Do your periods come on time? Medical termination of pregnancy can be for various reasons.

Any gynecologist will answer this question unequivocally - menstruation cannot occur during pregnancy. Conception is accompanied by a radical restructuring of the entire system of the female body - the production of prolactin increases, and under its influence changes hormonal balance. At the same time, the maturation of eggs stops, the process of growth and menstrual rejection of the endometrium stops. These phenomena can completely change monthly cycle and stop menstrual flow for many months - at least as long as the pregnancy continues.

Menstruation, as we have already said, in women interesting position, they don’t, but there may well be bloody discharge, which looks very similar to menstrual discharge. Basically, such allocations go to early stages fertilization and often, duration and abundance practically do not differ from the usual menstrual cycle. This similarity is the main reason why inexperienced women confuse this discharge with menstruation.

The difference between menstruation and discharge during pregnancy

Distinguishing full periods from discharge associated with fruiting is sometimes not easy. This is due to the fact that often the course of these processes is almost identical and without a pregnancy test, it is almost impossible to find out what is happening.

If you have had unprotected sex or violated the rules of admission contraceptive drug, the timely occurrence of menstruation does not yet guarantee the absence of fertilization. If you have the slightest doubt, be sure to do a fruiting test, or better yet, go to an appointment with a gynecologist.

Regular sex life, especially without the use of contraceptives, gives a fairly high chance of conception. Factors indicating a high probability of fertilization:

• Advance from 2 to 7 days from the usual onset of menstruation;
• Significant reduction in the amount of discharge;
• Changing the usual shade of discharge. They range from pinkish and light brown to dark brown in color;
• Reducing the usual number of days in the menstrual cycle.

We would like to note that the widespread belief that fertilization can be guaranteed to be avoided during unprotected sex if the partner removes his sexual organ from the vagina before ejaculating is not true. With such sex, conception is quite likely.

Bloody discharge upon fertilization

In about a quarter of women, in the first few months of conception, there is a discharge of bloody mucus from the vagina, which in 50% of cases does not threaten the fetus, and in the remaining 50% it can indicate some problems, for example, the threat of miscarriage, frozen or ectopic pregnancy.

In the early stages of conception, discharge with bloody clots is acceptable. In most healthy expectant mothers, these processes cannot threaten the fetus and are considered normal in the following situations:

• Implantation bleeding;
• Discharge due to sex;
• Discharge as a reaction to the intervention of a gynecologist during examination.

Implantation bleeding.

This phenomenon is observed in about a third of pregnant women seven to fourteen days after conception and is associated with damage to the blood vessels of the uterus during implantation of the embryo to its wall. This process is fully consistent with healthy female physiology during the first months of fruiting and manifests itself in the form bloody discharge varying degrees abundance. In most cases, implantation bleeding occurs several days before the expected period, sometimes two or three days after.

Implantation bleeding can appear in the form of a couple of drops on underwear and can last for several days, depending on the characteristics of the body.

Sex during pregnancy.

In the early stages of fruiting, soft, classic sex does not pose a threat of pregnancy failure, but it can provoke brown discharge immediately after intercourse. This is due to the fact that in this condition the intensity of blood supply to the vagina and uterus increases, which leads to an increase in the sensitivity of their mucous membranes. Sex, even light, during this period is a relatively serious irritant and can cause microscopic, harmless damage to the mucous membrane, which becomes the cause of such discharge.

Only a doctor can determine whether it is worth continuing to have sex in such a situation, after an appropriate examination.

Bleeding accompanied by tissue clots, pain, dizziness, nausea or vomiting may indicate fetal rejection - a miscarriage.

An examination by a gynecologist led to menstruation (discharge).

In the early stages of fertilization, any interventions, including examinations by a gynecologist, can provoke the appearance of spotting. This does not pose any risks if the discharge is scanty and occurs for up to 2 days.

Until such discharge ends, avoid sex and do not use tampons.

Pregnancy situations requiring special monitoring

Unfortunately, not every pregnancy follows a natural physiological cycle. Below we will look at situations in which you should be especially careful.

Bloody discharge during pregnancy with an unpleasant odor.

Discharge pink or pink-brown discharge With bad smell- a sure sign inflammatory processes vagina or cervix. In this state, the mucous membranes female organs are especially vulnerable and easily damaged, which leads to such discharge.

The appearance of such symptoms during conception requires immediate intervention doctor, otherwise there may be pathologies in the development of the fetus and even risks of losing it.

Ectopic pregnancy and its symptoms.

