal problems.
Hyperplasia
Sometimes endometriosis begins with it. These are also serious endocrine changes that lead to rapid proliferation of the endometrium; the layer is very thick and is not completely rejected during menstruation. Therefore, menstruation becomes longer with spotting in the first and final days. You can even see brown clots in the middle of your period. The process is accompanied by pain in the abdomen and lower back, and emotional outbursts.
Polyps
Formations that bleed on their own when damaged. But they often block the exit to the cervical canal, so during menstruation you can unexpectedly see brown discharge or clots. Polyps appear for a number of reasons, including hormonal ones. They are treated surgically, removing them during hysteroscopy.
Myoma
A tumor in the muscles of the uterus is characterized by heavy menstruation with brown spotting on different days. This is a rather large formation, which not only mechanically prevents the normal flow of menstruation, but also affects the vessels of the uterus. It is also characterized by dark discharge in the middle of the cycle and on the eve of menstruation. It usually appears closer to menopause and is thought to be caused by endocrine disorders. Sometimes it can be treated with hormonal drugs, in other cases it is deprived of its blood supply surgically.
Polycystic ovary syndrome
Due to a malfunction in the endocrine system, many cysts form on the surface of the organ, which, in turn, disrupt the functionality of the gland even more. The production of sex hormones decreases, the nature of menstruation changes. Menstruation is scanty, brown most of the menstrual days. The disease is treated with contraceptive drugs.
Oncology
Cancerous tumors, unfortunately, make themselves felt already in the final stages. And at first, periodic bleeding occurs on different days of the cycle. When the tissues are already decomposing, you can see black and brown clots in the menstrual blood and smell a rotten smell. Treatment is surgical with complete removal of the affected and surrounding healthy tissue, radiation or chemotherapy.
Attention! With oncology, watery, very liquid discharge is also observed on different days of the cycle with an unpleasant aroma of rotten meat.
Disease of the blood and blood vessels
The pelvic organs are susceptible to the formation of blood clots and insufficient blood flow. The condition is aggravated by sedentary work and excess weight. In addition, brown discharge occurs with anemia and other pathologies of the circulatory system. Treatment is specific to each case.
Unhealthy body weight indicators
Dystrophy and obesity lead to changes in hormonal levels. In severe cases, menstruation disappears completely; at the intermediate stage, they gradually turn into a scanty brown smear. Strict diets also lead to endocrine disruption. If the situation is not normalized, the woman will become infertile and will also receive a bunch of various diseases. First of all, it is necessary to establish a moderate amount and calorie diet, add physical activity in order to gradually reduce weight in case of obesity. If there are not enough kilograms, special restorative nutrition is necessary, and if the condition is caused by anorexia, then psychotherapeutic help.
Women's comments
During my second pregnancy, I noticed that on the third day I was smearing pink mucus. I went to see a gynecologist. The doctor discovered that I had a frozen pregnancy and advised me to go to the hospital. At the hospital I had a curettage performed. After this, normal periods began after 2 months, and after 6 months the gynecologist allowed me to start planning a child again.
Evgenia. 22
I found out that I was getting pregnant by my periods, which anointed and went away. The doctor said that this is normal in the first months after conceiving a child. The pregnancy went well. She gave birth on her own, without complications.
I went to the gynecologist because my stomach constantly hurts and bloody spots appear on my underwear. After examination, the doctor diagnosed uterine polyposis. On the fourth day after my treatment, I had surgery to remove the overgrown tumors. After the intervention, I went to the gynecologist every month and took medications to prevent the problem from reoccurring.
Not every woman can boast of a stable menstrual cycle, but a slight delay of a few days does not always mean pregnancy or severe hormonal imbalance. When brown discharge occurs instead of menstruation, it is important to pay attention to its characteristics and accompanying symptoms, which we will discuss in this article.
Characteristics of the norm
When the discharge is brown in color for up to three days, there is no reason to worry. For many women, spotting begins shortly before menstruation, gradually acquiring the features of natural bleeding characteristic of the regulation.
Pathology should not be suspected if the following characteristics of secretion occur:
- homogeneous consistency (small clots);
- reddish or brown tint;
- insignificant volume (daily days are enough);
- absence of itching and burning;
- no unpleasant odor;
- occurs a few days before menstruation;
- Not every cycle is noted.
The main factor in the appearance of brown discharge with blood instead of menstruation is a hormonal imbalance. It can be provoked by the woman herself. Certain conditions can affect the functioning of the reproductive system.
Hormonal disorders
The basis of modern oral contraception are hormones, so the female body takes some time to get used to each drug. Brown discharge during menstruation during the period of adaptation to a new type of contraception for several months is a variant of the norm. If the spotting continues for more than three or four cycles, you should definitely consult a gynecologist.
There may be the following causes of brown spotting when using oral contraception:
- insufficient dosage of hormones;
- deviation from instructions;
- failure to take pills on time;
- individual intolerance to the drug and its components;
- bad habits and diseases.
Very often, hormonal disruptions occur in women who resort to emergency contraception (Agest, Postinor, Escapelle). Usually, by the next cycle the balance of hormones is restored, the main thing is not to use such pills too often.
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After installation of an intrauterine device, brown daub may be released during the adaptation period, as well as in case of improper installation or rejection of the contraceptive by the body. For these reasons, the use of this method of contraception should be under the strict supervision of a physician.
Failure occurs due to certain factors:
- Progesterone deficiency prevented the endometrium from forming to the required extent, which is why the latter could not prepare for rejection or there was simply not enough of it for this.
- An excess of the hormone mentioned above did not allow the reproductive system to begin full menstruation.
- The lack of estrogen influenced the fact that the mechanism of endometrial rejection did not start completely, but was indicated only by brown spotting during menstruation.
Such disruptions occur due to stress, which leads to complications of diseases of other systems, endocrinological disorders, poor nutrition and lifestyle, excessive use of drugs containing hormones, and increased stress.
Effect of drugs
Why do I have black periods? Not only hormonal therapy or birth control pills provoke abnormal secretion at the very beginning of the cycle. Spotting instead of menstruation may result from taking the following medications:
- Antibiotics. The medications themselves do not directly affect female hormonal levels. But the failure occurs due to the impact on the vagina. After prolonged use of antibiotics, beneficial microflora suffers, which can affect the functioning of the uterus and ovaries. Hence the slight brown spotting secretion when menstruation is delayed. The main reason is the delayed maturation of the egg.
- Antiulcer drugs. In most situations, the stability of monthly bleeding is affected. Often provoke a change in the duration of the cycle, as well as a delay against the background of brownish marks on the daily.
- Hemostatic agents. Doctors prescribe these medications for heavy monthly bleeding. But violation of the dose or non-compliance with instructions often causes pseudomenstruation, and sometimes a complete absence of menstruation.
- Antidepressants. The drugs reduce the intensity of menstruation. With a significant duration of the course of treatment, a situation arises when there is brown discharge for three days, but there is still no period. With antidepressants, a delay of up to three to four days is allowed.
Women who take diuretics, psychotropic, and anabolic (steroid) drugs are also at risk.
Why does age affect the color of discharge?
Brown discharge during menstruation may appear in girls during puberty; at this time, in adolescents, the menstrual cycle begins and ovulation may not occur.
If the blood turns brown during menstruation in the first year of this physiological process, then there is no particular reason to worry. The constant and prolonged nature of such discharge should cause concern; here you cannot do without consulting a gynecologist.
In adulthood, in women who have crossed the forty-year mark, a period of natural decline of ovarian function begins; this is a preparatory stage before menopause, when hormonal levels decrease. But you shouldn’t make reference to age, because menopause occurs differently for every woman.
Why do black discharge appear after severe hypothermia instead of the usual menstruation? This may indicate a disruption of the menstrual cycle resulting from inflammation of the uterus, its cervix or appendages.
