When discharge with blood blotches causes fear or anxiety in a woman. Transparent, odorless, snot-like discharge: norm and deviations

Gynecological diseases manifest themselves in women in different ways. Some patients experience itching or burning, while others are disturbed by pulling pains in the lower abdomen with a high body temperature. Women often come to gynecological clinics with copious or scanty bloody discharge from the vagina, the cause of which is not always associated with a certain half of the cycle.

What is spotting

Normally, clear or white mucus is secreted from the vagina. Its color and consistency depend on the phase of the menstrual cycle. Discharges mixed with blood indicate that the vaginal mucosa or the walls of the uterus have been damaged. The appearance of blood clots immediately before menstruation or during the formation of the cycle after childbirth is considered normal.

Causes

Various menstrual irregularities can lead to bloody clots in the mucus. If bleeding is accompanied by pain, you should immediately consult a doctor. They can be one of the signs of endometriosis. Estrogen supplements often cause the endometrium to shed prematurely, leading to blood clots. Problems in the functioning of the thyroid gland, adrenal glands can affect the process of ovulation and cause premature menstruation. There are the following main causes of blood clots:

• Taking hormonal drugs. After taking the pills, there is no pain, the discharge is scanty.
• Inflammatory diseases of the reproductive system. Depending on the type of illness, pulling or sharp pains, fever, nausea, and weakness may appear.
• Sexual infections. The discharge has a characteristic unpleasant odor. Accompanied by a slight pain syndrome, itching, burning.
• Uterine fibroids, polyps. In the initial stages of the disease, bleeding occurs in the middle of the cycle. By the end of menstruation, they temporarily stop. If the disease is not treated, it becomes permanent.
• Ectopic pregnancy. The condition is accompanied by pain in the lower abdomen of varying intensity. The woman experiences severe weakness. Pre-fainting state.
• Endometritis. Aching pains in the lower abdomen. In the chronic form of the disease, the temperature rises.
• Cervical erosion. Most often it occurs secretly without any pronounced symptoms. Blood appears during sex.

Bloody discharge in the middle of the cycle

Before the onset of ovulation, the mucus should not contain any blood clots. Brown discharge with blood in the middle of the cycle indicates that the woman has cervical erosion. They may have a characteristic odor. A gynecologist will be able to make an accurate diagnosis on examination. Intermenstrual discharge is considered normal in adolescents and women who have recently given birth. This indicates that the body is trying to normalize the cycle.

In the second half of the cycle

A couple of days before menstruation, discharge with blood streaks may appear. They will be scarce, but will begin to intensify as the release of the egg approaches and the separation of the upper layer of the endometrium. If the discharge is with an unpleasant odor, then there is a high probability of developing a pathology of the cervix. One of the reasons for the appearance of blood in the second half of the cycle is the lack of progesterone. The endometrium exfoliates ahead of time, so blood clots appear.

No periods but bleeding

After conception, women may experience pink discharge. You need to immediately consult a doctor, because it begins to smear with the threat of termination of pregnancy. Some women experience heavy brown bleeding. They are a sign of ovarian exhaustion. With normal physical well-being, the discharge of a pinkish hue is an indicator of the following deviations:

• inflammation of the uterus;
• hormonal imbalance;
• helix incompatibility;
• the presence of a tumor;
• problems with the thyroid gland;
• the presence of intrauterine cysts.

After intrauterine interventions

A bloody secret may appear after the installation of an intrauterine device (IUD). Normally, they should be scarce without an unpleasant odor. If after the installation of the IUD, heavy bleeding begins, accompanied by pain, you should consult a doctor. Probably an infection was introduced during the procedure. Light bleeding after an abortion is considered normal. Completely mucous after curettage of the uterine cavity will recover in about a week, then the discharge with blood will disappear.

Discharge after taking drugs

The ichorus from the vagina appears in 75% of women during the period of adaptation of the body to combined oral contraceptives. The amount of sex hormones changes, so scarlet impurities may appear in the clear mucus. A similar situation is observed after taking emergency contraceptive drugs. Some antibiotics cause severe dysbacteriosis that disrupts the microflora of the vagina. It leads to exacerbation of chronic diseases and bleeding. Vaginal discharge with blood clots may occur when taking the following drugs:

• Postinor;
• Terzhinan;
• Belara;
• Polygynax;
• Cefazolin.

