What kind of discharge is possible during menopause: yellow, brown, watery and spotting?

Causes of brown discharge during menopause

Can there be brown discharge during menopause? Definitely yes. However, you need to understand that this indicates disorders in the body. It could even be a symptom of a serious illness.

The discharge that occurs during menopause can have a different smell, thickness, and shade: from yellow or light brown to dark brown. In most cases, they are not too abundant and resemble “daub”; they stain underwear and bed linen.

Brown discharge often occurs due to thinning and dryness of the inner walls of the vagina. Small microtraumas cause inflammation, and bacterial and viral infections can occur. The brown color of the discharge indicates that it contains blood.

Therapy comes down to local replenishment of the deficiency of female sex hormones and hydration: the patient uses hormonal suppositories, as well as moisturizing lubricants.

If the discharge is brown, there is an admixture of blood in it.

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Gynecologists identify the following list of diseases that provoke vaginal bleeding:

endometriosis is a pathological condition that is accompanied by the proliferation of glandular tissues of the uterus. A woman complains of pain, brown secretions, and cysts form in the ovaries;
Trichomoniasis is a disease that is sexually transmitted. The discharge is foamy, has a watery structure, is colored yellow-green, and has an unpleasant odor;
vulvovaginitis is an inflammatory process that occurs as a result of thinning of the vaginal mucosa. Lack of lubrication leads to the formation of microcracks, inflammation, and dysbacteriosis. Such a violation leads to sticky, mucous discharge of a yellow-green color with purulent impurities;
Cervicitis is an inflammatory process that affects the mucous membrane of the cervix as a result of decreased immunity. In severe cases, it is accompanied by inflammation of the endometrium, the formation of yellow-brown discharge, and blood clots;
fibroids are a benign neoplasm, the growth of which is accompanied by brown discharge, blood clots, uterine bleeding, and anemia. Patients also complain of pain in the lower back or lower abdomen. As fibroids grow, the pain becomes constant, aching, and sometimes cramping;
atrophic vaginitis leads to dryness and thinning of the lining walls of the vagina, inflammation, and infections. Accompanied by redness, itching, pain, inflammation, light or dark vaginal discharge, bleeding after sexual intercourse, discomfort;
neoplasms in the ovaries are accompanied by vaginal discharge, which is similar to menstrual bleeding;
polyp is a focal lesion of the endometrium in which the uterine mucosa grows. These are single or multiple neoplasms with a wide base or stalk. Causes spotting after sexual intercourse. During menopause, bleeding may be heavier. Regular blood loss provokes anemia, pale skin, weakness, dizziness;
taking, as well as discontinuing the use of hormonal drugs, causes thickening of the endometrium and increases the risk of uterine bleeding. The discharge is dark brown in color.

Prevention of discharge during menopause

When the situation is resolved successfully, and the doctor gives instructions on further lifestyle and treatment, he will definitely have to mention preventive measures, which include:

Since the walls of the vagina become narrower and more brittle during menopause, you need to be especially careful during sex, as there is a risk of injuring them. To prevent this from happening, you need to use a lubricant, hormonal-based suppositories, or use traditional medicine methods.
During menopause, it is important to slightly adjust your diet: include as many fresh vegetables and fruits as possible, low-fat milk products, especially cottage cheese, as it is rich in calcium, and during menopause such an element is vital.
And it is important to regularly subject your body to feasible physical activity: walk more, do gymnastics, and harden yourself. It can also be classes in the gym and dance class.

Thus, discharge during menopause is a rather alarming signal that in no case should be ignored. Therefore, those women who have a problem with spotting after menopause have a direct route to the doctor.

Interesting and educational video on the topic:

About

Kinds

Gynecologists note the following types of pathological discharge that should be alarming:

watery, containing blood impurities;
purulent, gray-green in color with a thick consistency and unpleasant odor;
foamy with mucus impurities and an unpleasant odor;
yellow with an unpleasant odor;
spotting blood, colored red-brown;
white cheesy, with white lumps, which are accompanied by itching and a sour smell.

Depending on the nature of the discharge, its abundance and accompanying symptoms, the doctor selects the appropriate treatment regimen.

Why should there be no blood in postmenopausal discharge?

Blood in mucus from the female genital tract during reproductive age has a natural origin during menstruation.
The separation of the functional layer of the endometrium occurs with damage to its vessels, from where it flows. A year or more after the end of menstruation, this organ atrophies and becomes smaller. The division into the main and functional layers no longer exists in it. The endometrium becomes thin and flat.

There are no longer any other circumstances influencing its cyclic development - sex hormones. Actually, this is the main sign and culprit of menopause. And therefore, the secreting abilities of the internal reproductive organs are, in principle, reduced. This means that postmenopausal discharge, if there is any discharge, is in very small quantities. There is a sign of dryness of the mucous membranes of the perineum and vagina, which causes inconvenience, but is the norm.

However, discomfort can and should be dealt with; there are appropriate means for moisturizing and restoring. But for all these reasons, there should not be discharge with blood, especially copious amounts. Yes, both spotting ones and those in which there is more mucus than red blood cells should be studied.

Warning symptoms

Normally, vaginal discharge is transparent or has a light, creamy color and does not have a strong odor. Volume – no more than 1.5-2 ml. They do not provoke pain, discomfort, itching, or burning in a woman.