If dark discharge is accompanied by itching and burning in the vagina, discomfort and pain in the lower abdomen, as well as when urinating, you should look for the cause in unprotected sexual intercourse or with a dubious partner. Such symptoms indicate the presence of a hidden sexually transmitted infection. This may include chlamydia, syphilis, trichomoniasis and gonorrhea.
While taking birth control pills, hormonal disruptions may occur, which negatively affects ovarian function, and endometrial atrophy may occur.
Any contraceptives should be prescribed by a doctor after consultation with the patient, since the main problems are associated with incorrectly selected medications or contraindications to their use. Repeated brown discharge over several cycles of taking pills makes you think about changing this drug to another.
Within a year or two after menarche (first menstruation), the appearance of brown discharge during menstruation is normal. During this period, hormonal levels improve, the level of progesterone and estrogen constantly fluctuates, as evidenced by deviations in the regularity of the female cycle.
The completion of the reproductive function also does not go unnoticed. When menopause occurs, estrogen production decreases, which provokes significant changes in the woman’s reproductive system. Due to a deficiency of this hormone, menstruation occurs more and more moderately, starting with brown discharge, and sometimes does not occur at all.
The brownish color of vaginal fluid varies depending on the cause: light brown, brown, or even black. Vaginal secretion may darken due to:
- taking antibiotics;
- hormonal imbalance;
- worsening of the disease;
- development of diabetes mellitus;
- disruption of the endocrine system;
- treatment with hormones.
The brown color of menstruation can be caused not only by hormonal-based drugs, but also by some other groups of medications. Dark spotting instead of regula may appear after the following types of drugs:
- antibiotics. After long-term use of antibacterial agents, the vaginal microflora changes, which negatively affects the functioning of the uterus and its appendages, and slight brown discharge appears in the form of a smear. They can be caused by a slowdown in the maturation of the egg;
- antiulcer medications. These drugs almost always cause menstrual irregularities; they change the length of the cycle and cause the appearance of dark spots even between periods;
- hemostatic drugs. These medications are prescribed to stop uterine bleeding and heavy menstruation. If you violate the dosage or do not adhere to the prescription, you can provoke spotting instead of menstruation or amenorrhea;
- antidepressants. Taking drugs from this group is indicated for very heavy menstruation, but prolonged treatment can lead to a delay of 3-4 days, and brown spotting begins instead of the critical days.
There is a high probability of abnormal periods in women who take diuretics, psychotropic and steroid medications.
Wrong lifestyle
Loss of monthly menstruation may occur due to:
- smoking;
- drinking alcohol;
- drug addiction;
- long-term intoxication;
- labor in hazardous production;
- great physical activity.
At first there may be a slight delay, but with a loss of strength and immunity, spotting during the expected menstruation cannot be ruled out. The problem can only be solved by completely giving up bad habits, changing jobs and starting a healthy lifestyle.
Abrupt climate change
A banal move can provoke abnormal blood secretion. Most often, women suffer from this after a long flight to another climate zone. You should go to the hospital if pseudomenstruation lasts for more than a week, and their general health worsens.
Poor food
Such a load on the body in the form of a lack of essential microelements in most cases provokes a delay of several days. With a sharp decrease or increase in weight, periods sometimes disappear completely. A failure for 2-3 days with scanty brownish secretion indicates that there is not enough iron in the body. Its deficiency causes dark blood color.
Stress and overexertion
Great physical exertion and nervous shock provoke problems in the functioning of the central nervous system, which is responsible for the course of the entire monthly cycle. The problem manifests itself individually. Some women suffer from heavy brown discharge instead of their scheduled periods, while others experience no menstrual bleeding at all.
Against the background of physiological factors, the appearance of brown discharge instead of menstruation in a week is allowed only if there is no pain or discomfort. It is extremely important to see a doctor if you do not have menstruation in the second month.
Abnormal reasons
There are several factors that can cause menstruation to be replaced by small discharge. So, this is taking certain groups of drugs related to hormonal and contraceptive drugs. At the beginning of the cycle, they can cause an unusual secretion to appear. In addition, the following groups of drugs have a similar effect:
- Antiulcer. May cause a delay during which blood spots will be observed, as well as a change in cycle length.
- Antibiotics. Can lead to brown discharge instead of menstruation with prolonged use.
- Antidepressants. They influence the intensity of menstrual bleeding.
- Hemostatic. Often prescribed in case of heavy discharge. But if the dosage is not strictly observed, it can lead to the cessation of menstruation or the appearance of brown secretion.
In addition, doctors note that a similar problem can occur in women who take steroids or psychotropic drugs. In any case, if you need to take any of these drugs for a long time, you should first consult a gynecologist.
Violation of secretion can be caused by an intrauterine device that is installed incorrectly or due to infection.
If brown discharge occurs instead of menstruation, the reasons may be related to the woman’s poor lifestyle. First of all, this is a violation of the diet. The human body must regularly receive all the necessary vitamins and minerals, this is especially important for stressful situations, which include “critical days.” If a girl is on a strict diet, then she may not have enough necessary substances for the normal onset and course of menstruation.
If the delay is 2-3 days, and the discharge is dark brown in color, it means that the body is suffering from a lack of iron - it is necessary to replenish it with apples, cabbage, lentils and buckwheat, or buy a special complex rich in this element.
In addition, bad habits can provoke the problem:
- regular alcohol consumption;
- smoking;
- work in hazardous production;
- systematic excessive physical activity;
- poisoning of the body.
All this can cause short delays, and, coupled with decreased immunity and chronic fatigue, can cause “pseudo-periods.” To avoid the problem, you have to completely abandon bad habits and change your type of activity.
A sudden change in climatic conditions, for example, during a long-distance flight from one country to another, can also cause light discharge of fluid.
Stress is also often the cause of the problem, and from constant stress, critical days can disappear completely or manifest themselves as a small amount of blood.
Age-related changes
The appearance of scanty brown discharge instead of menstruation is often associated with puberty or the decline of the reproductive system (menopause):
Teenage feature
During puberty, the monthly cycle is just beginning to stabilize, so ovulation does not occur all the time. Because of this, menstruation is absent, and instead the girl notices slight dark discharge. Light brown discharge may also occur for the same reason. This situation is the norm exclusively in the first 12 months after menarche.
Climax
Around the age of 40, women gradually lose their ability to bear children. The functions of the ovaries fade away, provoking spotting secretion, which has nothing to do with menstruation. Premenopause does not have a strict time frame, so its appearance is possible earlier – at 35 years of age.
Girls and women who, in addition to unusual secretion, suffer from painful sensations in the lower abdomen, discomfort in the genitals and other unpleasant symptoms need to undergo diagnostics.
Possible natural factors
Dark brown discharge instead of menstruation can be observed for completely “healthy” reasons, for example, in the first 2 years in young girls, while the cycle is still forming, so the discharge can be either abundant or, on the contrary, very scarce. In addition, the following explanations are possible:
- Pregnancy. In the first weeks, when the embryo attaches to the wall of the uterus, damage to the blood vessels occurs, the blood oxidizes and is released from the vagina along with mucus. A woman who is not yet aware of her “interesting situation” may decide that she has started menstruation.
- The onset of menopause. About 3 years before the discharge stops, the cycle begins to change; ovulation does not always occur, which can lead to the appearance of light discharge. The closer you get to menopause, the smaller and lighter in color the regulae become, and over time they disappear completely.
Also, scanty discharge instead of menstruation can be observed after the birth of a child and during breastfeeding; menstruation in the full sense does not resume immediately; it is very possible that brown spots will remain on the underwear for some time.
After childbirth
Postpartum recovery occurs differently in patients, but it cannot happen too quickly. If you are not breastfeeding, your period may appear after several cycles. And before this period, the appearance of brown-red discharge instead of menstruation is quite acceptable.
