Discharge from the external genital tract on the eve of menstruation is a fairly common and not uncommon phenomenon. Many women are very worried about this - what is the norm, and what is pathology?
First of all, every woman should remember for herself that one of the characteristic signs of inflammatory processes in the organs of the reproductive system is the appearance of thick secretions of brown, yellow, green color. This is especially true of discharge with an unpleasant odor and adherence of genital itching to the whole, burning during emptying of the bladder, hyperemia of the labia majora. Accurately determine whether a woman has inflammation of the genitals by using a vaginal smear.
Some women have a heavy yellow discharge during ovulation. This condition is the norm, and you can verify this by passing a vaginal smear on the definition of microflora. An increased leukocyte count in a smear and the identification of pathogens may indicate a progressive inflammatory process. Without smears and additional research it is impossible to diagnose the presence of inflammation in the reproductive system organs of a woman.
Brown discharge before menstruation - a cause for concern or the norm?
Many women have a brown vaginal discharge a few days before the onset of menstruation. Gradually, these secretions increase and develop into full menstrual bleeding. This is a normal condition and does not require medical intervention.
Another thing, if the brown discharge from the genital tract begins 5-7 days before the onset of menstruation. Often this symptom indicates the presence of inflammatory diseases of the uterus, erosion, endometrial hyperplasia or cervical polyps. Brown discharge before menstruation can be observed due to hormonal disruptions in the body, caused by inadequate intake of oral contraceptives, for example.
In the presence of erosion or polyps on the cervix, the woman may also experience the appearance of brown discharge. Confirm the presence of a pathological process on the cervix can gynecologist, examining a woman in a chair in the mirrors. The appearance of brown secretions can be observed after a rough sexual intercourse or vaginal douching, due to internal intervention and injury to the mucous membrane.
Causes of brown discharge
Very often, the appearance of brown discharge before the onset of menstruation is due to the use of funds from unwanted pregnancy, which can be both oral contraceptives, and intrauterine devices and vaginal ring. The most common brown secretions appear when administering low-dose oral medications.
Normally, vaginal discharge when taking oral contraceptives can be repeated for 3 months from the start of use. However, if after 3 months the discharge continues, the woman should tell the gynecologist about it, perhaps this drug is not suitable for her and the doctor will choose another one.
In any case, brown discharge before menstruation can not be left without medical attention. For example, the appearance of such secretions as a result of the pathological proliferation of the mucous membrane of the uterus can lead to miscarriage, since the defective epithelium of the uterus does not allow the ovum to adhere and develop normally. As a rule, endometritis occurs as a result of pathogenic infectious agents entering the uterus during interventions in a woman’s body. This usually occurs when:
- Artificial abortion (especially after 7 weeks of gestation),
- Pathological labor
- Manual removal of the placenta during labor
- Diagnostic curettage of the uterus,
- Uterine sounding.
At the initial stage of development, endometriosis can be almost asymptomatic, which increases the risk of the disease becoming chronic.
Most often, a woman visits a doctor when menstrual irregularities become noticeable, there are brown discharges before menstruation, lower abdominal pain.
One of the reasons for the appearance of brown discharge a few days before the onset of menstruation is hyperplasia of endometrial polyps. A characteristic manifestation of this pathology is the occurrence of brown vaginal discharge not only before the onset of menstruation, but also in the middle of the cycle. In addition to the main signs of endometrial polyps, women have cramping pain in the lower abdomen on the eve of menstruation. It is possible to confirm the presence of uterine polyps using ultrasound examination of the pelvic organs, hysteroscopy and hysterography.
Brown discharge from the external genital tract before menstruation may indicate the presence of uterine fibroids. Fibroids is a benign tumor of the uterus, which most often develops in women of childbearing age. A characteristic symptom of this pathology is the appearance of bleeding in the middle of the cycle and brown discharge before menstruation.
Is it necessary to treat the appearance of brown secretions before menstruation?
Before prescribing a woman any treatment, the doctor must determine the cause of brown discharge before menstruation.
If the brown discharge that appeared 1-2 days before the onset of menstruation gradually develops into full menstrual bleeding, then this condition does not require any medical intervention.
If brown discharge before menstruation is a symptom of a pathological proliferation of the uterus mucous membrane, then a woman is usually prescribed hormonal drugs to normalize hormonal levels. Drug medication is selected only by a gynecologist separately and individually for each woman, depending on the extent of the pathological process, disease neglect, history of labor activity, age of the patient and many other factors.
If endometritis is detected - inflammation of the uterine mucous membrane, the woman must be prescribed antibiotics, to which the pathogen is sensitive. After completing the course of therapy, the patient is shown a number of physiotherapeutic procedures and rehabilitation treatment (probiotics, vitamins, immunomodulators).