According to statistics, approximately one in 60 fertilizations occurs outside the uterus. The fertilized egg attaches and develops not in the cavity, but in other organs. Most often this is the fallopian tube, less often the cervix, ovaries and abdominal cavity. You understand that this phenomenon is absolutely abnormal and requires immediate medical intervention. The symptoms of such a pregnancy are as follows:

• Severe pain in the side and lower abdomen, accompanied by bloody discharge from the vagina;
• Nausea and vomiting;
• Fainting, rapid pulse, pallor and headache.

Fainting and pallor are symptoms of internal bleeding, which must be stopped immediately, otherwise the most dire consequences, including death, may occur.

Miscarriage.

The phenomenon of spontaneous interruption of conception is called miscarriage. As a rule, miscarriage occurs in the early stages of fruiting, up to 12 weeks, and occurs in approximately 20 cases per 100 pregnancies. The symptoms are as follows:

• Increased amount of bleeding;
• Pain in the lower abdomen is cramping and more severe than usual during menstruation;
• The presence of clots and pieces of tissue in the discharge.

A miscarriage is the body’s reaction to pathologies of the fetus or an abnormal process of its development. At an early stage, the body, as a rule, gets rid of the defective fetus within 30-50 days, which must die anyway sooner or later.

A miscarriage is not always an indicator of problems with your health - it’s just the circumstances. In the future, you may well conceive and successfully bear a healthy child.

Bubble drift.

The phenomenon is quite rare, but extremely dangerous. This complication is associated with the destruction of the embryo in the uterus. The dead fetus is not excreted completely naturally - part of it remains in the uterus. In this case, the lack of timely intervention can lead to degeneration into chorionepitheleoma, and even into a cancerous tumor.

The risk of developing this pathology increases by age 35 and is most dangerous for women over 40 years of age.

Results

Any oddities in the behavior of the body healthy woman, especially during pregnancy, should be the subject of examination by a gynecologist:

• Severe pain combined with bleeding;
• Discharge of bright scarlet color;
• Fainting, malaise, pallor and rapid pulse.

These symptoms leave the responsible woman no choice but to seek help from medical institution.

In general, a woman finds out that she is carrying a child after four or five weeks from the date of conception. Often, the leading sign of pregnancy is the absence of menstruation. Is it possible that menstruation occurs during pregnancy? What does this mean, and what should you do in such a situation?

You've definitely heard about this from your friends or colleagues, because menstruation during early pregnancy is not such a rare occurrence. Women tell stories in which they found out about their pregnancy only in the fourth or fifth month, and until that moment they did not even suspect anything, because their periods went as usual. Female physiology provides for the absence of menstruation after pregnancy. Therefore, if you have strange discharge, visit your gynecologist. These discharges do not always indicate malformations or diseases. This is often a variant of the norm. But you need to visit a doctor so as not to risk your health and the life of your baby.

There can be many reasons for bleeding. The culprit in this situation may be the threat of miscarriage, ectopic pregnancy, severe emotional stress, hormonal disbalance, injury or infection. In some rare cases, the body of a representative of the fair sex is able to continue producing eggs after conception. Sometimes the egg simply does not reach the final destination of its journey and does not take root.

Menstruation during pregnancy is another reason to visit a gynecologist. Bloody discharge during pregnancy cannot be the norm, especially when it is accompanied by pain and a feeling of heaviness inside the abdomen. If symptoms worsen, call immediately ambulance.

Causes of menstruation during pregnancy

Contrary to popular belief, periods during pregnancy are far from uncommon. Fertilization occurs in the middle of the cycle and the fertilized egg reaches its destination in 7-15 days. A woman’s body does not have time to rebuild itself in such a short period of time, which is why menstruation begins. In this case, next month the hormonal levels return to normal.

But it happens that the embryo continues to develop, and menstruation appears despite everything. Such deviations do not lead to miscarriage; after two to three months the woman’s condition returns to normal. This happens due to a decrease in estrogen levels.

In gynecology textbooks you can read about the simultaneous maturation of several eggs emerging from different ovaries. One of the eggs may be fertilized, but the second is rejected along with menstrual blood. But such situations are extremely rare.

Remember that bleeding are a symptom of miscarriage. Therefore, for any abnormal discharge contact specialists. If the discharge is accompanied by pain, call an ambulance.

The small life that arises inside a woman radically changes her. A woman acquires an enhanced instinct of self-preservation. Special eating habits appear, behavior changes, and senses become more acute. If a woman is pregnant and suddenly starts her period, then the anxiety is well founded. There is no need to listen to the stories of your friends that menstruation during pregnancy is the norm. In this case, immediate consultation with a gynecologist is mandatory. For the sake of the health of the unborn baby, you need to carefully monitor your well-being, and if there are any changes, contact medical assistance.