After childbirth during lactation, there may be no monthly bleeding even for a year. This is how the body protects a woman from pregnancy so that she can fully feed the child. The reproductive system sometimes produces light discharge with blood in the middle of the cycle, when the baby gradually switches to complementary foods and lactation decreases.
Childbirth and breastfeeding
The restoration of the menstrual cycle in women after childbirth and during lactation occurs gradually, so if several cycles occur with brown discharge, but without pain, this is normal. Just note how long you have been observing this process, and if the usual menstruation does not occur, be sure to visit a gynecologist.
Let's summarize and highlight those situations when brown discharge during menstruation does not cause concern:
- before the onset of menstruation, this is a sign of the onset of menstruation
- at the end of the menstrual cycle, this is getting rid of the last drops of blood
- in the middle of menstruation, scanty discharge in some women is a symptom of ovulation
- at the beginning of sexual activity, after losing virginity and some time later
In any other situation, especially if the dark discharge continues for a long time or with pain, do not delay your visit to the doctor and do not make independent decisions regarding treatment, so as not to trigger a possible disease.
Hormonal drugs and contraceptives
Modern contraceptives contain hormones. Therefore, the female body needs some time to get used to new conditions. Dark brown discharge instead of menstruation when taking OCs may be characterized by an adaptation period that lasts several months. If blood continues to be released for more than three months, you need to visit your gynecologist.
A strangely long-lasting secretion with blood clots and a delay can be caused by:
- lack of hormone dose;
- violation of instructions;
- skipping a pill;
- excess dose;
- drug intolerance;
- presence of bad habits or diseases.
Most often, women experience hormonal cycle disruptions after Escapel, Postinor or Agesta. These are popular emergency contraceptive drugs. The girl begins to suspect pregnancy, but conception does not occur. The cycle should be restored, but for this it is necessary to avoid taking such pills again for several months.
The intrauterine device also requires the body to get used to it. But sometimes it causes pathological secretion due to:
- incorrect installation;
- peeling of the product;
- introduction of infection.
Therefore, this type of birth control requires medical supervision. It is highly undesirable to buy medications on your own.
Treatment of pathology
If the phenomenon is provoked by stress, nervous disorders, acute poisoning, menstruation will normalize on its own as soon as the root cause is eliminated. If the delay occurs some time after unprotected intercourse, it is necessary to take a pregnancy test. It would not be superfluous to undergo an ultrasound examination and donate blood for hCG.
If the patient is diagnosed with endometritis, antibacterial drugs are prescribed, as well as mechanical cleaning of the uterine cavity and blood detoxification. If the disorder is caused by hormonal contraceptives, it is necessary to replace them.
If the presence of a neoplasm is suspected, a biopsy is performed. Based on its results, further treatment is prescribed. In this situation, surgery may be performed.
If brown discharge instead of menstruation occurs against the background of hot flashes, increased sweating and problems sleeping, most likely we are talking about approaching menopause. The condition does not require treatment. However, there are ways to help a woman survive menopause more easily. Doctors usually prescribe hormone therapy.
After operations
In most cases, unclear blood secretions and delayed menstrual bleeding are typical for patients who have undergone surgery on the following organs:
It may also be accompanied by the release of a small amount of blood:
- abortion or incomplete miscarriage;
- laparoscopy for ectopic pregnancy.
Read about the nature of discharge after laparoscopy in the article at the link. The duration of absence of menstruation after surgery with the appearance of pseudomenstruation depends on the following factors:
- volume of surgical intervention;
- duration of the procedure;
- proximity of the intervention area to the reproductive organs;
- patient's age;
- presence of complications;
- general health;
- recovery rate.
Surgeries that do not affect the main female genital organs (abdominal cavity) can affect the reproductive system. You should expect your period after surgery when recovery and healing are complete.
Anomalies in the structure of the uterus
There are such anomalies in the development and structure of the main female organ:
- One-horned, two-horned uterus.
- Saddle shape.
- Hypoplasia.
The structural disorder prevents the normal excretion of blood and the endometrium, trapping it in the folds. As a result of this, a rather small amount of blood reaches the vagina, as indicated by the described symptom.
This problem also explains the presence of dark brown discharge on the first day of menstruation. Stagnant blood acquires a dark color, oxidizing in the local environment, sometimes for the same reason there is dark blood during menstruation.
The existence of such disorders should be monitored by a gynecologist, since stagnation of blood and rejected endometrium can lead to inflammatory processes, as well as infertility or miscarriages. Most abnormalities can be treated surgically.
Signs of pathology
Sometimes the delay occurs due to serious hormonal imbalances and the development of gynecological diseases. It is worth highlighting the following reasons for brown spotting instead of regular menstruation:
- inflammation of the pelvic organs;
- infection;
- neoplasms (benign and not);
- ectopic pregnancy;
- spontaneous abortion;
- other negative processes.
Symptoms that indicate pathology:
- soreness in the lower abdomen;
- increased body temperature;
- redness of the external genitalia;
- discomfort during sexual intercourse;
- long delay (from 10 days);
- absence of menstruation for two months or more.
Danger to pregnancy
The discharge itself is safe and even beneficial. Healthy discharge does not have an unpleasant odor, is uniform in consistency and is not accompanied by pain.
An unpleasant odor is the first sign of inflammation. Do a mucosal test (smear) and consult a gynecologist. Any inflammation threatens the health and development of the embryo.
Other dangers include lumpy discharge, escaping pieces of tissue, and a bright scarlet color. Dizziness, fainting, severe pain, vomiting. In these cases, call an ambulance immediately. These symptoms indicate serious complications: ectopic pregnancy (the fertilized egg did not reach the uterus), molar pregnancy (the embryo does not develop correctly), frozen pregnancy (the embryo has stopped developing), miscarriage.
Light brown discharge
Inflammatory processes can become a serious problem if not diagnosed and treated in time. Instead of menstruation, light brown, scanty secretion may indicate inflammation. But it is important to consider the accompanying symptoms:
- there is itching and burning;
- sometimes it can stretch the lower back and lower abdomen;
- there is a sharp pain during urination;
- body temperature rises;
- pain is felt during sex;
- During inflammation, flakes, purulent pieces or clots may appear in the discharge.
With inflammation of the ovaries, menstruation may be delayed for a month.
The manifestation of similar symptoms may indicate an infection. Cycle failure and pathological discharge of the described shade often cause the following diseases:
- chlamydia;
- gonorrhea;
- genital herpes;
- trichomoniasis;
- ureaplasma;
- mycoplasma.
Operations and brown blood
There may be several reasons for such a problem and all require an individual approach, so we will consider them depending on the age of the girl or woman, the activity of her sexual life, the presence of surgical interventions and diseases, pregnancy, childbirth and the period of breastfeeding.
Even external factors can affect the nature and color of discharge during menstruation:
- climate and lifestyle change our body from the inside;
- physical exercise;
- taking medications;
- trauma and stress;
- nutrition and poisoning.
Infections also do not pass without leaving a mark on the female body, especially those that affect the female genital organs.
During surgical interventions, such as: removal of part of the uterus, abortion, cesarean section, removal of polyps and cysts, diagnostic curettage, brown discharge may appear. But pay attention to their smell, note pain and temperature, and if you have such symptoms, immediately go to the doctor.
Not only the color and consistency of the fluid that was released instead of menstruation can tell about the pathology present in the body. To make a more accurate diagnosis, you should even pay attention to the shade of the discharge.
Light brown
Light brown discharge instead of regular discharge may indicate the presence of an inflammatory process in the body. To more correctly determine the cause and prescribe treatment, you should pay attention to the presence of additional symptoms:
- itching and burning;
- nagging pain in the lower back and lower abdomen;
- pain during urination;
- temperature increase;
- painful sensations during intimacy;
- impurities of pus and abundant clots in the discharge;
- delay of menstruation by more than a month.