Brown discharge during menopause is often associated with endometrial diseases and infectious processes. The following accompanying symptoms require special attention:

secretion of ichor in a large volume;
pain in the lower abdomen;
itching;
burning;
foamy, cheesy, mucous discharge;
blood clots;
frequent, painful urination;
unpleasant odor from the vagina;
increased body temperature;
redness and swelling of the genitals;
pain in the lower abdomen that radiates to the lower back and lower extremities;
anemia: pale skin, brittle hair, nails, longitudinal stripes on the nail plates, deterioration of skin quality, dizziness, apathy, weakness;
disturbance of psycho-emotional state, decreased ability to work;
nausea that progresses to vomiting;
headache.

What kind of discharge is normal?

At the age of 45-50 years, a woman’s hormonal activity subsides, as a result of which the uterine mucous masses change their character. They can be used to determine the absence or presence of pathologies. In the early stages of menopause, the changes are not so noticeable, but after a while the cervix stops secreting mucus in the required amount, decreases in size and even causes vaginal dryness.

Normal discharge during menopause should not be accompanied by discomfort and irritation of the external or internal genital organs. Mucous transparent discharge is considered normal if its amount does not exceed 2 ml per day. They may have a yellowish-brownish tint, without an unpleasant odor. The secretion consists of plasma, mucus and lymph, so it resembles rice broth.

Over time, the secretion becomes completely transparent, not watery. Slight variations in quantity or shade are acceptable. If the consistency becomes too liquid, this indicates the presence of a disease. Normally, the discharge is odorless, not watery, and sometimes completely colorless. Any deviations are a reason to consult a doctor. Timely treatment allows you to avoid many complications.

Diagnostics

When visiting a doctor, it is recommended to describe the symptoms that arise in as much detail as possible: the nature and amount of discharge, consistency, smell, general condition, basal body temperature, accompanying complaints. To confirm the diagnosis, the doctor conducts an oral interview with the patient and collects anamnesis, including family history. Next, a face-to-face examination is carried out on a gynecological chair and a smear is taken.

Read also: Is it possible to do yoga if you have uterine fibroids?

Examination with a speculum reveals tumors, polyps, and mechanical damage that can cause vaginal discharge.

Additionally prescribed:

ultrasound examination of the pelvic organs, which reveals neoplasms: cysts, polyps, allows you to determine the thickness of the endometrium;
biochemical blood test: if the results of the study indicate an infection, then the causative agent of the pathological process is identified;
biopsy if an oncological process is suspected;
colposcopy - the process uses an optical device that magnifies the area being examined and illuminates it.

Diseases of the reproductive system can have a similar clinical picture; only comprehensive diagnostics allows an accurate diagnosis to be made.

Diagnostic algorithm for postmenopausal bleeding

Anamnesis

The history should include a detailed description of the nature, volume and type of bleeding. Find out the connection between bleeding and sexual intercourse and other possible causes. Important information can be obtained from the patient's premenopausal menstrual history. Of particular importance is a history of taking medications/HRT/tamoxifen or topical vaginal medications. It is important to establish the origin of bleeding - true vaginal, urethral and rectal, as well as whether there is a history of easy formation of subcutaneous hematomas and bleeding from other locations.

Survey

A general physical examination evaluates the nature of the bleeding (chronic bleeding with a stable patient or acute blood loss requiring immediate resuscitation). Examination of the abdomen may reveal a mass in the abdominal cavity. The examination of the pelvic organs begins with an examination in good lighting. If conditions exist, a Pap smear can be taken, if necessary in combination with colposcopy and cervical biopsy. During the examination, you can see a polyp coming from the ectocervix, cervical canal or uterine cavity.

During a two-handed examination, uterine fibroids and ovarian masses are palpated. With age, the size of the uterus decreases. Enlargement of the uterus in postmenopause in the absence of fibroids or adenomyosis is a pathology. The doctor must have oncological alertness regarding endometrial tumors.

Research methods

With transvaginal ultrasound, it is always necessary to measure the thickness of the endometrium and determine its homogeneity. Identified polyps, submucous fibroids and adnexal masses are important indications of possible causes of bleeding.

When polyps or submucous uterine fibroids are suspected, hydrohysterosonography, known as saline infusion ultrasound, is particularly useful.

Endometrial calcification should raise suspicion for such a rare disease as tuberculous endometritis. In many developing countries, tuberculous endometritis is quite common.

Color Dopplerography of the vessels of the uterus and ovaries confirms, but does not exclude the tumor etiology of the process.

These radiation research methods clarify the etiology of the disease. Despite this, histological confirmation of the diagnosis is necessary.

To assess blood loss or, if necessary, surgical intervention, a detailed (general) blood test is required.

Cytology

The Pap smear provides information about cervical disease, but it is false negative in 40-50% of patients with cervical cancer. The NHS Cervical Screening Program recommends stopping cervical cytology tests after age 65.

Examination of uterine aspirate is a cost-effective and virtually non-invasive procedure that can be easily performed on an outpatient basis. A positive result confirms the disease. However, a negative result, especially with other suspicious signs, should be confirmed by hysteroscopy.

Endometrial biopsy

Endometrial biopsy has become the standard of care for patients with postmenopausal bleeding. If there is insufficient material or the impossibility of taking it due to the patient’s discomfort, cervical stenosis or lack of tissue, hysteroscopy with a biopsy under vision control and curettage of the uterine mucosa are necessary.