Menstruation during early pregnancy can be a wake-up call about serious problems in your body. Sometimes the reason for such things is this dangerous condition, like hyperandrogenism ( sharp increase male hormone levels). But if this condition is recognized in time, the problem can be quickly solved with the help of special medications. The most important thing is not to delay your visit to the doctor.

Types of menstruation during pregnancy

Every month, an egg matures in such a fastidious female body. If fertilization does not occur, she dies and leaves the female body. The egg is released along with blood and pieces of the endometrium (the layer that covers the uterus). When the egg is fertilized, female body begins to rapidly produce progesterone. The hormone accelerates the growth of the endometrium so that the embryo is firmly attached. Progesterone is called the hormone that protects pregnancy. Normal level progesterone guarantees the safe bearing of a baby.

Menstruation during early pregnancy is not quite menstruation as we know it. The cause of this condition may be pathology or a hormonal imbalance. In some cases similar condition indicates rejection ovum and a high risk of miscarriage.

A decrease in progesterone levels provokes spotting during pregnancy. Then the gynecologist prescribes hormonal medications to prevent miscarriage.

When several embryos are born at the same time, one of them is rejected. Rejection is accompanied by bloody discharge. The cause of this condition is pathology of fetal development.

Bloody discharge during pregnancy requires immediate consultation with a gynecologist and a proper examination. Most often this occurs in the first trimester of pregnancy. Blood may be a sign of ovum rejection. Reasons for rejection:

Deficiency of progesterone - the hubbub responsible for the implantation of a fertilized egg and the maintenance of pregnancy;

Genetic pathology of the fetus;

Fetal malformation;

Wrong place embryo attachment;

Rapid growth of male hormone;

Ectopic pregnancy.

Features of menstruation during pregnancy

The period after conceiving a baby is called a color pregnancy. In the first months after conception, a woman may sometimes have periods. But then the discharge will be very scanty and will not have a bright red tint - this is what menstruation during pregnancy can happen without pathology. They may feel no different from normal menstruation. A woman experiences pain in the mammary glands, mood swings, hunger, weakness, drowsiness and irritability.

If your period has started, but you suspect you are pregnant, play it safe and take a test. Menstrual flow cannot affect the accuracy of the test.

The most common cause of spotting during pregnancy may be a decrease in progesterone levels. In our difficult times, full of stress and environmental disasters, hormonal levels are disrupted in almost all women. For some this is more pronounced, for others it is less intense.

When the embryo just begins to develop, a small discharge may come from the woman's vagina. When an already fertilized egg attaches to the wall of the uterus, the mucous membrane tears a little. Such discharges are absolutely normal phenomenon. The discharge stops quickly and will not cause discomfort. When answering the question whether menstruation can occur during pregnancy, it is immediately worth emphasizing that this happens if you have any disease of the female organs. Erosion or polyps can cause bleeding.

What do periods mean during pregnancy?

Can menstruation begin directly during pregnancy itself and what does this tell us:

Discharge during the first month of pregnancy is normal. The egg simply does not have time to reach its destination before the next period begins. It takes the egg about two weeks to travel this path. In such a short period of time, the hormonal background of the expectant mother does not have time to adjust in the right direction. This is where such discharges arise.

Discharge during the second or third month of pregnancy can be called menstruation at a stretch. If the discharge is light and does not last long, this is a normal detachment of endometrial particles. As during menstruation, endometrial detachment is accompanied by spotting and spotting.

Allocations for more later occur very rarely. This happens when another egg is fertilized during pregnancy. But this phenomenon is extremely rare. Therefore, visit a gynecologist as soon as possible. The cause of the discharge may not be dangerous at all, but you should not put yourself and your baby at risk.

Are periods during pregnancy dangerous for the baby?

Which periods during pregnancy are considered dangerous? Any unusual discharge during pregnancy should be a good reason to visit your doctor. Not all discharge is dangerous, but what happens in your specific case, you won’t guess. Therefore, you need to be thoroughly examined. The danger of discharge is that it can cause placental abruption, which will lead to the inevitable death of the baby. On the days when you would have started your period, limit physical activity, worry less and eat well.

Discharge during pregnancy will not affect the development of the embryo. They do not cause blemishes or defects. Each future mommy should be aware that at the slightest change in well-being, you should immediately contact a specialist. If the discharge is accompanied by pain, weakness, or nausea, immediately dial the emergency number. Don't consider your symptom a trifle. It’s better to bother the doctor once again and stay healthy than to be embarrassed to ask for help and suffer a terrible tragedy. Only an experienced obstetrician-gynecologist can judge what type of menstruation during pregnancy should be considered normal. Only a doctor can correctly assess your condition and the condition of your unborn baby.