The same symptoms, accompanied by spotting, may indicate the presence of an infection in the body. Light brown secretion can be caused by diseases such as chlamydia, gonorrhea, genital herpes, they can also be provoked by trichomonas, ureaplasma and mycoplasma.
Dark brown
A long absence of critical days is almost always a sign of disturbances in the functioning of the reproductive system. If, after a delay, your periods are dark brown in color, and their consistency and shade did not change for about 4 days, this may indicate the presence of the following pathologies:
- inflammatory processes in the uterine mucosa;
- erosion;
- focal proliferation of the endometrium;
- endometriosis.
If curdled discharge is also mixed with bloody discharge, then candidiasis can be diagnosed.
Dark and black discharge
A long delay is almost always associated with negative processes in the reproductive system. When there is dark brown discharge for 4 days, but no menstruation, then the following pathologies can be assumed:
- endometritis (inflammation of the uterine lining);
- ectopia (erosion);
- polyps;
- endometriosis (growth of the endometrium outside the uterus).
Find out from the article at the link how to treat scanty periods with endometriosis.
If, in addition to these diseases, there is also thrush (candidiasis), then there is bloody discharge with a cheesy consistency.
How to distinguish regular periods from discharge
It is necessary to distinguish between menstrual bleeding with the release of old endometrium and discharge. In the first case, old blood or old tissue left in the uterus during previous periods comes out (that's why they turned brown). The discharge can be called “daub”: there is less of it in quantity, the consistency of the discharge is more viscous.
Everything here is as individual as with pregnancy. Some women may experience brown discharge as heavy as menstrual blood. Moreover, they can coincide with the cycle, thereby completely confusing the woman.
If you are not sure if you are pregnant, answer two simple questions:
- Have you ever had unprotected sex?
- Have there been any errors in taking oral contraceptives?
If you are in doubt about any of these points, be sure to take a pregnancy test.
Coitus interruptus (sex without any contraception, but with the penis removed from the vagina immediately before ejaculation) is equivalent to unprotected sex.
False periods during pregnancy
There are no periods during pregnancy. The body of a pregnant woman switches to another mode, in which the egg ceases to be produced in the ovary - which means that the need to remove an unfertilized egg disappears (this is the main function of menstruation).
If a pregnant woman experiences bleeding from the vagina, this is not menstruation, but spotting. In early pregnancy, 25 percent of women experience such discharge.
False periods can be identified by several signs:
- Your periods are not as heavy as usual;
- Your period appeared earlier than usual;
- Your period ended earlier than usual;
- Unusual color of discharge (from pink to black).
If you are sexually active, any change in your cycle could be a sign of early pregnancy. Remember that there are no contraceptives that can 100 percent protect a woman from fertilization.
“Menstruations” during pregnancy do not negate the results of a pregnancy test or a positive hCG test. If your blood or urine shows pregnancy, you are experiencing spotting and not a full menstruation.
Causes of brown discharge in pregnant women
At the very beginning of pregnancy, spotting indicates the attachment of the embryo to the wall of the uterus. Discharge may appear at a later date: this is due to the greatest sensitivity of the vagina and cervix. The blood flows in much more abundantly, and any damage to the mucous membrane results in discomfort.
The most common mechanical injuries include sex and gynecological examination.
Sex
During pregnancy, sex is safe, and classic sex is even beneficial for the health of a pregnant woman. However, brown discharge is a common “side effect” of sexual intercourse.
Increased blood flow makes the mucous membrane as sensitive as possible to any irritants, including the penis. Small injuries appear - they are not dangerous, but it is still necessary to contact a gynecologist.
If the gynecologist finds no complications or abnormalities, you can resume sexual activity. Keep in mind that you cannot have sex from the moment the discharge appears until you go to the gynecologist. If discharge appears during sexual intercourse, it must be stopped immediately.
Use pads - this way you can control the color and amount of discharge. The gynecologist will definitely ask about this at the next examination.
Gynecological examination
Pregnant women, especially in the early stages, undergo all possible tests, including smears. Taking a smear and any other medical penetration into the vagina easily provokes spotting. They are not dangerous.
You will have to give up sex for a while and use personal hygiene products (daily products are also suitable if the bleeding is not very heavy). Discharge from mechanical damage lasts no longer than two days.
Secretion as a sign of the appearance of neoplasms in the genital organs
Oncology
At the very beginning of the development of cancerous tumors in the reproductive system, there are practically no pronounced symptoms. Therefore, it is difficult to diagnose the disease solely based on the patient’s well-being. Delayed menstruation is a consequence of hormonal imbalances. Because of this, the doctor will first of all suspect cancer cells in the organs of the reproductive system.
Abundant dark discharge should alert you. They can be very thick, but as pathology develops they become watery and sometimes contain pus. At later stages of development, the stomach begins to hurt severely, pulling the lower back, intestines, and thighs. This means that the woman needs urgent help. The earlier the disease is detected, the higher the chance of a full recovery.
Ovarian cyst
When, instead of menstruation, there is brown discharge and a sharp stomach ache, one can assume the formation of a tumor with fluid in the ovaries. Menstruation may be light or heavy. The usual symptom for an ovarian cyst is a delay of 5 days to a month. Pseudomenstruation can last for several days and is often accompanied by aching pain in the lower abdomen. Read about the nature of discharge from an ovarian cyst in one of our articles here.
Having studied the material presented in the article, one should conclude that it is necessary to regularly visit a gynecologist. What exactly caused this phenomenon can only be determined by a doctor. After a thorough examination and diagnosis, the specialist will take therapeutic measures regarding the abnormal vaginal secretion.
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When to contact a specialist
Sometimes scanty reddish or brown discharge may be completely natural and normal and pose no health hazard. However, there are a number of cases in which a visit to a specialist cannot be postponed:
- Unpleasant odor, greenish stains.
- The discharge is accompanied by pain in the lower abdomen, discomfort in the vagina when visiting the toilet, or sexual intercourse. All this may be a sign of a sexually acquired infection.
- Dark brown blood appears not only a few days before menstruation, but also during the week.
If you discover such manifestations in yourself, you should not panic. First of all, you need to do a pregnancy test and also visit a doctor.
A blood test for hormones and hemoglobin may be prescribed, a smear is often taken, and an ultrasound is performed to identify inflammatory processes. Only based on the results of this diagnosis can treatment be prescribed.
When to sound the alarm?
If you do not belong to any of the items on the above list, then you need to make an appointment with a gynecologist. Discharge indicates serious consequences when:
- Dark spots on your underwear appear in the middle of your cycle, but you are not taking hormonal medications.
- They are accompanied by itching, burning and dryness in the vagina, pain in the lower abdomen and during sexual intercourse.
- Body temperature rises.
- There is a possibility that you are expecting a baby. Then the discharge may signal a threat of miscarriage.
- Discharge appears after each sexual intercourse with your spouse.
- You are over 45 years old and have not had menstruation for more than a year.
- The discharge comes out in clots and is accompanied by an unpleasant odor.
What causes mid-cycle spotting?
Small brown discharge that can occur 3-7 days after menstruation is quite common. The appearance of daub in this case signals that your egg is ready for fertilization .
If the intensity of the discharge increases and its duration is more than three days , you should visit a gynecologist . And in case of severe bleeding, immediately call an ambulance .
Scanty brown discharge while taking contraceptives
Their main task of birth control pills is to prevent ovulation. Insufficient estrogen interferes with the birth and development of the egg. There is simply no ovulation. In addition, low estrogen levels in the first half of the cycle prevent the development of the endometrial layer in the uterus. Then, instead of menstruation, scanty brown discharge appears. It takes three months to get used to the new living conditions. Bloody discharge occurs throughout the entire menstrual cycle. They can appear any day. Doctors regard this situation as normal. But if brown discharge continues to appear instead of menstruation for longer than 3 months, the question arises of replacing the drug.