Read also: Hormonal drugs Norkolut - negative reviews. Neutral. Positive. + Leave a review Negative reviews Lyusya http://www.woman.ru/health/diets/thread/4270007/ Girls, girls! The fact that you read the word NORKOLUT incorrectly is not a problem. The trouble is when you read it prescribed to drink for 3 years (after surgery to maintain the function of the only ovary, because the rest was amputated, and the uterus too, as a result of an endometriosis cyst). I gained 30 kg, no, not immediately, but gradually over 17 years, and not at all I can lose weight. It just creeps up. I drank 2 times a day, as the doctor prescribed, and then, not for 3 years, but only for 1.5. Because I was afraid that I wouldn’t fit through the door. I managed to give birth to two children well. But I didn’t gain that much weight during my pregnancy, I was going to give birth at 68-70 kg. So, girls, be attentive to your health. Any medicine affects the body (especially women) differently. And even if the doctor prescribed it, then take it they need to be done with caution, because we, each of us, are so individual.... Be healthy! Anna https://med-otzyv.ru/lekarstva/156-n/28287-norkolut#scomment-339066 I had a terrible allergic reaction to Norkolut, my whole body was covered in a small itchy rash. It’s a pity, because the gynecologist said that it is almost the only remedy that truly treats endometriosis and normalizes the cycle. Zhanna https://www.medcentre.com.ua/norkolut.html Norkolut was prescribed to me when I finished feeding the baby. But I couldn’t wean the baby off the breast at once; I had to feed him at night and sometimes to calm my soul during the day. Therefore, I decided not to accept it. But my friend kept drinking Norkolut, she says she started to get better from it :( Lusia-2002 https://otzovik.com/review_6338968.html Advantages: Didn’t see Disadvantages: Weight gain, oily hair, acne all over the body, swelling of the legs, infirmity The doctor prescribed it after the removal of a polyp and enlargement of the endometrium. I took 2 times a day with 5 d.c. for 20 days. Many side effects: constant weight loss - as a result of +2 kg per month, terrible acne all over the body, head and face, not going away .. Oily hair - I have to wash it every other day and then it’s already too late and mood swings - at the beginning barely noticeable, by the end of the treatment they are pronounced - I cry avidly out of nowhere, depression and constantly want to sleep, I feel sick. The doctor said that in the next month I can switch on COC evgenia ivanova https://otzovik.com/review_4416637.html Advantages: None for me Disadvantages: Contraindications, side effects, price Hello dear friends and guests of the Otzovik website! I came across the drug Norkolut after I decided wean the baby from the breast. Just at that time I was seeing a doctor and he advised me to take this drug. The doctor himself personally wrote out the regimen according to which I needed to drink Norkolut. I don't remember this diagram exactly. But, the drug Nodo had to be taken for a week. On the first day I had to take four tablets, on the second day three, then two and then one tablet a day. That's about it! I drank Norkolut for two days. In the evening of the second day, after taking the drug, I felt sick, dizzy and nauseous. So I stopped taking the drug. Norkolut is a hormonal drug. Contains the hormone norethisterone. The drug is used to treat hormonal imbalance in a woman’s body, for contraception, and so on. Norkolut has many contraindications and side effects. The package contains two blisters, 10 tablets each. Available in pharmacies only with a doctor's prescription. But no one asked me for the recipe. The price category is average. I bought tablets for 165 hryvnia per pack. The drug did not work for me! I just wasted my money in vain. And I can’t recommend it to you!!! Thank you for reading my review! PomashkaP https://irecommend.ru/content/norkolut-mne-tozhe-ne-drug I have had endometriosis for many years, which causes severe pain, and hysteroscopy revealed endometrial polyps. Besides, during my period it pours like buckets that I simply don’t go further than the bed and toilet. Over the years I tried different hormones and felt much worse on them than without them. Hormones did not cure anything for me, and some even made it worse. But then the gynecologist suggested trying Norkolut from days 14 to 25 of the cycle. Well, as always, everyone seems to tolerate it well.........yeah.....but not me. What should I do, I agreed, it’s not expensive, 130 rubles per pack, it’s not Visanne for 3,000 rubles. But according to the doctor, it is very effective. Side effects (special effects) while taking Norkolut: 1. Severe headache and complete stupor - I felt this already on the second day of taking Norkolut. Further, as if in a fog, I had trouble understanding what they were saying to me, what they were talking about, I couldn’t read anything, the whiskey was pressing so hard that I could hang myself. It was as if water had been poured into my head. 2. I started itching and my nose was stuffy. Taking Norkolut lasted 5 days, then I quit it. Friendship with Norkolut did not work out either. But within a day, clarity of mind came and my head became bright. Well, then my periods came, heavy ones. I decided to go for an ultrasound after my period, since I had quit Norkolut earlier and my period, accordingly, came earlier, resulting in only 3 follicles in two ovaries. This is very little. Although, I usually have 4-5 follicles in each ovary. Hmm... strange... It seems to me that I have already tried all the hormones to “treat” endometriosis, but when I stop taking them, they make me feel even worse, the pain intensifies - this is another significant side effect. I am sincerely happy for the girls who take hormones so easily and react normally to them. Reading reviews like this makes me feel like I'm from another planet. They also say that all organisms are the same...this is unlikely. Who is interested in my experience of using other hormones, please read, perhaps these reviews will help you make a decision: Zoely - a new modern contraceptive "Almighty" VISANN Lindinet-20 (that's what I started with) JANINE for all troubles (more precisely, FOR ALL TROUBLES) Alexandra Kolyadina https://irecommend.ru/content/ni-za-chto-ne-peite-etot-preparat After I bought a trip to the sea, my cycle went wrong and the next menstrual period fell exactly on the vacation dates, on 70% of the time there. In this regard, I went to the gynecologist, who prescribed me the drug Norkolut to shift my menstrual cycle. I took the drug for 10 days, I achieved the desired result - menstruation did not start. BUT!!! In 5 days I gained 3 kg!! Considering that over the course of a year my weight fluctuates plus/minus 1 kg, this is sooo much for me!!! I am swollen and water is difficult to leave my body. The clothes have become very sticky, and some are even too small!! Now I have to go on a diet to lose these pounds, but it’s terribly difficult. No way, no way, ever will I take drugs like this again. Even after stopping taking the pills, the wild (there’s no other word for it!!!) appetite did not go away. Think hard about how much benefit Norkolut will bring and how much harm. In my case, it only brought harm. Neutral reviews