If there is discharge, the doctor will examine you carefully. Hormone levels are especially carefully studied. Do not refuse the examinations prescribed for you, this is really important. If, because of your period, you found out about the baby later than a month after conception, act as your heart tells you. If the baby is desired, do not be afraid to continue to bear it - the discharge will not affect the baby’s health in any way. Your bleeding will not make him weak, sick, or underdeveloped. The discharge does not affect the condition of the fetus and does not cause defects or malformations. Disturbances in the balance of hormones in your body also do not affect the baby’s condition in any way.

It is difficult to definitively answer the question of whether menstruation can occur during pregnancy. These are not our usual menstruation, but rather unusual discharge that occurs in some pregnant women. No matter what type of discharge you have, it is important to visit your gynecologist on time and tell him about any changes.

Women are often concerned about the question: can pregnancy occur during menstruation? This is of interest to both those who plan to become mothers and those who do not want to give birth. Usually ladies begin to worry if the spotting goes away after a delay, that is, some time after the expected date. next menstruation. It’s not clear: could this be pregnancy or just a cycle failure?

First, let's define the terminology. Physiological women's processes are designed so that menstruation stops if conception occurs. Therefore, doctors give an unequivocally negative answer to the question of whether menstruation can occur during pregnancy.

But it's not that simple. After conception, especially in the early stages, bleeding can indeed occur, and this condition can easily be confused with menstruation. Sometimes this is abnormal bleeding, which requires urgent medical attention.

Quite often, women find themselves in an unclear position. It happens that a woman is confident in her pregnancy, but she begins to have spotting. It happens that conception is unlikely, but menstruation came after a delay, they are unusual in nature (for example, too weak or started earlier normal term). In this case, how to distinguish menstruation from bleeding? First of all, take a pregnancy test during your period, which is in doubt.

Now the main thing is to establish the presence (or absence) of pregnancy as quickly and accurately as possible. To do this, a rapid test is performed to determine the concentration of hCG in the morning urine. This is the same test that is sold in any pharmacy. Since it is spotting that causes a flurry of questions, many people take a pregnancy test during their period, worrying about how reliable its results will be.

How to use the test

During menstruation, the test can show the same as in their absence. In order to get a real result and have no doubt whether the test will show pregnancy, it is important to follow all the rules for conducting it:

• Drink less fluid the day before, especially in the evening, to increase the concentration of morning urine. This is especially important in the very early stages;
• before the first morning urination, wash yourself thoroughly and insert a tampon into the vagina;
• collect the first portion of urine into a sterile container;
• make sure that the test has not expired and is packaged intact;
• lower the test strip only to the level specified in the instructions, not deeper;
• observe the time for assessing the result.

As a rule, a pregnancy test during menstruation is negative. Often premenstrual syndrome its symptoms are similar to the first signs of conception. And a woman is mistaken when she mistakes PMS for pregnancy.

Rarely, but another option is possible: it is still pregnancy. But on the first day of my period the test did not show it yet, because the period was too short. You can repeat the test a little later, which can show pregnancy after menstruation, since as the period increases, the concentration of hCG in the urine increases. But, we repeat, then this is no longer menstruation, but a completely different bleeding (more on this below).

A positive test result is the best answer to the question of how to distinguish menstruation from pregnancy for those who dream of a baby.

Since the test may not show pregnancy, especially if done on the first day of menstruation, you can donate blood for the presence of hCG, this test can determine the likelihood of pregnancy quite early - already in the first month of pregnancy, approximately 10-15 days after conception.

Types of bleeding

Ladies who do not have hormonal disorders usually know when their periods should start, how many days they can last, and what the total length of the cycle is and the normal type of discharge. Therefore, it is easier for them to suspect signs of pregnancy during false periods. The rest have to rely on general knowledge.

Vaginal bleeding is assessed according to several criteria.

In count:

• spotting,
• meager,
• normal,
• plentiful.

By color:

• brown;
• dark (“black periods”);
• red;
• bright scarlet.

By consistency:

• liquid;
• with particles of the inner lining of the uterus;
• thick – when a significant blood clot can be detected.

By duration: every woman knows her regular cycle– for some, periods are short and end in three days, for others they last more than seven days.