Discharge not associated with pregnancy
Brown discharge can be caused by the following:
- Inflammation.
- Changes in hormonal levels.
- Polyposis.
- Erosive lesions of the cervix.
- Consequences of neglecting contraception.
Changes in hormonal levels
Light brown discharge during menstruation is typical for girls in the first year after the start of menstruation. This happens due to the body’s adaptation to performing new functions. Disruptions of the menstrual cycle and spotting are not disorders if there are no other painful symptoms. The regularity of bleeding is disrupted by changes in hormonal levels, endometriosis, hyperplasia, and malignant growth. Due to hormonal disorders, infertility often develops.
Inflammation
Latent infectious diseases of the pelvic organs are often diagnosed in the presence of brown discharge, which is not a sign of pregnancy.
Adnexitis and endometritis are also characterized by itching and bleeding.
Polyposis
Growths that are located in the uterus or on the cervical canal bleed after sexual intercourse. Medicine associates the appearance of polyps, which cause discharge, with the action of the human papillomavirus. With polyposis, infertility is often observed; for this reason, women often try to see signs of conception in brown discharge. Polyposis is characterized by heavy, prolonged menstruation.
Erosive lesion of the cervix
Erosion of the uterine cervix very often plays the role of a predisposing factor to the development of inflammatory processes in the reproductive organs. Brown spotting with erosive lesions of the cervix is observed:
- In case of mechanical trauma to the mucous membrane during sexual intercourse, examination on a gynecological chair.
- With the inflammatory process of the endometrium.
In the latter case, spotting is observed before the onset of menstruation
Brown discharge - consequences of neglecting contraception
Brown spotting instead of menstruation during unprotected sexual intercourse can be caused, in addition to possible pregnancy:
- Venereal disease.
- Injuries to the genital organs.
When using contraceptives, one should not forget about the minimal error that can lead a woman to sexual transmission. If there is itching, burning, or an unpleasant smell of mucus, the presence of a sexually transmitted pathology should be suspected.
Timely treatment can minimize the risk of damage to the body. Intense sexual contact may result in injury to the mucous membranes of the female genital organs. In this case, bloody spotting is not considered an abnormality for 2 days.
Recommendations from experts
If brown discharge appears instead of menstruation, it is recommended:
- Change gaskets regularly throughout the cycle;
- Do not use tampons during pregnancy;
- Wear cotton underwear of the appropriate size;
- Do not wash the vagina! This will disrupt the natural flora and cause infection.
To correctly determine the cause of the discharge, it is first necessary to find out whether the patient is pregnant - this is what determines the choice of treatment.
During pregnancy, any deviation from the norm should be taken seriously. Here, not only the health of the expectant mother, but also her child may suffer.
Although pregnancy and menopause are common causes of brown vaginal discharge, you should not neglect your health. Contact your gynecologist as soon as you feel any unusual sensations.
Video - brown discharge instead of menstruation is a sign of pregnancy
In the early stages, more than 30% of pregnant women find themselves with brown smear. Typically, this small brown discharge instead of a period is taken as a sign of pregnancy. But such a phenomenon cannot be considered absolutely normal, much less a sign of pregnancy. Such unusual discharge often occurs for natural, physiological reasons. But it also happens that their appearance is associated with disturbances in the functioning of the body and the reproductive system in particular. An obstetrician-gynecologist can give a more accurate assessment of a woman’s condition after the results of the examination.
Spotting instead of menstruation is not always a sign of pregnancy. Sometimes this is a symptom of a malfunction in the body.
Dangerous causes of dark brown discharge instead of, after or before menstruation (menstruation)
Endometriosis is a disease in which a growth appears in or outside the uterus. Accompanied by symptoms of prolonged periods, pain in the abdominal area, brown discharge. There is a risk of developing infertility, so endometriosis should be treated as quickly as possible. Abdominal pain does not always accompany this disease, so you should pay attention to the signal in the form of dark discharge during menstruation and consult a specialist. To find out about the exact diagnosis, they can do an ultrasound or laparoscopy. Endometriosis is treated with both medication and surgery.
Endometritis is an inflammation of the uterine mucosa; brown discharge in this case indicates a chronic stage of the disease. Symptoms include a very unpleasant smell of discharge, abdominal pain, general weakness of the body, elevated body temperature, dark vaginal discharge. However, with all this, due to the individuality of a woman’s body, it is quite difficult to identify endometritis; there may be no symptoms of pain.
The disease is especially dangerous in pregnant women, as it can cause fetal rejection or prevent the possibility of conceiving a child at all. You can find out about the disease using a hormone test.
Endometrial hyperplasia is a disease in which the inner wall of the uterus grows. The reasons are disruptions in hormone levels and metabolic disorders. Can lead to infertility, malignant tumors and polyps.
Severe nervous exhaustion
Menses are smeared brown instead of normal discharge due to nervous tension. Especially when it comes to stress. The nervous system is not given much importance when the monthly cycle is disrupted, but it is the nervous system that is involved in the production of hormones. The part of the brain that regulates processes is the hypothalamus. It is connected to the central nervous system, and it, in turn, gives instructions to the internal organs and systems about the required hormones. Severe tension, or, as they say, overload, leads to negative processes in the body. The monthly cycle is disrupted and brown discharge appears. Your period is coming but not coming. Moreover, short-term stress leads to heavy bleeding, and long-term stress leads to the absence of normal menstruation.
Constant nervous exhaustion causes hormone imbalance. Spotting instead of full periods is observed at first, then menstruation does not come at all. You should pay special attention to your psycho-emotional state.
Causes of brown periods with clots
If a woman does not know why brown clots appear in the discharge during menstruation or dark brown discharge with clots, then doctors explain this problem as follows. During menstruation, when menstruation occurs, the mucous membrane (endometrial layer) is shed. And brown or dark brown clots are precisely particles of the rejected endometrial layer. According to doctors, dark clots during menstruation, discharge with brown clots is not dangerous. Even those clots that are predominantly brown. If the brown clots during menstruation are too large or there are a lot of such clots in the discharge, this indicates that a certain malfunction has occurred during menstruation.
The most common causes of heavy discharge with dark brown clots, when even scanty discharge during menstruation contains dark blood clots, this can be a number of different problems. The most common causes of dark blood clots during menstruation are: endometritis (a dangerous disease, symptoms of endometritis: purulent vaginal discharge, pain in the lower abdomen, increased body temperature and pain in the lower abdomen), high body temperature and colds can also cause the formation of dark blood clots blood during menstruation. Endometriosis (symptoms of the disease usually boil down to painful bowel movements, pain in the lower abdomen and often abdominal pain during sex). Endometrial hyperplasia is a common problem, often produces dark blood clots during menstruation, is usually not accompanied by any painful symptoms, but is very dangerous due to one of its consequences, infertility. And if dark brown discharge appeared during menopause, then you can read about the reasons for such discharge in the article: causes of bleeding from the vagina during menopause, why dark brown discharge appeared during menopause.
Dangerous causes of brown menstruation with clots are problems such as: anemia (this disease appears when the level of hemoglobin is very high), ectopic pregnancy can lead to the formation of symptoms such as dark brown clots during menstruation (menstruation), hormonal imbalance and excessive rapid blood clotting.
Pathological conditions
Vaginitis
This is one of the reasons that leads to the appearance of spotting instead of menstruation.
Most often, this is a process that takes quite a long time and is accompanied by defects in the mucous membrane. The pathogen in such cases is predominantly nonspecific.
For many women, this cause of spotting instead of menstruation causes a lot of inconvenience, such as itching and burning in the vagina.
In most cases, spotting due to vaginitis, instead of menstruation, is mixed with leucorrhoea and its color becomes light brown or pale pink. A similar cause can be often recurrent, especially in sexually active women.