Nastya http://razuznai.ru/norkolut.html#comment-28508 I took the course from days 16 to 25 of the cycle. I first read the forums where they write about crazy weight gain, I was very scared, but I began to accept it. I monitored what I eat and how often I eat very carefully. I didn’t gain a single kg, I even lost a little weight. Even the doctor who prescribed them told me that hormones can only increase appetite, but not gain weight. So if you control your diet, everything will be ok. Nadezhda https://lekotzyvy.com/review.php?id=2335 Norkolut helped me cope with cystosis, but I would not recommend these pills to anyone. In general, initially, during the diagnosis, I was prescribed Primolut, but it turned out that at that time it was not in our pharmacies, and with such a disease it is impossible to wait. I had to replace Primolut with Norkolut, which was then commercially available, which has a large “bouquet” of side effects. Its only and most important advantage is that it really helped, and I was able to cope with the cyst without surgery. The disadvantages include weakness, fatigue, a face covered with acne (this is at 30 years old). I also gained extra weight after taking the medicine. Alena https://lekotzyvy.com/review.php?id=2287 I was terribly afraid of hormonal drugs, but I had to take Norkolut, because I had no strength left to endure this PMS - both physically and mentally, it drove me crazy heat. They did tests, and I have terribly high estrogen, it is its excess that leads to this condition. The gynecologist prescribed Norkolut to me - it contains a synthetic analogue of the hormone progesterone, it is designed to reduce it in case of increased estrogen. I drank, as they wrote, the same thing in the instructions - from days 16 to 25, 2 tablets. But the dose is individual, and without a doctor and tests it will not be possible to determine it. I think I was prescribed so much because my estrogen levels were very high. First I’ll talk about the side effects. The hormone progesterone itself prepares the body for pregnancy and is released during ovulation, which means it makes you automatically want to eat more in order to provide the fetus with nutrients. Hence, the appetite is terribly strong, and no matter how much you go to the gym, you don’t lose weight - the hormone does not allow fat to be broken down, protects it, so to speak. So I drank for two months, gained 6.3 kg - be prepared. Secondly, alas, hysteria and irritability have not gone away, they have only intensified, I don’t know why. And thirdly, I constantly wanted to sleep, I was very apathetic and lethargic - this is how progesterone acts on the body, there is no escape from it. About the benefits. I drank for 2 months, but the problem could not be solved. There was a temporary effect - the drug eliminated physical problems such as swelling, chest pain, engorgement of the nipples, joint pain, heaviness in the abdomen, and body aches perfectly. I took tests - estrogen and progesterone are in the correct ratio. But as soon as I stopped taking the drug, alas, the problems immediately returned. It turns out that you need to drink it constantly. But here I am at a loss - the side effects are very unpleasant, I wouldn’t want to suffer so much for the sake of a temporary effect. svet2005 https://cosmoreviews.club/forum/showtopic/137-norkolut-otzyvy-zhenschin-posle-40-let/findpost-601 Hormones, they always remain hormones. You can't expect anything particularly good from them. I’m 47 and my hormones are jumping like crazy. The doctor recommended this drug. The cycle really improved, but my stomach started to hurt a lot, so I quit. And my friend drank it, she says it’s normal, no unpleasant sensations. Everything is individual. If you feel discomfort, it is better to stop and replace it, with your doctor, with something more suitable. Nika5 https://otzovik.com/review_4838244.html Advantages: price Disadvantages: weight gain I encountered this drug for the first time in 1998. I had a big delay. MC was called for me. Everything worked great. And I never encountered him again. And in 2020, I was prescribed treatment with Norkolut. Based on the reviews, I was wary of him. They prescribed it for half a year from the 19th to the 25th day. I drank for 3 months. The first month everything is fine. The second MC is meager, but like clockwork. Third month, 5 drops and 1.5 days. Gained weight +5 kg in 3 months. marinabulaeva19 https://otzovik.com/review_1178307.html Advantages: 99% contraception Disadvantages: excess weight, skin condition worsens and you need to take Norkolut on time - a hormonal contraceptive, and this is not very good. If you choose only a contraceptive, then it is better to choose something that is not hormonal. Hormones disrupt our hormonal balance and can make your appearance worse, for example, excess weight. Therefore, for treatment purposes, it is possible only as prescribed by a doctor. And for contraception purposes, Pharmatex tablets are very good, not hormones, and used just before sexual intercourse. There is no need to rush around with pills and wonder if I took them today or forgot them. And the best thing is probably condoms, whatever one may say, these are all medications that treat one thing and have a negative effect on another. Marina Afanasyeva https://irecommend.ru/content/pomog-vyzvat-mesyachnye-pri-silnom-gormonalnom-sboe I’ll start with the fact that my menstrual cycle is sometimes very irregular. Sometimes I didn't even pay attention. But from February 2020, my periods stopped coming; they didn’t come until April 2020. I went for an ultrasound because I was worried about chest pain, nagging pain in the lower abdomen, swelling, my condition was very bad. In general, all the symptoms of PM, but no periods at all. The doctor looked at the ultrasound, but didn’t find anything. He referred me for hormones and prescribed me to take NORCOLUT tablets, 1 tablet in the morning and evening for 5 days. And so my feelings during the reception - a terrible glutton, which you can’t control in any way, libido increased greatly, why I don’t know, it made me feel hot. After the cancellation I waited a long time, my period never came on the first day, it only came on the 10th day instead of 8. But there is a plus: the pain went away, maybe something got better that wasn’t visible on the ultrasound. And so, according to the results of a hormonal examination, my thyroid gland is to blame. So she has to be treated, but probably without Norkolut her period would not have come for a long time. Although there are many side effects, I still recommend it in such situations. And don’t delay the question like I did. Otherwise, it has a very bad effect on women's health. Grazhina https://irecommend.ru/content/ispravil-situatsiyu-no-zastavil-povolnovatsya At an appointment with a gynecologist about obtaining a certificate for work, I was asked about the regularity of my periods. I honestly said that the cycle is normal, and only in the summer in the heat there can be a delay of a month. I read somewhere that this happens when the climate changes. But the gynecologist prescribed the hormonal drug Norkolut to even out the cycle. Summer was just beginning, and my cycle was normal all summer. I stopped taking the pills and didn’t go to the gynecologist again. What upset me