Discharge after childbirth

A bloody secret can be released up to 8 weeks after the baby is born. An alternative name for this phenomenon is lochia. Immediately after birth, they have a bright scarlet color, but on the 3rd-4th day they become dark brown. Gradually, the color of the discharge changes. When the uterus is completely healed, they disappear. Long-term lochia indicates that there are serious problems in the reproductive system. A woman should see a gynecologist if:

• discharge contains large blood clots;
• 4-5 days after childbirth, scarlet lochia does not cease to stand out in a supine position;
• blood has an unpleasant odor;
• the bloody secret completely ceased to stand out at 1 week after childbirth;
• fever and chills are present.

Mucous discharge with streaks of blood during pregnancy

In the first 2-3 weeks of pregnancy, the body has not yet had time to adapt to a new state. During this period, pinkish blood clots may appear. If blood appears at 5 or 11 weeks, then there is a high probability of placental abruption and termination of pregnancy. The woman is sent for an ultrasound and an analysis for hormones is done. With the rejection of the embryo, the release of a bloody secretion is accompanied by pain in the lower abdomen, resembling contractions.

After intercourse

Coition should not be accompanied by any painful sensations. If blood appears after intercourse, this indicates that the vaginal mucosa has been damaged. This could be due to a lack of natural lubrication. Another reason for the appearance of blood after intercourse lies in chronic diseases of the reproductive system. With erosion, bleeding may begin due to direct contact with the damaged area of ​​\u200b\u200bthe cervix.

Before menstruation

A few days before the end of the cycle, the endometrium begins to be shed. The vessels burst, so the mucus becomes pinkish. Blood discharge between periods at the end of the cycle is considered normal by doctors. However, if a woman begins to bleed heavily before her period begins, then she should visit a gynecologist and get tested for hormones. Such bleeding is often observed in patients with a lack of progesterone.

After menstruation

The beginning and middle of the cycle should not be accompanied by the appearance of a bloody secret. It is considered normal when, after the end of menstruation, the discharge has a slightly reddish tint for 2-3 days. If the secret is constantly present, then the woman should be examined by a gynecologist. Heavy bleeding between periods indicates the presence of serious pathologies in the body. These include:

• uterine myoma;
• genital trauma;
• cervical cancer;
• genital tract infections;
• endometrial polyps.

In case of injuries of the genital organs and any other diseases of the reproductive system, it is impossible to treat yourself. In case of prolonged bleeding, you should immediately consult a doctor. Incorrectly selected candles and tablets can lead to serious complications. The disease from an acute form will turn into a chronic one and then it will be very difficult to cure such an ailment.

Bloody discharge in postmenopausal women

With the natural completion of reproductive activity, a woman faces some physical changes. One of them is the appearance of brown spotting with a small admixture of blood. A year after the onset of menopause, the endometrium becomes thinner, so there should be no bleeding. The causes of discharge with bloody clots in postmenopausal women are as follows:

• chlamydia;
• bacterial vaginitis;
• polyps;
• trichomoniasis;
• mechanical injuries of the vaginal mucosa;
• improperly selected hormone replacement therapy (HRT).

Treatment Methods

After the woman has found out why the blood is coming from the vagina, she should begin therapy. If the cause of this symptom lies in a hormonal failure, then the doctor prescribes drugs with progesterone or estrogen to the patient. With an ectopic pregnancy, the only way to save a woman's life is an abortion. Inflammatory diseases of the reproductive system are treated with antibiotics. If there are malignant changes in the endometrium, then an operation is performed.

Video

Smirnova Olga (gynecologist, GSMU, 2010)

The most important indicator of a woman's health is sexual secretion. Often, the fair sex observes mucous discharge with streaks of blood. Should we be afraid of this phenomenon? In what cases is it permissible, and when does it require urgent treatment? We will find answers to these questions in this article.

Discharge with blood streaks

A year before the onset of the first menstruation and before the menopause, girls and women observe mucous secretion from the vagina. The quality of vaginal mucus varies with the course of the menstrual cycle.

To establish the cause of mucous secretions with streaks of blood, you need to pay attention to the abundance of secretion, duration and relationship with the menstrual cycle. In many cases, the symptom is a consequence of natural processes and is normal, but sometimes it can also indicate pathology.

Reception OK and menopause

Mucous discharge with blood can become a reaction of the body to taking hormonal contraceptives. An imbalance of progesterone and estrogen leads to a failure of the female cycle, an increase in the sensitivity of the vaginal mucosa, which makes itself felt by the secretion of a reddish color.

Hormonal imbalance also occurs as a result of stress, unhealthy lifestyle and menopause. The secretion of mucus mixed with blood in menopause often indicates gynecological pathologies.