Inflammatory process in the uterine cavity
This is another common reason for the appearance of smears instead of menstruation.
It is characterized by the fact that the normal formation of a full-fledged endometrium does not occur, as well as its rejection during menstruation.
Most often these are women of reproductive age from 25 to 40 years.
The inflammatory process occurs due to the attachment of nonspecific microorganisms.
The nature of the discharge varies, but in most cases it manifests itself as spotting instead of normal menstruation, which drags on for a long time.
This causes significant discomfort and inconvenience for a woman. Often accompanied by the appearance of pain in the lower abdomen.
Cervical cancer
This is one of the most dangerous conditions in which spotting occurs instead of menstruation.
Typically, a similar picture is typical for later stages of the process. In such a situation, tissue breakdown and destructive processes develop.
This process is predominantly preceded by long-term erosions, which subsequently turn into dysplasia.
This process is considered the most dangerous if it is associated with the presence of a viral infection caused by the human papillomavirus.
The most oncogenic among them are types 16 and 18. The type of cancer process that causes spotting can be different, it is either a limited process associated with cancer in situ, or invasive tumor growth.
Spotting instead of menstruation can appear at rest, or be caused by tissue irritation, for example, sexual contact or examination. And also in a calm state, menstruation can lengthen in duration, mainly after their end.
The smear with this pathology can be brown or crimson with streaks of blood or pieces of tissue. The woman’s general well-being is also affected; she notes a deterioration in her condition, decreased appetite, constant fatigue, and a rapid drop in body weight. Subsequently, pathologies of urination and defecation are added.
Taking hormonal contraceptives
This is another reason for the development of spotting instead of menstruation.
In this case, such a picture can be considered both normal and pathological. Normal spotting may be associated with long-term use of oral contraceptives.
In this case, there may be a decrease in endometrial production; it will be thinner and less pronounced.
Therefore, instead of a normal menstruation, a woman sheds a small amount of tissue and therefore only a small amount of brown spotting appears. This picture appears no earlier than six months after regular use.
But in some cases, spotting may appear instead of menstruation, which occurs after starting to take oral contraceptives. This may be due to the fact that hormonal changes in the body occur, but they are not always fully established.
As a result, hormonal imbalance occurs and a gradual release of the endometrium occurs. For several days or several weeks and months, there may be spotting that resembles spotting. In this case, the woman is recommended to completely stop taking hormonal medications and use other medications.
Installation of the spiral
This is one of the reasons that leads to the appearance of spotting instead of menstruation.
This can happen due to several reasons:
- First of all, this may be a reaction to the introduction of an object foreign to the body , which has direct contact with a normally aseptic environment. Since it is recommended to install the IUD on one of the last days of menstruation, when the cervix is not yet completely closed, this creates less pain.
- In addition, an initial inflammatory aseptic process may occur , so the menstruation during which the IUD is installed is delayed for several days and is accompanied by the discharge of smear instead of the usual bloody discharge.
- Also, in some women, spotting instead of menstruation or in the middle of the cycle may be associated with incorrect position of the intrauterine device in the cavity. In most cases, she can independently name the reason why the spiral is mixed. Most often this is heavy physical activity or rough sexual contact.
The spotting is accompanied by the occurrence of pain, as well as pain radiating to the sacrum and coccyx.
Venereal diseases
They belong to the group of diseases that lead to the development of severe inflammatory reactions.
In this case, the process is of a specific nature. Among the causes leading to this pathology are microorganisms, as well as viruses of various groups.
They all have one predominant route of transmission, sexually. The most common species include gonococci, chlamydia, trichomonas, and cytomegalovirus.
For a long time they do not manifest themselves in any way, only later this can result in low-grade inflammation, menstruation can change its cyclicity, they become longer, more abundant and painful.
Before and after the appearance of menstruation, she notices spotting; in most cases it is brown in color. The consistency is liquid, there may be small veins resembling pieces of fabric.
These will be endometrial tissue or areas of clotted blood. The process can be irreversible, which leads to infertility or the most common complication - adhesions.
Stress exposure
This is one of the factors that provokes the occurrence of spotting in a woman instead of menstruation.
This problem in the modern world is widespread in modern society, since a woman regularly has to deal with unfavorable factors, one of which is stress.
Symptoms:
- It may manifest itself as a shift in the menstrual cycle, its delay or complete absence of menstruation.
- A woman may notice the appearance of such an unfavorable symptom as a shift with spotting.
- The color of the discharge can vary from pale pink to brown.
- The duration also varies; in some women, such a symptom lasts no more than two or three days or is a one-time occurrence.
- Sometimes they are accompanied by pressing pain in the lower abdomen, as well as a feeling of weakness and malaise. But a small number of women face this problem, which lasts for several months.
Typically, such situations are associated with severe hormonal changes. There is a sharp change in their content, which can provoke either premature endometrial detachment caused by a drop in progesterone levels. Or, on the contrary, their delay with long-term preservation of hormonal levels. Spotting can be triggered by the inferiority of one of the phases of the cycle, which causes endometrial rejection.
Diseases of the reproductive system
This is a whole group of pathologies that can manifest as spotting instead of menstruation.
These include primarily hormonal diseases, as well as structural anomalies.
The last group includes various pathologies in the structure of organs, in particular the uterus.
The most common case is considered to be a doubling of the uterus, this can be any type of saddle-shaped, horseshoe-shaped and other types. In some cases, incomplete doubling may appear, which will have a separate outlet into the vagina and the process of releasing menstrual blood will be delayed; a woman will notice the appearance of spotting for a long time.
Other diseases
Among other diseases, it is customary to highlight the currently widespread internal endometriosis.
In this case, the mucous membrane spreads beyond other tissues, in particular muscle and serous tissue.
This process is characterized by severe pain. Menstruation is characterized by prolongation of periods, with a brown spot appearing before and after the appearance of the main discharge.
This is due to the process of endometrioid tissue leaving other cavities. Such daubing can last up to 2 - 3 weeks, the volume will depend on the degree of damage to the organ.
When should you not worry?
In some cases, scanty dark discharge instead of menstruation may be justified. There is no reason to panic when:
- After a couple of days after the discharge, menstruation began.
- Dark spots on underwear appeared immediately after menstruation and quickly ended.
- You recently said goodbye to your virginity. Discharge after the first sexual intercourse is considered normal.
- The discharge was preceded by active, prolonged sex. In this case, damage to the vaginal mucosa is possible, which is why the discharge appears.
- You use hormonal birth control, including patches, IUDs, or pills. Then minor discharge may bother you during the menstrual cycle.
- Lactation period. Dark discharge instead of menstruation may indicate that the body has not yet returned to shape after childbirth.
Alarming symptoms
- Among them, the first thing to note is the duration of the daub instead of menstruation. If the period exceeds the normal duration of menstruation, then contact a specialist is required.
- It is also the appearance of clots in the discharge, usually associated with excessive accumulation of blood in the uterine cavity or tissue breakdown.
- In addition, you should pay attention to the combination of spotting instead of menstruation with a disturbance in general health, dizziness, constant weakness and other problems.
- One of the most alarming symptoms that accompany spotting instead of menstruation is weight loss, as well as disturbances in bowel movements and urination.
Change in the color of your period
During menstruation, a deep red discharge is normally observed, indicating detachment and release of the endometrium along with an unfertilized fertilized egg. For this reason, small capillaries are damaged and menstruation appears. The closer the hemoglobin cells are to the vaginal outlet, the darker the regulae become.
Scanty brown periods are often observed while taking hormonal medications. The discharge may become darker if there is a small amount of oxygen in the vagina.
Discharge in the middle of the cycle
Ovulation occurs in the middle of the menstrual cycle. During this period, the secretion may acquire a brown tint due to the opening of the follicle and the introduction of the egg into the cavity of the reproductive organ. Such changes are considered normal.