was the terrible track record of side effects. If you don’t read, then the pills are just like pills, but if you read the instructions, your hair will stand on end from the possible consequences. But I don’t understand Norkolut’s action plan. It is used for delays, for excessive bleeding, and for pregnancy. both as a contraceptive, and in case of threat of miscarriage, and for various diseases. Positive reviews EVGENIYA, the doctor prescribed this narcolut to me after histology, I have endometriosis. I drank the first term. I just found out on the forum that these are hormonal pills...))) (I just don’t trust a cheap doctor - he said it’s necessary, then it’s necessary!) I don’t know what I’m drinking, so there’s no effect of self-hypnosis that hormonal pills increase weight! I want to say that I had the opportunity to take them during fasting (of course, I have a pig’s appetite even without pills), but I feel fine and my weight has even decreased by half a kilo. They're crazy—with or without hormones! we will learn to control ourselves, no pills will control our body... I don’t know the result yet, but the feeling is satisfactory! Yana http://razuznai.ru/norkolut.html#comment-30244 Ultrasound showed that there was a cyst in the ovary, Norkolut was prescribed from the 17th to 27th day of the cycle, on the 28th day the “days” came as if on their own schedule, they began painlessly and instead of the usual 4 days, only two days. The condition during treatment was as always, did not worsen. I haven't gained a single gram of weight. I took two courses, an ultrasound showed that the cyst had shrunk. I have only good feedback. Guest http://www.woman.ru/health/diets/thread/4270007/ I don’t know about others, everything went fine for me. Norkolut was prescribed to restore my cycle after severe stress; in addition, I have multifollicular syndrome (something like polycystic disease, but not so bad). They prescribed me to take 2 tablets for the first 5 days; menstruation began on the 4th day after taking the last tablet. I didn’t gain weight, my health was and is satisfactory. Everything is very individual and, of course, it all depends on the doctor, what kind of diagnostician he is. Nicole https://lekotzyvy.com/review.php?id=2289 Either because of the change in weather, or because of excessive worries, but in the spring my cycle went wrong, or rather, my periods stopped altogether. I had to run to endocrinologists, gynecologists, neurologists, and do pelvic ultrasounds several times. Everything seemed to be in order. I remember ten years ago this happened to me and they prescribed me treatment with injections. And this time the gynecologist prescribed Norkolut in order to induce menstruation. And the drug helped me, although I only took it for about five days, taking a tablet before bed. To be honest, I liked the effect of Norkolut more than treatment with injections, which, on top of everything else, were very painful. Maria https://med-otzyv.ru/lekarstva/156-n/28287-norkolut#scomment-458719 I once took Norkolut to restore my cycle, it worked very well. At the age of 16, for some reason, there was a delay and they prescribed me to drink Norkolut for 10 days, they said that as soon as I finished, M would come right away. And so it was immediately after 10 days they recovered and since then they have always walked perfectly exactly every 28 days, without gaining weight) ePelania https: //otzovik.com/review_5609678.html Advantages: price, dealt with the problem 100% Disadvantages: none An ultrasound revealed 2 follicular cysts on both ovaries. I was able to get rid of them in just one cycle with the help of Norkolut. The gynecologist prescribed it to me on day 2 at a certain time period of the cycle. I didn’t find any side effects, if only there was drowsiness in the first days of taking it, and nothing else. mcnasty95 https://otzovik.com/review_2651678.html Advantages: Good protection, convenient to take, no need to wear an elastic band during sex. Disadvantages: Started to get better. I was always terribly afraid of hormonal contraceptives, I always thought that they made me gain weight, start growing hair, and so on. As soon as we started having an intimate life with a young man, we used condoms, for the first six months everything was fine, but after that a severe allergy began, there were terrible rashes and a strange smell on the labia and vagina. Of course, we stopped using condoms, but you can’t have sex without contraceptives, we tried a lot of contraceptives, but I tried these pills at my own risk, they protect well, now we have complete pleasure with the guy. But there are small disadvantages, I corrected them a little, I don’t know if the pills should be blamed for this... LadyLada https://irecommend.ru/content/otkroveniya-pokhudevshei-na-18-kgnemnogo-istorii-i-pouchenii-khudeyushchimbudete-erundoi- may Good afternoon, dear girls and women! If you looked at my review, then you are looking for information regarding taking the strong hormonal drug Norkolut. I will say right away that such a remedy simply cannot be recommended or not - it should be taken only in extreme cases, exclusively as prescribed by a doctor. If everything is fine with your hormonal levels, you can use it to seriously disrupt it. Judge for yourself - I haven’t had periods for 3 years, and only thanks to taking this drug (for 2 cycles) did they suddenly appear. But first things first... (More details in my small personal blog) First, my dears, I want to share with you my story of teenage stupidity in order to urge you under no circumstances to repeat my mistakes. I have long wanted to write a review about my weight loss story, but the story will be very long, so for now I will briefly describe it here, because Norkolut is a severe consequence of it. So... When I was 13, it got into my head that I was too fat and needed to lose weight. I got into sports, which led to the opposite effect - the weight began to grow! In a panic, I also began to regulate my diet, while simultaneously increasing my physical intake. loads. So, gradually, I completely gave up sweets, fatty foods, fried foods and starchy foods, but switched to fruits (which I still seriously overdo) and began to drink a lot of water. Step by step, in six months I lost 15 kg. Even further, a year later, my weight dropped by 18 kg and on its own continued to inexorably decrease without my efforts. In short, I reached anorexia and my critical days disappeared. Then I was thrown into bulimia, I had to take strong antidepressants because of this, but that’s not the point - my periods completely left me for 3 years, until I went to study in the capital and got to the right specialist, a gynecologist-endocrinologist (in my hometown You won’t find such a specialist during the day with fire). Although first I went to a regular gynecologist, she tried to introduce me to a course of cyclic vitamins, but 2 months of such treatment did not give any results. I took hormone tests, underwent an examination, an ultrasound, in general the picture was not so critical, just the internal genital organs (uterus, ovaries, endometrium) were in the lower limit of sizes normal for the female body. That is. in principle, under such conditions, for some girls everything functions normally, but for me personally such data turned out