Menstrual-like bleeding may differ from normal periods. A change in the nature of the usual discharge may indicate pregnancy during menstruation (more precisely, during bleeding). Please pay Special attention, If:

• menstruation started early;
• scanty periods began;
• ended faster than always: it happens that menstruation lasts for one day;
• had discharge unusual color, so-called black periods, brown or pink;
• the consistency of the discharge has changed. Signs of menstruation with clots or discharge appeared; on the contrary, the discharge became too thin;

Scanty or spotting discharge is observed when:

• hormonal disorders,
• inflammatory processes,
• taking hormonal contraceptives,
• use of intrauterine contraception,
• traumatization of the mucous membrane of the cervix and vagina during aggressive sexual intercourse, medical or hygienic manipulations.

In addition, if after a delay there is a brown spotting discharge, accompanied by abdominal pain, worsening general condition, they may be a manifestation ectopic pregnancy.

Heavy discharge that appears suddenly is difficult to confuse with menstruation; it should alert a woman, since profuse bleeding- a direct threat to life.

Discharge during intrauterine pregnancy

When the fertilized egg implants into the wall of the uterus, a small amount of blood is released. This is implantation bleeding and is often confused with scanty menstruation and they think that their period has arrived ahead of schedule. There is very little blood, usually just a few drops of pink or brown. Implantation bleeding is normal and does not threaten pregnancy.

Bloody discharge that looks like menstruation during early pregnancy is a sign hormonal imbalance. If there is a lack of progesterone, the hormone that maintains pregnancy, the body may decide that it is necessary to normalize the menstrual cycle and start it. Then menstrual-like bleeding may occur. A strong contraction of the uterine walls at this moment can prevent the embryo from fully attaching, and then the woman may not even know about her conception, considering her periods to be normal.

How to find out if pregnancy is possible after menstruation, a gynecologist will tell you. Most likely, the doctor will send the patient for a blood test and ultrasonography. For your part, listen carefully to your body during a doubtful period. A woman herself can determine the signs of pregnancy if she has her period:

• bursting painful sensations V mammary glands, their increase and release of colostrum when pressing on the areola;
• frequent urination;
• taste and olfactory changes, cravings for unusual foods, inedible substances;
• drowsiness, fast fatiguability, irritability;
• the appearance of acne and pigmentation on the skin.

Yes, it could be pregnancy. This condition usually inspires those who really want to get pregnant. But in reality, it often turns out to be a sign of PMS during normal menstruation. If you haven't gotten your period, don't spend too much time wondering how to tell the difference. PMS symptoms from pregnancy, it is better to do a home rapid test and contact a specialist at the clinic.

Probability of fertilization depending on the day of the cycle

The menstrual cycle of women is a very variable process. There are girls whose periods go “like clockwork,” but this is rare; the timing is influenced by many factors - climate, stress, illness. Under such conditions, the egg can be ripe for conception at almost any time. This is unlikely on the first day of your period, but last days quite possible. Therefore, the situation when fertilization can occur in the early stages after menstruation is not so rare.

It is important to understand that pregnancy that begins during menstruation is a variant of the norm. And bleeding that occurs after conception, the so-called pregnancy through menstruation, is a sign of pathology, possibly serious, which can threaten the health and life of the mother and baby.

Therefore, all doubts and questions about how to distinguish pregnancy from hormonal dysfunctions, whether menstruation can occur during pregnancy and how to distinguish them from normal ones should be asked to a gynecologist during a face-to-face consultation. The specialist will indicate what other tests, analyzes and examinations should be taken in order to understand the ambiguous situation.

It's not worth studying self-diagnosis and even more so prescribing treatment, this is dangerous both for a pregnant woman and for one who does not plan to have a child. If the bleeding is severe, if there is pain, you should call an ambulance or urgently consult a doctor on the first day of your period.

First of all, I want women to confirm to themselves that menstruation during pregnancy, In the literal sense of the word, not possible by definition. Yes, there are situations when bleeding during pregnancy occurs around the time when a woman should have started her period, however, firstly, most often their nature is very different from normal menstruation, which suggests something is wrong, and secondly, in any case, this is a deviation from the norm, which means it requires consultation with a doctor.

To understand why menstruation in the usual interpretation and pregnancy are not compatible, it is enough to recall the basic knowledge of anatomy that we were all given at school, but most women have already forgotten it, as it seems to them, as unnecessary.

The uterus consists of three layers: an outer mucous layer, a middle layer consisting of smooth muscle, and an inner mucous layer. Each of these layers performs its own function. For example, the myometrium, a muscle layer, protects the fetus from external influence, and also actively participates in the birth process, pushing the baby out with its contractions.

The most mobile and changeable layer of the uterus is called the endometrium. It increases during the first half of the cycle. The purpose of thickening the endometrium is to maintain pregnancy until the formation of the placenta, if one occurs. Implantation of the fertilized egg occurs in the mucous membrane.