If brown vaginal discharge before menstruation is the result of polyposis, then the woman is prescribed a course of hormonal drugs. Again, the drug is selected individually for each individual case, depending on the characteristics of the woman’s body and the extent of the pathological process.
The dynamics of treatment with hormonal drugs can be observed only after three months from the start of taking the pills. If treatment with hormonal drugs did not bring any result, then the patient is shown surgical intervention using the laparoscopy method.
Allocation before monthly
Blood, watery, slimy, fluid, frothy and viscous, white and yellow-green, serous and red-brown-gray, pink, and brown, with blood or pus - this is what the discharge before menstruation may look like. If the discharge before menstruation is similar to a serous or purulent substance, in which blood is visible, and such exits are seen after menstruation, then, most likely, the woman has problems with fallopian tubes. In the best case, such secretions speak of inflammatory processes, but they sometimes indicate cancer of the fallopian tubes. Pus coming out of the vagina also sometimes indicates acute endometritis.
When the discharge before menstruation and after menstruation scares with its unimaginable red-brown-gray tinge, it can be suspected that the woman has cancer of the uterus and the new growth that has already begun to spontaneously disintegrate. Mucous with admixture of pus discharge before menstruation occur in women with acute cervicitis. Often, secretions indicate tuberculosis, endocrine disruption, etc.
If you find blood in the secretions, it is possible that polyps have arisen on the cervical canal, namely the mucous membrane. The discharge, which consists of lymph and blood, is also a rather alarming sign, because such exits happen to girls who have developed cervical cancer. Nasty greenish and bulky discharge - a sign of the development of purulent infections.
Involuntarily I recall a popular song in which the following words were tried to convey to the listener: “girls are different - black, white, red”. So the same can be sung about the discharge before menstruation, which can be white, and red, and gray-brown-scratched. Perhaps you have the opinion that if there was a discharge before the menstrual period, then it certainly means something terrible. Not necessary. Of course, pus and “wild” color of discharge does not tell anything comforting, but brown, white and pink exits are not always a sign of terrible diseases. And in some cases they are not associated with any ailment at all. So let's talk specifically about the mentioned selections.
Brown discharge before menstruation
Many girls who come to their gynecologist complain of brown discharge before menstruation. And like the ladies understand that nothing bad happens, because they are not disturbed by discomfort, besides the exits do not have a nasty smell. But still they can not accept the presence of secretions of such an abnormal color. Well, if a girl, except for brown discharge, before menstruation is not bothered by vomiting, nausea, pain, then perhaps everything is relatively good with her. But the test should certainly be. No wonder they say that there are no healthy people - there are only under-examined patients.
In what cases do brown discharges appear before menstruation that are not associated with the development of painful conditions? Such discharge, as a rule, occurs in women with poor menstruation. They are the usual menstrual blood, which during menstruation, especially on the first day, is released so little that, until it reaches the exit from the vagina, it just has time to grow old. Iron in the blood, interacting with air, is oxidized, and the blood turns from a red liquid to brown.
But why can brown discharge before menstruation go for several days before menstruation and even after it? Well, here it is also worth noting that such discharge before menstruation can speak about the onset of menstruation, which cannot fully start - it needs a swing. Two-day brown discharge before menstruation is not the norm. Usually in women, menstrual blood begins to flow abundantly on the second day of menstruation. The long buildup process, which is indicated by brown discharges before the menstruation period of several days, most often means that the woman has a deficiency in the second phase of the cycle.
This deficiency occurs when women have low progesterone. In this case, the endometrium can not develop as it should, become fluffy, ripen. Liquid progesterone is able to grow thin endometrium. Naturally, if the endometrium is poor and underdeveloped, then there is simply nothing left to go out so violently, as is already the case on the second day of menstruation in women with normal levels of progesterone. A small amount of bleeding (menstrual blood) is first simply rammed, enveloped in mucus and come out in an altered form. It is their women who perceive it as a brown discharge before menstruation, although in fact these outputs already speak of the onset of menstruation.
If a few days before menstruation appear brown, spotting, be sure to consult a gynecologist. Especially do not remain silent about them if you intend to become pregnant, since low levels of progesterone can cause problems with the nesting of fertilized gametes. This happens because the underdeveloped endometrium is simply not able to perform its function, the essence of which is to create conditions for the implantation of a blastocyst (embryo) in the uterus.
Even if you are not going to get pregnant, still go to the doctor, seeing the brown discharge before menstruation. After all, they appear not only when a woman has a low level of progesterone. Many doctors say that such a discharge is often a symptom of endometriosis. The disease is characterized by pathological growth of the inner mucous membrane of the uterus. Due to endometriosis, menstruation may lengthen, intensify, etc.
It happens that women do not understand why they have endometriosis. This, for example, happens when rejected endometrial cells enter the abdominal cavity, where they begin to grow. Why it happens? Here is the fault of everything - sex during menstruation.