Treatment
Treatment methods are directly related to the causes of brown discharge. If this is a symptom of some disease, then it is unlikely to do without antibiotics, hormonal therapy and anti-inflammatory drugs. When the cause of this phenomenon is polyps, then in extreme cases, in addition to drug therapy, scraping is indicated.
If hormonal contraceptives are the cause of the spotting, then you should stop taking them and adhere to another method of protection against unwanted pregnancy. Or the doctor should prescribe other oral contraceptives. When menopause is a factor in the occurrence of brown masses, doctors recommend treatment only with hormonal drugs. But other symptoms can also reveal this condition: hot flashes, mood changes, fatigue.
However, such hormonal imbalances can be overcome using traditional medicine methods. But they can only be used after consultation with a doctor. One effective recipe is the following:
- Using a meat grinder, turn the lemon and orange into porridge.
- Add 2 tablespoons of sugar and onion tincture to the citrus fruits.
- Take a teaspoon three times a day for a week.
Is this the norm?
Dark brown discharge that appears instead of menstruation is more often caused by normal processes, signs that the fertilized egg is attached. This phenomenon is called implantation bleeding. However, after conception, the appearance of spotting may indicate a disorder in the body.
If a brown spot appears on the days of your expected period after conception, you should sound the alarm. It can mean:
- Threat of termination of pregnancy for any reason.
- Ectopic pregnancy.
- Freezing of the fetus.
- Hormonal disbalance.
- Infectious inflammatory diseases.
- Cervical diseases.
Brown discharge, whether during a planned pregnancy or an accidental one, should promptly lead a woman to see a doctor.
If, along with brown discharge and a delay in menstruation, the test gives a positive result, this means that there is a high probability that conception has taken place. Usually, in such a situation, an ultrasound examination is performed, which will accurately determine whether there is a pregnancy or not.
If the test is negative
If you suspect pregnancy, a test at home shows a negative result, you should not relax. For an ectopic pregnancy, the test may show one line. Its early stages may be accompanied by cyclical pain in the lower abdomen; often the girl experiences something similar to toxicosis.
The fallopian tubes are not prone to stretching, and the fetus continues to grow. Therefore, the walls of the fallopian tube are damaged, and the blood comes out in the form of dark (almost black) discharge. They can occur during and after your planned menstruation. An ectopic pregnancy is dangerous not only for a woman’s health, but also for her life, and its occurrence can only be detected by ultrasound and a hCG test. We need to take this very seriously.
When to see a doctor
Even if brown discharge appears instead of menstruation, it is not yet time to panic, as it can indicate human physiology. But there are cases when a visit to the doctor should be immediate. Spotting brown discharge poses a health hazard in the following situations:
- if they persist after menstruation for more than 10 days;
- the shade of the vaginal masses has changed to greenish-yellow and they have a strong unpleasant odor;
- if you haven’t had your period for more than a year (menopause has begun), but brown masses suddenly appear;
- Along with these symptoms, there is an increase in temperature, nagging pain in the lower back and abdomen.
Whatever the reason for the brown discharge, an experienced doctor should tell you what to do. You should not self-medicate, as this can cause serious complications. The main prevention of the appearance of such a symptom can be called regular examination by a gynecologist: twice a year, observing the rules of personal hygiene and having a regular sexual partner.
The main reason for strange discharge
All processes of the menstrual cycle are influenced by hormones. Balance is very important for the normal functioning of the reproductive system and the health of women in general. With a high amount of estrogen and insufficient levels of progesterone, periods are delayed or occur in a strange way, namely, there is a brown spot. At the same time, an insufficient amount of estrogen in the first phase of the cycle interferes with the normal functioning of the genital organs. Therefore, a new egg does not develop and ovulation does not occur. The endometrial layer in the uterus does not thicken. When the time comes for the next menstruation, there is simply nothing to reject. Instead of the usual discharge, there is a brown daub. To restore a full menstrual cycle, it is necessary to adjust the balance of hormones. Moreover, in case of serious violations, it is very difficult to do this on your own. You need to know which hormone is missing, in what dose to take and for how long. There are many factors that cause hormone imbalance. And people call them reasons.
At the same time, there are situations when hormonal imbalance occurs deliberately, and brown spotting instead of menstruation is the norm.
Diagnostics
Identifying the cause of spotting instead of menstruation is usually not difficult.
Diagnostic stages:
- It begins with examining a woman on a gynecological chair using mirrors.
- It is necessary to have a conversation with the woman in order to find out all the complaints and some of the anamnesis data.
- Laboratory methods included taking smears for flora from the vagina and oncocytology from the cervix. Such tests can help diagnose inflammation caused by a specific pathogen, such as sexually transmitted infections.
- This may also be a blood test to identify an inflammatory process or an anemic condition.
- In addition, many women undergo hormonal profile research . To do this, the level of certain hormones in the blood is assessed. The main ones are prolactin, progesterone, estrogens, follicle-stimulating and others.
- Of the instrumental methods, ultrasound is currently one of the most common. To do this, the size of organs is assessed, especially the uterus and appendages. Their structure, consistency, degree of blood flow development, as well as the presence of the follicular apparatus are determined. Great importance is placed on measuring the thickness of the endometrium, the layer of the uterus that causes spotting instead of menstruation.
- If the clinical picture is incomplete, hysteroscopy may be required , with its help, using optics, the condition of the uterine cavity, the presence of space-occupying formations and other reasons leading to spotting instead of menstruation are assessed.
External factors
Brown menstruation with clots appears during intense physical exertion, stressful situations, after surgery, abortion and installation of an intrauterine device. Often, similar symptoms are observed as a result of taking oral contraceptives. All these factors have an impact on the reproductive system, as a result, the nature of the discharge undergoes significant changes.
Bleeding in the postoperative period and after abortion
After surgery and abortive measures, brownish discharge appears. They often contain dark clots. Initially, this is heavy bleeding, accompanied by pain, which gradually turns into spotting. As a rule, they are observed within a week.
One month after the operation, menstruation begins. They may be more abundant than usual, but after a few cycles they become normal.
Intrauterine device
Brown periods with clots are observed after the installation of an intrauterine device. Their appearance is caused by the body’s rejection of a foreign body and the creation of an obstacle to the normal outflow of blood. As a rule, after several cycles such symptoms are no longer observed.
If the discharge continues to bother the woman for a longer period and is accompanied by other symptoms, then you need to seek help from a gynecologist. Most likely, you will have to choose another method of contraception.
Contraceptive drugs
The appearance of brown regula with clots indicates an imbalance of estrogen and progesterone. Such changes occur due to the use of oral contraceptives. During the first three months after starting their use, bleeding may occur outside of menstruation.
Emergency contraception can cause such changes. These drugs contain a large number of hormones that affect reproductive function.
You can resort to the use of such medications no more than twice a year. Systematic use of such drugs can have a detrimental effect on the body and lead to infertility.
Dark brown discharge - a malfunction or temporary discomfort
All this indicates improper functioning of the body, a disruption in the functioning of organs. There may be many reasons:
- stress in the body, depression, despondency;
- excessive physical activity during work or sports;
- change in body weight, both up and down, poor metabolism;
- normal or ectopic pregnancy;
— hormonal imbalance due to disruption of the endocrine system;
— after termination of pregnancy by the curettage process, the endometrium is not functioning properly;
- anemia, due to low iron content in the blood;
- vaginitis and cervicitis;
- cervical cancer.
You can read about other reasons and a more detailed description of the listed causes of brown discharge in the article: when brown discharge can be considered normal.
Pathologies
If a representative of the fairer sex has any deviations in the development of the genital organs, or they were injured during labor, it is possible that she will have dark discharge during menstruation. The appearance of this symptom is often associated with the progression of an infectious disease, or inflammatory processes that affect the genitourinary system.