Menstruation is the complete rejection of the endometrium if pregnancy does not occur. Mucus along with blood from damaged blood vessels leaves the body, and the process repeats from the very beginning. The simplest logical calculations will lead us to the natural conclusion that complete rejection of the endometrium during pregnancy will lead to miscarriage, since it will also capture the newly implanted fertilized egg.

So it turns out that the questions “Do you have periods during pregnancy?” and “How are periods during pregnancy?” They simply have no meaning, since menstruation is impossible during pregnancy. It is much more logical to talk about bleeding during pregnancy, and this is in most cases an alarming signal.

Are periods always dangerous during pregnancy?

In most cases, but fortunately not always. Yes, periods during early pregnancy are always a deviation from the norm, but they do not always threaten the health of the mother and child; in some cases, the situation is absolutely safe. The simplest and safest reason for bleeding for a period of several weeks is the period implantation of fertilized egg. This process may be accompanied by damage to blood vessels, and hence spotting from the vagina. However, implantation can take place without any symptoms such as bleeding.

Scanty periods during pregnancy can also occur in a number of other cases that do not harm the body. For example, if a fertilized egg didn't have time to implant into the mucous layer before the onset of menstruation. This process takes 7 to 15 days, so delays are possible, although extremely rare. Hormonal changes at this stage not yet, which means there is no cancellation menstrual bleeding No. And the delay occurs only for the next cycle. A month later than it should be. In rare cases, two eggs mature in different ovaries at the same time or almost simultaneously. If one of them is fertilized, and the second is rejected, then menstruation occurs during pregnancy.

Another reason why menstruation is possible during pregnancy: various violations hormonal levels . For example, lack of progesterone or excess androgens, male hormones. Both of them, up to a certain point, do not threaten pregnancy if they do not cross specific boundaries. In more difficult cases and the consequences may be more serious. Fortunately, both are easily corrected by using hormonal drugs, but requires timely appeal to the doctor. It is dangerous to “prescribe” these drugs to yourself.

Pathologies that cause menstruation during pregnancy

Depending on what kind of menstruation occurs during pregnancy, a variety of diagnoses can be made, and they are not always insignificant. In the early stages, bleeding most often indicates detachment of the fertilized egg, and, as a consequence, threatened miscarriage.

If the detachment is small, then the body will most likely cope with the situation on its own by increasing the production of progesterone to maintain pregnancy. In this case, the discharge will be scanty, most likely spotting. There may be no other symptoms. In more complex and dangerous cases Painful, heavy periods may occur during pregnancy. Such symptoms should be a reason for immediate visiting a doctor, as well as compliance bed rest and complete peace. Compliance or non-compliance last rule can be decisive in saving a pregnancy, so it should not be neglected.

Unfortunately, many women treat this recommendation condescendingly, considering light fussing around the house an analogue of bed rest: and really, how can you lie in bed if your husband comes home from work hungry in the evening? In fact, even a light jog with a broom can become a critical load in the event of a threatened miscarriage. That is why they try to hospitalize patients with this diagnosis, which ensures that women comply with bed rest.

Detachment of the ovum can be caused by a variety of reasons. For example, neoplasms on the myometrium, muscle layer uterus, or a focus of endometriosis, if attachment occurs precisely in the affected area. This causes a lack of oxygen in the fetus and death.

Genetic disorders or significant pathological changes fetus as a result of intrauterine diseases, most often infectious, can also cause miscarriage. In this case, it will most likely not be possible to save the pregnancy; all that remains is to examine the rejected fetus and try to avoid similar situations in the future.

Another very deplorable diagnosis, due to which some women have periods during pregnancy, is ectopic pregnancy. In this case, implantation of the fertilized egg occurs not in the uterus, but in fallopian tube. As the embryo grows, it begins to run out of space, and as a result, the tube may rupture, which threatens the woman’s life, as internal bleeding occurs. Even if death can be avoided, which is very likely, reproductive functions women will be truncated, since the ruptured fallopian tube cannot be restored.

If a woman and her gynecologist suspect an ectopic pregnancy, the patient is immediately sent for an ultrasound examination to clarify the diagnosis, and if it is confirmed, then urgent surgery. Previously, we were talking about abdominal surgery, but now ectopic pregnancy is removed by laparoscopy. This procedure involves three small punctures, through one of which abdominal cavity a video camera is inserted, through the rest - manipulators, with their help the fertilized egg is removed.

