Most women get scared by noticingbloody discharge, and feverishly begin to think that they fell ill with some terrible and incurable disease. Modern media and daily advertising on television only fuel these assumptions and conjectures. Of course, at best, many women are enrolled to see a gynecologist and take the necessary tests.
What are women's discharge?
In case the arising disease is confirmed,gynecologist timely appoints treatment or preventive measures and soon the problem goes away. However, as a rule, most women, having read a dubious literature, begin to engage in self-medication: runs to the pharmacy and buys everything that can only be bought from medications, it does not matter what it will be, whether the powders, or tablets, or candles , - only to quickly get rid of this terrible illness that befell them. This approach is completely wrong. Every woman of reproductive age should understand that the vaginal discharge is normal. These are the same physiological excreta, as, for example, salivary gland secretions, sebaceous glands, gastric juice production, and the like. Alloculations in women should be mandatory, their presence indicates normal vaginal work, the development of the necessary secret in it. Another question is that women should know which excreta are normal and which secretions give cause for concern. It is necessary to pay attention to the color of the secretions, their smell, consistency. If the woman is healthy, the discharge is colorless or whitish and has no smell. Of course, if you notice spotting, a change in structure and an unpleasant smell, then this is a direct reason to visit a gynecologist as soon as possible. Most often, the appearance of an unpleasant odor and abnormal color in the secretions occurs with banal improper hygiene or malnutrition. It is worth normalizing these two factors, how the problem will disappear, without forcing yourself to wait long. Trying to cure yourself and get rid of excreta is dangerous and unreasonable. To some extent, it affects the bloody discharge from the vagina. In any case, a sensible act for any discharge that disturbs you is a visit to the doctor who will diagnose, if necessary, prescribe a treatment or dispel your suspicious suspicions.
Bloody discharge in girls and adolescent girls
Vaginal discharge in girls from the momentbirth to 9-11 years of age is anomalous phenomenon. During this period of physiological rest, puberty has not yet come, the eggs do not yet ripen, the menstrual cycle (monthly) is absent, and the female sex hormones are in small quantities and do not have any effect on the growing organism. The appearance of excretions in girls up to 9-11 years is a clear sign of problems and violations in the sexual sphere. This especially applies to the appearance of bloody discharge in newborn girls. It can mean an infectious disease with affection of organs located nearby, overly early puberty, transfer of the infection from the anus of the child from the anus to the vaginal area. Infection develops quickly, as little girls in the vagina do not have protection - lactic acid bacteria (up to 8 years). Inflammatory processes that appear in the vagina and labia are vulvovaginitis. As the girl grows, vulvovaginitis appears less frequently with hygiene. The appearance of any discharge in girls under the age of 11 is an occasion to consult a gynecologist for advice and diagnosis. Bloody discharge in teenage girls aged 11-18 years is called juvenile or pubertal uterine bleeding, which is dysfunctional, they are associated with a menstrual cycle and hormonal ovarian function. Such bleeding in girls is considered the most difficult pathology of puberty. In recent years, such a violation has become a very common problem. In some situations, juvenile bleeding in girls may coincide in time with another menstruation, and their presence can be determined by the greater amount of blood lost. In other cases, juvenile bleeding may occur before, after, or between menstruation. Often the allocation of adolescent girls appear first 2-3 years after the first menstruation. If the blood discharge in the girls is irregular, painful, very abundant, then it is necessary to turn to the pediatric gynecologist, as these bleedings are more often than not violations of the functions of the reproductive system. Do not pay attention to them can not, you need to treat the girl, so that in the future these bleeding does not affect her reproductive health.
Causes of bleeding in women
If women of any age categorythere are discharges that appear not in the period of menstruation, but before or after, this indicates the presence of disorders and possible diseases in the body. Since 2011, the International Federation of Obstetrics and Gynecology (Federation of Gynecology and Obstetrics) has developed and implemented detailed recommendations on the causes of bleeding after menstruation at any age. The unique result of the Federation's work is that a classification has been developed that is a visual instruction and is used by gynecologists in diagnosing and identifying possible causes of discharge between menstruation among women in any age category. The main causes of bloody discharge in women can be disorders and diseases in the female body. Endometritis - inflammation of the uterine mucosa, bloody discharge occurs later or between menstruation. Ectopia of the cervix uteri - secretion due to contact of the cervix with the penis during intercourse, with a gynecological mirror during the examination of the doctor, etc. The inadequacy of the second phase of the menstrual cycle is the incorrect formation of the yellow body after ovulation. Cervical and endometrial cancer - discharge of different intensity regardless of the phases of the menstrual cycle. Dysfunctional uterine bleeding is a profuse bleeding that occurs after a delay. Trauma of the genitals - discharge after violent actions in sex, leading to rupture of the vagina or posterior adhesion. Ovulatory syndrome - discharge in the middle of the cycle in small quantities with sharp pains in the lower abdomen. Endometriosis - the appearance of smearing blood discharge later than the usual menstruation. Myoma of the uterus with a submucosal arrangement of nodes - spotting with a monthly protracted character with cutting pains in the ovaries. Hyperplasia and polyps of the endometrium - the allocation before or after menstruation, and during menstruation the release of clots.