to be critical. In general, they sent me to a gynecologist-endocrinologist. And again, I ended up with not one, but two specialists. The first one prescribed me a course of Divigel (also a hormonal drug that builds up the endometrium) along with cyclic intake of vitamins. During the course (or 2, I don’t remember), nothing changed, except that I began to gain weight from Divigel. And it’s strange, the diet hasn’t changed, physical. I also didn’t reduce the load - I was swollen from the air and water, it’s just a nightmare. At the next appointment I saw another specialist who completely changed my treatment. To begin with, she prescribed me a course of the same Divigel, but added Norkolut and vitamin E (100 mg). Thus, over the course of a month I continued to gain weight, and I suspect that this would not have been reflected on the scales, but visually I could just feel myself swelling before my eyes This is a terrible feeling, but the next course was purely taking Norkolut and vitamin E, but already 200 mg (the doctor claims that it enhances the effect of Norkolut). And - lo and behold! - my first period came to me during this time. I only rejoiced at them when I was 11 years old, when they came to me for the first time. Thus, they prescribed me to take this same Norkolut for a period of six months at the following frequency: from the 16th to the 24th day of the cycle, drink 1 tablet of Norkolut with 200 mg (or better 400 mg) of vitamin E. Afterwards, lead a normal lifestyle. To this day I continue this cycle of treatment. Every time after finishing taking the medications, my period comes on the 2nd or 3rd day. True, one day, while on vacation, I forgot to be careful and during the intake cycle I drank 1 alcoholic cocktail. I had to skip a day of taking Norkolut, and as a result, critical days did not appear again. So this is too serious a thing and ALL the rules specified in the instructions must be followed strictly! Otherwise the consequences are unpredictable. One of the obvious advantages of the drug is its low price, since hormonal drugs, especially new ones, are very expensive. In conclusion, I’ll say, girls, take care of your WOMEN’S health! This is the most valuable thing you have. And if you are naturally overweight, but at the same time you have excellent health and well-being, don’t even think about doing anything about it! It is you, and you are beautiful in your body because you are unique. Be healthy - this is the most important and difficult thing in life! Svetlanavalerievna https://irecommend.ru/content/poka-nravitsya-56 Good day everyone) Now it’s time to write another review. This time my choice fell on a rather serious hormonal drug "Norkolut". I'll explain why. The story of my journey to motherhood is quite sad. And this story is not over yet. The journey continues. And it continues with significant losses for me. Unfortunately. And this journey began 13 years ago with my happy marriage. I married the first and only man in my life. The child was planned right away. But time passed, and pregnancy did not occur. 2 years after the wedding, I turned to my local gynecologist. I passed tests and had an ultrasound. Verdict: healthy. They advised me to have my husband examined. My husband resisted for a long time, but I still forced him to take tests. Verdict: asthenoteratozoospermia. Thus the reason for our failures in planning was identified. The andrologist prescribed vitamins for my husband, and after 3 months this test was normal. Yes exactly. 3 months and everything was fine. But the pregnancy never occurred. They began to dig deeper. I underwent laparoscopy and hysteroscopy. Verdict: healthy. The doctor wanted to send me for IVF under compulsory medical insurance. But there was no diagnosis. Although, he soon appeared. They took me away from work in an ambulance. Ovarian apoplexy has occurred, i.e. his break. The reason is a cyst. And this cyst appeared for a reason. The fact is that I was prescribed a drug to stimulate ovulation. But it was prescribed incorrectly. Forgot to add a trigger. A drug that causes the follicle to burst after maturation. Two follicles burst and one developed into a cyst. In place of one of the burst follicles, another cyst formed, only not a follicular one, but a corpus luteum. I think that if you are looking for a review about the drug "Norkolut", then these terms are clear to you. The doctor who prescribed the drug for stimulation saw that I had 2 cysts on an ultrasound, but did not prescribe anything. Now, if she had prescribed me Norkolut then, maybe nothing bad would have happened! And so, they removed part of my ovary with these cysts. The adhesive process began after the operation (a feature of the body). Due to my eternal fasting, acute intestinal obstruction occurred and again surgery. So, with a diagnosis of “adhesive process,” I ended up undergoing IVF under compulsory medical insurance. And this time I was unlucky. I couldn't get pregnant. So the cysts grew again. The doctor did not puncture the mature follicles. A hormonal imbalance occurred and bleeding began. I ended up in the hospital again. A year has passed. In the summer of 2020, a new attempt at IVF under compulsory medical insurance and a new test awaited me. And again to the same rake. Several follicles were not punctured, it was decided that they had not matured upon stimulation. And they are ripe! And they ovulated. And I became pregnant naturally through the IVF protocol. Yes, it happens. On the 14th day after embryo transfer, I received a negative hCG result. And after another 10 days, it’s already positive. The hCG rose and doubled at normal rates until one of the cysts decided to rupture. Ovarian apoplexy occurred and almost all of it was removed. And I lost my pregnancy after the operation. I don't trust doctors anymore. I'm double-checking everything. Especially that ovarian cysts swing. I regularly go for ultrasounds and found out that I get them often. Doctors don't prescribe anything. I began to look for information about drugs that could resolve cysts. I tried duphaston, utrozhestan, and prozhin. Duphaston gave me a rash. There were long delays from food and morning. And 2 months ago, I found out about Norkolut. Recommended on the forum. And now, just don’t tell me that on the forums they advise all sorts of nonsense, and self-medication will not lead to any good. Treatment from doctors has not brought me any good! I have nothing to lose. I have the following indications for taking Norkolut: - endometriosis - fibroids - ovarian cysts. So I started taking it at my own risk. I’m not encouraging anyone to do this, but it suited me. I take 1 t. 2 times a day from days 16 to 25 of the cycle. I feel good. PMS symptoms are gone. Although I read that for many, on the contrary, they are aggravated by Norkolut. “These days” begin without spotting (a sign of endometriosis) and come 2 days after discontinuation, on the third. The follicular cyst went away in one cycle, and ovulation occurred in the next cycle! By a happy coincidence, the drug suited me. But that doesn't mean it will suit you too. I say that I recommend the drug, but everyone decides for themselves. I wish everyone good health! Added after ultrasound. After taking 2 courses, a small myomatous node was not found. Was there since 2013 and disappeared!