Laparoscopy is a much more gentle procedure than abdominal surgery. Rehabilitation period after this procedure it is approximately 2 times less. Already on the second day, the woman will be able to stand up independently. The time of forced abstinence from food is also reduced. And purely aesthetically, three small, almost imperceptible scars from laparoscopy are much better than an incision across the entire abdomen.

What are the dangers of menstruation during pregnancy?

It’s not difficult to guess that menstruation itself during pregnancy (with positive test) do not pose a danger, except in cases where we're talking about oh really heavy bleeding threatening serious blood loss. In most cases, the causes of menstruation during pregnancy are dangerous.

As in most other cases, a woman will not be able to make a diagnosis on her own, without consulting a gynecologist. Although he tries very often: he consults with friends, looks through thematic forums, and wastes time. Unfortunately, in some cases this ends disastrously for the woman’s pregnancy and health.

That is why both pregnant women and women who have not yet encountered pregnancy need to be attentive to their body. Any changes in the menstrual cycle, the nature of menstruation, consistency, abundance, and so on, may be a cause for concern. It makes sense to urgently seek consultation to clarify the diagnosis.

I would like to repeat once again: it doesn’t matter why you have periods during pregnancy, in any case it is necessary to get examined by a doctor as early as possible. The sooner a diagnosis is made and treatment is started, the greater the chance of maintaining the pregnancy.

And, even if the doctor does not find any cause for concern, he will at least reassure the pregnant woman. She will know for sure that nothing bad is happening to her, and all changes are absolutely safe. But the expectant mother does not need unnecessary worries and stress.

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With the onset of fertility, the female body undergoes a monthly renewal cycle to remain ready for the birth and development of a new life. But each organism is unique and the reaction to its functional manifestations is ambiguous. Some people look forward to the start of menstruation and react to the delay with anxiety, while others, on the contrary, rejoice at the delay. But none of the options is absolutely important, since the onset of menstruation does not mean the absence of pregnancy, and a delay does not guarantee its presence.

This means questions like: can menstruation occur during early pregnancy, how to determine pregnancy if menstruation occurs, what is the difference between menstruation during pregnancy and many others, remain relevant and topical, perhaps, for every woman.

So, can you get your period during pregnancy?

The opinion of obstetrician-gynecologists on this issue is unanimous - in the usual understanding, menstruation during pregnancy is impossible. This is due to the characteristics and very essence of the menstruation process, designed to maintain the female body in an optimal state for pregnancy and childbirth.

Menstruation is a cyclical process of shedding the inner layer of the uterus (endometrium). It is precisely the layer into which the fertilized egg is implanted to cause pregnancy that is rejected. This is a signal to the body that the pregnancy expected this month has not occurred and a restart of the preparation process is required. Therefore, it is logical that the process of menstruation will remove the endometrium from the body along with the fertilized egg, which will lead to a miscarriage.

However, there are “buts” here...

You can often hear about women's logic, but it is reflected not only in mental sphere, but also physiologically. There are a number of circumstances and

situations in which various spotting, so often mistaken by a woman for menstruation, is possible during pregnancy. Therefore, we need to figure it out

when discharge is still menstruation, and in what cases is there bleeding, and why does it happen that menstruation has passed, but signs of pregnancy remain.

Menstruation during pregnancy

Quite common are stories in which an “interesting situation” becomes obvious to a woman after quite a long time, sometimes in the third or fourth month. If we are talking about a woman with anatomical features structure of the reproductive system (for example, a bicornuate uterus), then everything is clear. With this anomaly, pregnancy often occurs in one cavity, while the other continues to function for some time in normal mode the process of stopping menstruation in her may stop after several cycles.

In other cases, it is all due to the ambiguity of understanding among specialists and expectant mothers about the fact of pregnancy. According to most women, pregnancy occurs a couple of days after intercourse without the use of contraception. But this is a misconception. The process of attachment of the fertilized egg itself lasts from 6 to 15 days, but before that fertilization must occur. Therefore, if fertilization occurred closer to the end of the cycle with late ovulation, the fertilized egg simply did not have time to penetrate the endometrium. Thus, to questions like: at the beginning of pregnancy, can menstruation occur or can menstruation occur after conception, in the ordinary understanding, one can give an affirmative answer. At normal conditions this is possible if:

• the fertilized egg did not have time to implant into uterine wall after conception;
• Fertilization of one of the mature eggs occurred, and the other died.

Another option in which menstruation during pregnancy is possible is the use of special medicines or some means traditional medicine. In connection with all of the above, it is obvious that the onset of menstruation during an “interesting position” deprives this position of “interest.” In other words, it terminates the pregnancy. Therefore, there are often cases when unwanted pregnancy a woman gets rid of it in a similar way. It is important to remember that in this case, as in any other health-related situation, consultation and supervision by a specialist is necessary. Attempts independent decision Pregnancy issues in this vein can be dangerous and even fatal.