Additional causes of bleeding in a woman
If you started taking oral contraceptives(tablets), then you may have a small spotting between your periods. This is due to the fact that the uterine lining has not previously received so many hormones that began to enter the body together with the contraceptive pills. Such discharge is normal, if they are observed the first months of taking such contraceptives, until the body gets used to a new source of hormones. After getting used, the excretions stop. Bloody discharge after menstruation may appear in women who use vaginal rings or hormonal patches acting on the principle of birth control pills, which soon cease. Excretions in women can be observed when using hormonal implants containing only progestins; with the establishment of intrauterine spirals, both conventional and hormonal. Spirals are introduced into the uterine cavity, tightly adhering to the mucous membrane, thereby changing the character of the monthly course. In medicine, short and sparse excretions in the presence of a spiral are considered normal. Every woman at any age must be attentive to herself and pay increased attention to any changes and deviations from the norm. If there is a prolonged and profuse menstruation, lasting more than 7 days, you need to contact a gynecologist for a reason. It should not be neglected and neglected, since this can be a sign of a number of gynecological diseases (polyps, fibroids, uterine cancer, a decrease in the number of platelets in the blood), and a violation of blood coagulability. If there is a situation when bloody discharge (abundant or meager) started, at which the temperature increased, there was pain in the lower abdomen, dizziness or severe weakness, then call an ambulance as soon as possible or immediately go to the hospital for an emergency examination with specialists. Women over the age of 45 must remember that at the onset of this age, the risk of cancer increases significantly. If you find any symptoms that concern you, you should see a gynecologist and get an appointment.
What does the discharge mean in pregnant women?
Pregnancy is one of the most important and significantperiods in the life of every woman. Pregnancy requires every woman to comply with the necessary requirements, norms and rules, sensitive and attentive attitude towards her body and the emerging new life within herself. Any deviation in the state of a pregnant woman, the appearance of blood from the vagina, or unexpected pain of any nature and extent, signal an unfavorable situation inside her body, and a timely appeal to a gynecologist will help to eliminate the cause of the trouble and restore balance. Particular and close attention should be directed to the occurrence of any bloody discharge and other unpleasant symptoms. The appearance of secretions in pregnant women can be threatened with the most terrible consequences: miscarriage, ectopic pregnancy, bladder drift, placenta previa, premature detachment of the placenta, etc. When there are secretions in any trimester of pregnancy, you should urgently consult a doctor for necessary or even emergency help. The causes of the appearance of bloody discharge in pregnant women can be the simplest (raised excessive weight), often accompanied by implantation or simple bleeding. By the way, implantation bleeding may indicate early pregnancy, although the woman does not yet suspect this. If the future mother does not go to the gynecologist in time, the appropriate tests and examinations fail, the situation can become tragic and end badly for both the future mother and the unborn child. Gynecologists distinguish one more serious cause of blood discharge in pregnant women in the first half of the trimester of pregnancy - a lack of the hormone progesterone. In the next, second trimester of pregnancy, estrogen secretion may appear. In the third trimester of pregnancy, if there are discharge with blood veins, this is a sure sign that the mucous plug will soon depart and long-awaited birth will begin. In any case, if the discharge does not cause inconvenience to pregnant women, for example, a bad smell, itching, etc., they are completely considered normal.
Allocations after childbirth is normal?
Bloody discharge immediately after delivery is considereda normal phenomenon. These discharges are called lochia-dead cells of the endometrium, formed in the middle of the placental abruption. In the first week after delivery, the discharge is very abundant, contains large clots and has a bright red color. Lochnia appears in all women after childbirth, regardless of whether the woman gave birth herself or she had a Caesarean section. Gradually, the selection changes its color, from brown to light brown, then acquires transparency and disappears. The first normal months begin in a few months, during or after breastfeeding. The first months, as a rule, proceed painfully, abundantly, and this is absolutely normal. It is better to wait with sex, in spite of the fact that the extracts have already acquired a brown color, not a blood color. If the discharge after childbirth remains bright red for 10 days, have blood clots, appear again between the second week after birth, feel weakness, a fever and an unpleasant odor of discharge, then you should immediately go to the doctor and make an ultrasound of the vaginal sensor. Postpartum recovery slows down if the woman's inflammatory process is taking place, there is a decreased coagulability of the blood, there are nodes of fibroids, uterine flexion, infantilism and other pathologies in the uterus. Sudden severe bleeding can begin if the entire placenta has not fully emerged and some part of its membrane remains inside. In this case, doctors do the cleaning of the uterus. Abundant discharge after childbirth can occur if there was a rupture of the uterus and the vagina. In order for the uterus to recover faster, you need to breastfeed your children, lie more on your stomach, visit the toilet in time (not tolerate), and carefully observe personal hygiene. It often happens that the obstetrician, in his negligence, can forget to put a cotton swab in the vagina, after which also appear discharge. At bloody discharge it is impossible to take a bath, and it is possible to wash out with broths of medicinal herbs. To the postpartum period should be treated with all seriousness, as well as the very pregnancy and childbirth. If a woman does not understand the cause of the appearance of secretions of any kind, especially bloody, then it is necessary to urgently consult a doctor.
Tips for maintaining women's health
Dear women, it is very important to listen toyour body, if you notice that intermenstrual secretions began to appear, the next monthly ones are very painful, more plentiful than before, get irregular, or there are spotting after a month, then you need to immediately consult a doctor. A gynecologist and an endocrinologist will help you deal with the problem that has arisen, prescribe an appropriate examination and timely treatment if necessary, thus helping you to eliminate the cause of the discharge early. Every woman of any age should be more attentive to herself, go through mandatory visits and annual examinations with doctors. Only in this case you will know that everything is in order, you will be calm for your female organism and gladly look into a happy future.