Hysteroscopy with biopsy

The “gold standard” for examining the endocervix and uterine cavity is diagnostic hysteroscopy with a biopsy under visual control of any suspicious area of the endocervix, followed by curettage. The cervical canal is dilated, the uterine cavity is examined, and a biopsy of any suspicious area of the endometrium is performed. If polyps are present, a hysteroscopic polypectomy is performed, followed by curettage of the uterine cavity.

In postmenopausal patients with a homogeneous endometrium thickness <4 mm without pathological vascularization in the absence of HRT, the likelihood of cancer is extremely low. Many clinicians use an endometrial thickness of 5–6 mm as a reference point for normal endometrial thickness at menopause. With continuous combined HRT or taking tibolone, the permissible endometrial thickness is 5.5 mm, in women taking raloxifene or continuous HRT, on the 5th day of the cycle - 4 mm, and in women taking tamoxifen - 8 mm. Despite this, if symptoms persist, hysteroscopy is performed regardless of the thickness of the endometrium.

Colposcopy with cervical biopsy

If the results of a cervical examination or a questionable cervical Pap smear are questionable, colposcopy with a biopsy from all suspicious areas is necessary.

Treatment

Treatment is selected by the gynecologist, taking into account the cause of the brown discharge, the patient’s age, and concomitant diseases. Conservative and radical methods of therapy are used. In the first case, the woman is advised to take hormonal, anti-inflammatory, antibacterial agents, and local moisturization of the vaginal mucosa.

In the second, removal of the uterus or ovaries may be required. The operation is performed only as a last resort, taking into account possible risks and complications. To achieve the best result, it is recommended to follow the instructions of a specialist and refrain from self-medication.