Duration of menstruation during pregnancy

It is quite logical that given the existing likelihood of menstruation and pregnancy, every woman will be interested in how many months her period can last during pregnancy.

The plural is absolutely inappropriate here. If a woman does not have an anomaly in the development of the genital organs, then menstruation is possible only at the very beginning in early pregnancy. In other cases, if discomfort occurs and any discharge appears, no matter whether it is abundant or scanty, bright or faint, the woman should immediately contact an obstetrician-gynecologist.

If not periods, then what?

Can pregnancy occur during menstruation and what symptoms accompany it? If experts unanimously say that menstruation during pregnancy is impossible, then how to explain spotting and what can it be associated with?

The following are considered safe cases of bleeding:

• Attachment of the fertilized egg, as the uterine wall is damaged;
• After gynecological examination or sexual intercourse, due to blood flow to the pelvic organs;
• The passage of the mucus plug in the last stages of pregnancy signals the imminent onset of labor.

Such “safe” secretions have characteristic features:

• short duration and spotty nature,
• low intensity and scarcity;
• more often it is not blood, but brownish or pinkish mucus with bloody inclusions and streaks;
• relationship of events: immediately after sex or a gynecological examination.

In case of more abundant or pronounced discharge, as well as discomfort or pain You should immediately seek advice from a specialist.

Bloody discharge of any nature and intensity poses a threat to pregnancy and should not accompany it. Most often, their presence signals danger to expectant mother and the pregnancy process.

Dangerous emissions, their causes and consequences

The most dangerous is the first trimester of pregnancy. This is a period of high probability of miscarriage due to many factors. One of them is the possibility of menstruation and, as a consequence, the unknown fact of pregnancy for a pregnant woman. A significant contribution to the likelihood of bleeding during this period is made by hormonal disorders (low level progesterone, high level androgen) in the body of a woman, caused by both individual characteristics physiology and reception oral contraceptives. Another source of menstrually-like discharge is a “frozen” pregnancy, the fact of which not only requires urgent hospitalization, but also a “cleansing”. Also, the cause of menstruation in the early stages can be placental rejection, which also means a fatal outcome of pregnancy.

Going through the first trimester of pregnancy does not at all exclude the possibility of bleeding. Despite the fact that with previous therapy, the hormonal issue usually resolves by this time, there remains a high risk of placental problems (placental abruption or placenta previa). Vaginal infections, which often result in pathogenetic changes in the fetus, can be a high risk factor and a source of spotting. As a result, pregnancy is practically impossible to save.

The third trimester, as a source of menstrual flow, also has a high probability of problems with the placenta, just like the previous period.

Menstruation during ectopic pregnancy

Despite the fact that, as the name suggests, this type Pregnancy develops outside the uterus and, like any other form of pregnancy, menstruation must stop due to hormonal changes.

Most often, in the case of an ectopic pregnancy, the fertilized egg is attached to the fallopian tube, which subsequently leads to tragic consequences. As the fetus grows, the tube becomes injured, leading to spontaneous abortion or extensive internal bleeding due to a pipe rupture. The result is a threat to a woman’s life and the truncation of her further reproductive capacity.

Ectopic pregnancy on early stages most often accompanied by the appearance scanty discharge from the vagina are brown and bloody in color, which are often mistaken for the beginning of menstruation. Moreover, if the appearance of discharge coincides with the onset of menstruation, the woman may not even suspect that she is possibly pregnant.

Other self-diagnosis signs of ectopic pregnancy include:

• significantly reduced menstrual volume;
• lethargy, passivity, low blood pressure, dizziness and loss of consciousness;
• pain in the pelvic area (most often in projection onto one of the fallopian tubes, pain is reflected in the rectum and lower back).

At the slightest suspicion of such a deviation, you should immediately undergo a complete medical examination. After all, the sooner the problem is detected, the less traumatic and painful the treatment will be.

Summing up

After all of the above, the question of whether you can have periods during early pregnancy can be answered like this: they can, but they shouldn’t. The presence of any discharge similar to menstruation during pregnancy is an alarming sign that requires the woman to take the most serious attitude and immediate response.

Any deviation from normal well-being and physiological schedule without apparent explicable reasons can be dangerous and lead to a sad ending.

It's important to remember that human body- a mystery, and here it is very important to seek advice and help in a timely manner from a knowledgeable specialist qualified in his field, and not engage in self-medication and self-diagnosis at your own peril and risk.