So, the menstrual blood together with the endometrial cells is pushed back, passing through the fallopian tubes into the abdominal cavity when introduced into the vagina of the penis. That is, reflux occurs. Such a pathological process is spoken of when refluxate (what is contained in hollow organs, in our case, female reproductive) begins to flow in the opposite direction from the natural direction.
You can not delay the treatment of endometriosis. After all, he not only carries physical pain, complicating sexual intercourse, the natural management of needs. Endometriosis is able to take away the joy of motherhood from a woman. To diagnose this disease, the doctor must perform laparoscopy. After confirming the diagnosis, remove the focus of endometriosis. Specialists can choose one of the following methods of surgical treatment: electrocoagulation, resection or laser vaporization.
It is wrong to keep silent in the gynecologist's office that you had brown discharge before menstruation, because endometriosis is not the worst thing that their appearance can indicate. For example, brown secretions occur in ectopic pregnancy (although they are usually bloody). It is possible to detect such a pregnancy only in the clinic, after conducting a special analysis or using ultrasound equipment. Additional symptoms of ectopic pregnancy are pain, nausea, dizziness, etc.
Uterine bleeding, which occurs when progesterone levels decrease during ectopic pregnancy, is somewhat reminiscent of menstruation. Since the discharge is usually scanty, it takes a long time to change and has time to change color to brown, they can be perceived by women as a sign of insufficiency of the second phase of the cycle. Therefore, do not be silent about brown secretions, considering that they can not relate to the signs of ectopic pregnancy. Do not wait for abundant uterine bleeding.
White discharge before menstruation
Seeing the white discharge before menstruation, you do not need to go into hysterics. Perhaps this is a natural selection, which should be in every healthy woman. In the first half of the cycle, they are less whitish and more transparent. Closer to ovulation, secretions may acquire a rich milky color, and resemble protein in consistency. In some girls, white discharge before menstruation becomes clumpy and even changes its smell, becoming sourish. Such secretions can also be attributed to physiological.
Sometimes the white discharge before the menstrual period indicates pathological processes of an inflammatory, infectious nature. Especially it is worth guarding if they are badly separated, are quite thick and smell of fish. Most likely, such white discharge before menstruation occurred due to the development of bacterial vaginosis. Itching and white cheesy discharge indicate thrush. And white discharge before menstruation, which foam, means that you are “lucky enough” to get trichomoniasis. They can also be yellowish and smell unpleasant.
At detection of the diseases mentioned above, it is necessary to be treated in the clinic. Do not douche various solutions that destroy the vaginal microflora and may even cause the appearance of inflammatory diseases. Also, do not need to put yourself a candle, use a variety of ointments. First, you can harm yourself. Secondly, a woman who introduced some kind of drug into the vagina will temporarily suppress the vital activity of microorganisms, and doctors will not be able to detect them. And after only a few days, they will again make themselves known, and again they will have to go to the doctor.
Bacterial vaginosis and vulvovaginal candidiasis can cause antibiotics, poor-quality and unnatural underwear, diseases that lead to disruptions of the immune system, improper hygiene measures, etc. Treat them easily. But this should be done by an experienced doctor.
An infectious disease such as trichomoniasis requires more complex examination and treatment. Специалисты рассказывают, что трихомонада – возбудитель трихомониаза, может поглощать бактерии, которые являются внутриклеточными паразитами.Therefore, it is important to determine the presence of chlamydia and diplococcus in the female genital organs, which after the treatment of trichomoniasis provoke the development of chlamydia and gonorrhea. Treatment of trichomoniasis should be comprehensive. It is selected individually.
Important: if a lady has found inflammatory, infectious diseases of the organs of the genitourinary system, then the examination and treatment should be carried out not only by the woman, but also by her partner.
Pink discharge before menstruation
Some women say that pink discharge before menstruation is normal. Others claim that they point to pathological processes that occur in the organs of the urogenital system. Such a dispute can be solved by a gynecologist, who will examine the patient and determine the nature of her discharge.
There is an opinion that pink discharge before menstruation appears in some women during the ovulation period. A girl with single-color exits is also suspected of taking antibiotics uncontrollably. They also prove that pink discharge before menstruation is the result of a slight injury to the vaginal mucosa during douching, sexual intercourse, masturbation, gynecological examination. Intrauterine devices, oral contraceptives, etc. are blamed for the appearance of discharge.
Dark discharge before menstruation
I think you will agree that the dark selection before the menstruation does not speak about something good. It does not even need to consider what kind of shade they have. Indeed, in any case, the appearance of dark discharge before menstruation is a reason to consult a doctor.
Deviation from the norm is not only staining of natural secretions in any color, but also their incomprehensible smell. Must guard and monotony of the outputs. After all, the discharge in different phases of the cycle, except for the quantity, intensity of exit from the vagina, changes consistency, transparency, and also tint (within white color).