When spotting appears instead of menstruation, the test is negative, it is extremely important to promptly determine the presence or absence of hidden infections. In particular, this applies to sexually transmitted diseases, including: genital herpes, trichomoniasis, gonorrhea, etc.
If there is spotting instead of menstruation, the reasons may lie in an increase in the number of pathogenic and opportunistic microorganisms inhabiting the vaginal environment. The presence of fungi, streptococci and staphylococci is most often diagnosed. These bacteria definitely lead to disruption of the ovaries, so the cycle is disrupted.
Spotting may occur in women who have taken hormonal medications this month, started taking birth control pills, or had an intrauterine device installed. In this case, an imbalance of sex hormones will occur. With a significant decrease in estrogen levels, periods come at the wrong time or are absent altogether.
It is also worth noting that hormonal imbalance can be provoked by pathologies of the endocrine glands, severe emotional stress, absent or irregular sex life, termination of pregnancy and disruption of breastfeeding. Other negative agents are antidepressants and medications that interfere with the ability of blood to clot.
Cervical erosion
This disease is one of the most common diagnoses in gynecology. It is a defect in the mucous membrane of the cervix, which is caused by various reasons: frequent and rough sexual intercourse, sexually transmitted infections, injuries during childbirth or abortion, etc. In most cases, this pathology is asymptomatic and is discovered only during an examination by a gynecologist. But sometimes the disease is accompanied by dark brown discharge after sexual intercourse, and sometimes without obvious reasons. Often such discharge has an unpleasant odor, which, by the way, indicates the presence of inflammation. There are congenital, true erosion and ectopia (pseudo-erosion). Depending on the size of the pathology and concomitant infections, therapeutic tactics will be different, but in any case, this disease requires regular monitoring by a specialist.
What does discharge look like?
In a healthy woman, vaginal mucus after ovulation has a creamy, milky consistency. Throughout the gestational period, the amount and color of discharge are not constant. If pregnancy is confirmed and brown discharge suddenly appears, experts classify this condition as a pathological phenomenon.
The photo shows abnormal discharge.
Most often, the causes of brown discharge and spotting at the beginning of pregnancy are progesterone deficiency, as well as muscle hypertonicity. With timely measures taken, a permanent cessation of daubing is observed.
Relationship between the appearance of spotting and female age
Spotting brown discharge in teenage girls is considered normal in medicine. While reproductive function adapts to the establishment of a regular monthly cycle, the body undergoes changes, in particular, hormonal levels change. Minor spotting on the days of expected menstruation is considered in medicine to be a natural process of the ovaries.
Brown spotting in women over 40 may indicate the onset of perimenopause.
For what reasons do menstruations not come, but only smear?
Each female body is unique and requires special care and attention. Any woman of childbearing age experiences menstruation once a month - the result of the hormonal activity of the female body. During menstruation, bloody vaginal discharge is observed, consisting of vaginal secretion, exfoliated endometrium and cervical mucus. Menstruation normally lasts 3–7 days.
A woman’s health should come first, and if any problems arise, she should immediately consult a doctor.
One of these reasons may be spotting instead of heavy menstrual flow. What to do if your period starts but doesn’t start?
Gynecologists recommend
To avoid more serious consequences of the appearance of daub, you should use the recommendations of specialists:
- White pads should be used to monitor discharge.
- To avoid stagnation, tampons should be changed frequently.
- Do not use tampons with herbal infusions.
- Underwear should be loose to avoid congestion.
- Linen should be selected from cotton fabrics in light colors.
When washing the vagina, microflora disturbances and infection should be excluded.
Causes of spotting
There are many factors that influence the amount of discharge during menstruation. Let's take a closer look at some of the reasons why spotting may occur.
Woman's age
During puberty in adolescence, the monthly cycle is irregular, and failures in ovulation may occur. That is why spotting is the norm for 1–2 years after menarche, and is not considered a deviation from the norm, since during this period the formation of menstrual function occurs. If this period has been prolonged and spotting is observed more than two years after the onset of menarche, then this is a good reason to seek advice from a specialist.
In the period before menopause (from the age of forty years), spotting may also be observed, which indicates a decrease in hormonal levels in a woman and a natural decline in the reproductive function of the reproductive system during menopause.
Pregnancy
In the early stages, spotting may be observed, which indicates embryo implantation. Therefore, to confirm the “interesting situation,” we advise you to take a pregnancy test and check the level of hCG in the blood.
If pregnancy is confirmed by a hCG test or analysis, and scanty periods continue for a long time, this may be an alarming sign indicating a hormonal disorder and an incipient miscarriage. Your body may not have enough hormones that are necessary to support the embryo. To avoid miscarriage, contact your gynecologist immediately.
Ectopic pregnancy
Abnormal placement of the embryo can lead to spotting brown discharge. Pathological pregnancy occurs when the fertilized egg develops outside the uterus. For example, in the fallopian tube or cervix. The pregnancy test in this case shows a positive result. Your gynecologist may prescribe an ultrasound to determine where the fertilized egg is implanted.
Inflammatory and hormonal diseases
Inflammatory diseases of the female reproductive organs can cause disruption of the menstrual cycle. Inflammation can occur due to hypothermia of the body.
Diseases that develop from changes in hormonal levels affect menstruation in the most direct way. The most famous and common of these diseases is polycystic ovary syndrome. This syndrome means the formation of numerous small cysts in the ovaries, which can lead to scanty periods, similar to spotting, or no menstruation at all.
Sexually transmitted diseases
If a woman was promiscuous and had unprotected sexual intercourse, then the cause of the “spotting” may be hidden sexually transmitted infections. Symptoms of sexually transmitted diseases:
- pain in the lower abdomen, in the area of the appendages;
- pain during urination;
- itching and burning in the vagina;
- foul-smelling discharge, colored in unnatural shades;
- discomfort during sexual intercourse.
Sexually transmitted diseases include gonorrhea, syphilis, chlamydia, and trichomoniasis.
Taking hormonal contraceptives
When taking hormonal drugs, a woman may experience a decrease in ovarian function or endometrial atrophy. This may cause spotting. You should select contraceptives correctly and take into account all contraindications to their use. An imbalance of estrogen and progesterone in the female body affects the nature of the discharge. If spotting is observed for three cycles or more, you need to stop taking hormonal contraceptives or replace them with others that are most suitable for your body.
The same point applies to the intrauterine device. This method of protection against unwanted pregnancy has a specific side effect - periods may become scanty and have a light brown color.
Postpartum period and lactation period
After childbirth and during breastfeeding, a woman's menstrual cycle returns very slowly. Menstruation may be absent throughout the entire period of lactation. Scanty brown discharge may be observed, this is also normal. Due to the nature of the female body, the cycle can be completely restored a few months after childbirth and menstruation will become the same as before pregnancy.
Any intrauterine surgical intervention causes brown discharge instead of menstruation:
- diagnostic curettage;
- removal of part of the uterus;
- medical abortion;
- removal of fibroids;
- elimination of polyps;
- laparoscopy.
If during the postoperative period symptoms such as an unpleasant odor of discharge, pain and elevated body temperature are observed, you should immediately consult a doctor to avoid possible complications.
Sudden weight change
If a girl suddenly loses weight due to heavy physical activity, or due to the use of various strict diets, this can disrupt the body's menstrual functions. Conversely, a rapid increase in fat mass also leads to menstrual irregularities.
External factors
We list the factors that may cause inconsistent or scanty periods:
- stress and depression;
- lack of sleep and insomnia;
- poor nutrition;
- bad habits – smoking, alcohol;
- acclimatization;
- metabolic disease;
- harmful working conditions.
These factors have a negative impact on women's health. Frequent walks in the fresh air and giving up bad habits will help restore the body.