Hormonal changes	Hormone replacement therapy drugs are prescribed by a doctor after a preliminary examination, taking into account risk factors: Femoston; Ovestin; Lindineth.
Diseases of infectious origin	Antibiotics for oral and local use; immunostimulants: Interferon, Timalin; local anti-inflammatory drugs: suppositories, ointments.
Vulvovaginitis	Antibiotics in the form of suppositories and tablets for oral administration; antifungal drugs; probiotics; anthelmintics; sitz baths with anti-inflammatory herbs and antiseptics.
Endometriosis	Conservative treatment: combined estrogen-progestin drugs; antigonadotropic drugs; gonadotropin releasing hormone agonists. Radical treatment: hysterectomy, adnexectomy.
Malignant neoplasms	hysterectomy; chemotherapy and radiation therapy; Removing the uterus may also require excision of surrounding lymph nodes.

For severe blood loss, drugs with a hemostatic effect are used: Aminocaproic acid, Vicasol.

It is also recommended to take additional vitamin D3 after identifying its level in the body, magnesium, vitamin C, as well as other vitamins, microelements, amino acids according to indications. It is necessary to monitor nutrition, physical activity, compliance with the work and rest schedule, and go to bed on time.

Identification of disease by color

Gynecological diseases can be identified by the color of the discharge. Changes in the body during menopause, including in the genitourinary area, are caused by a decrease in the functionality of the ovaries. The organs stop producing hormones, gradually shrink, their size decreases, and the tissue is replaced by connective tissue. Thinning of the endometrium, shortening of the fallopian tubes, overgrowth of the cervix, thinning of its walls and decreased elasticity lead to injury to the organ during sexual intercourse.

In this case, women may experience pain, burning and other unpleasant sensations. In such cases, the risk of infection of the vaginal mucosa and the development of fungal infections increases. Manifestations may be accompanied by the presence of bloody, bloody or pink discharge.

If the mucous or watery secretion is odorless and its quantity is insignificant, then the female reproductive system will be within normal limits.

Yellow and brown discharge is considered pathological. They may indicate the development of vaginitis, infection of the vaginal microflora with bacteria or viruses that tend to multiply quickly. Usually the process ends with active inflammation, accompanied by the release of pus. During menopause, women often experience burning and itching in the intimate area, and the production of mucus in the cervix decreases, which is the cause of unpleasant symptoms.

Representatives of the fair sex during menopause are often diagnosed with urogenital disorders, expressed by an increased urge to urinate, incomplete emptying of the bladder, and a feeling of discomfort. When metabolic processes in the body are disrupted, women experience green, yellow, dark discharge or spotting. Most often this happens in the presence of excess weight, diabetes, arterial hypertension and endometriosis.

What do you need to remember?

Brown discharge during menopause is a reason to consult a doctor and refrain from self-medication.
Brown discharge may indicate endometriosis, vulvovaginitis, infectious diseases, vaginal candidiasis, hormonal disorders, benign or malignant neoplasms.
To choose the right treatment, the volume, smell and consistency of the discharge, accompanying symptoms, ultrasound and laboratory results are taken into account.
During therapy, conservative and radical methods are used.

Literature

Baranova V.G., Arsenyeva M.G., Raskin AM Physiology and pathology of menopause in women. JL: Medicine, 1965. - P. 270.
Benerishke K. Reproductive endocrinology / Ed. ed. S.K. Jena, R.B. Jaffe. M., 1998. - T. 1. - P. 531-560.
Berezina I.I. Menopause. M.: Medicine, 2002. - P. 5-12.
Vikhlyaeva E.M. Menopausal syndrome // Gynecological endocrinology // Ed. K.N. Zhmakina - M.: Medicine, 1980. - P. 105-134.
Frolova O.G. Women's reproductive health // Quality of life. - M.: Medicine, 2004. No. 3 (6). — P. 9-12.

What to do

If bloody discharge is detected during menopause, it is necessary to establish the origin and location of the focus that led to the blood flow, and to find the cause of such unfavorable symptoms. Timely and high-quality diagnosis of the pathology gives the woman every chance of a full recovery. Gynecologists use curettage in treatment. This method performs research tasks. It is hoped that after the procedure, the disturbing discharge will disappear. The procedure is capable of providing therapeutic therapeutic effects.

Patients over 50 years of age are effectively helped by the use of medications that contain androgens that can inhibit sexual function. To eliminate climacteric syndromes, conventional sedatives are used. Along with the treatment recommended for the underlying disease, the gynecologist also pays attention to techniques aimed at the complete recovery of the female body. To do this, you will need to change your diet - increase the content of vegetables, fruits and fermented milk products, in particular cottage cheese.

To eliminate the negative effects of menopause and avoid the accompanying transformations in bone tissue, you need to use therapeutic exercises, use feasible loads through sports, but first you need to strictly calculate them. Activity and a good mood can prolong youth and go through menopause painlessly.

What should you be wary of?

Consultation with a gynecologist and examination is necessary in the following cases:

1 Discharge is accompanied by pain in the lower abdomen, dyspareunia, and discomfort.
2There is an unpleasant smell.
3 Changed color : the discharge has become yellow, gray, greenish, white or brown.
4 The consistency of the discharge resembles water , liquid or foamy.
5 Copious discharge , panty liners are not enough for the whole day.
6 The appearance of blood impurities in any quantity.

The proximity of the urethra and vagina is often accompanied by involvement of the urethral mucosa in the pathological process. This is manifested by dysuric disorders: increased frequency and pain of urination, unpleasant sensations, and frequent urges.