Injuries

A similar symptom is observed as a result of rough or intense sexual contact. with blood streaks or similar leucorrhoea indicate damage to the small blood vessels of the walls of the vagina during increased mechanical stress during intercourse. Sometimes such a phenomenon after intimacy may indicate the presence of cervical erosion, and also be a symptom of a number of diseases.

Quite rarely, a similar symptom manifests itself if the manipulations performed by the doctor have injured the walls of the vagina. The phenomenon does not require treatment, since the problem will disappear naturally after a day or two.

Allergy

An allergic reaction to intimate hygiene products, synthetic underwear, contraceptives and lubricants is often indicated by light pink or clear discharge with blood.

Infections and bacteria

After a caesarean section, the presence of blood streaks in the secretions can be observed for a long time, up to complete scarring of the suture of the uterine wall.

A symptom that manifests itself during lactation indicates the resumption of menstruation.

Briefly about the main

Mucous discharge with blood in women is quite common. Basically, this is a physiological process associated with the course of the menstrual cycle. A similar phenomenon is acceptable if the accompanying symptoms in the form of an unpleasant odor, a strange consistency of secretion, and uncomfortable sensations do not disturb.

At the slightest suspicious signs, you need to contact a specialist to establish a diagnosis, prevent or stop gynecological diseases in time. Blood streaks in secretions are the main sign of cervical erosion, endometriosis, the presence of polyps and neoplasms.

sometimes they notice discharge with blood streaks on underwear that is not associated with menstruation.

You should not brush aside this, that it will pass by itself - this may signal the presence of a disease in the woman's reproductive system.

Why are discharges with blood streaks formed in women at different periods of life?

Vaginal discharge is divided into physiological - this is the norm for women of a certain age in the cycle stage, and pathological, indicating the development of sexual diseases.

If there is bleeding, be sure to visit a doctor and be examined to identify the disease, because it is impossible to make a diagnosis only by a smear from the vagina.

Discharge with blood streaks in the middle of the menstrual cycle indicates ovulation of the egg - an onset is possible in this period of time. Light bleeding is considered normal, it is not dangerous for a woman and there is no need for treatment.

All scarlet formations during this period are divided into - uterine and intermenstrual. Uterine bleeding occurs in a woman at any age due to the development of the following pathologies:

• erosion
• endometriosis
• fibroma
• oncological disease
• tumors
• internal adenomyosis
• sarcoma
• polyps located on the neck of the main genital organ of a woman

All of them are very serious and require immediate treatment, medical intervention. Constant leucorrhoea with an admixture of blood after intimacy speaks of cervical erosion or cancer.

If they appear simultaneously with pains of a pulling nature in the lower abdomen, then this is a sign of inflammation of the endometrium.

An unpleasant symptom during the absence of menstruation

Allocations with blood streaks in the middle of the cycle are also for other reasons.

Protection with hormonal tablets gives the effect shown in the first three months of using the drugs.

If a girl does not take hormones, then the reasons are as follows:

• The use of drugs that affect the menstrual cycle. These are products that contain estrogen, but this happens at the beginning of use or at the end.
• Taking emergency contraception.
• Intrauterine device.
• Improper functioning of the thyroid gland, deficiency of its hormones.
• Inflammatory process in the vagina due to an infection or STD.
• Injuries of the reproductive organs.
• Hormonal disorders.
• Polycystic.
• Gynecological procedures: cauterization of erosion.
• Emotional turmoil, climate change.

Diseases that are sexually transmitted are usually accompanied not only by daubs with blood, but also by itching in the external genitalia, pain and burning when emptying the bladder. Allocations with an admixture of blood may indicate an ectopic pregnancy or spontaneous abortion.

As a rule, this is accompanied by pain in the groin. The presence of brown smears instead of menstruation, and then their delay, indicates the onset.

Sometimes, during hard physical work or active sexual intercourse, microcracks are obtained, and they begin to bleed.

Blood in a smear during the premenstrual period

Bleeding of varying intensity before and after menstruation occurs in women quite often. Scarlet bloody discharge, gradually becoming stronger at the beginning of menstruation - as it should be.

Brown discharge, having a viscous consistency, present on linen before menstruation, indicates the presence of a pathology in the uterus: endometriosis, polyp, endometrial hyperplasia. Formations similar to a pink clear liquid in the same period signal chronic endometritis or endocervicitis.

If the bleeding is prolonged and profuse, then this is ovarian dysfunction. It should be stopped by medical methods, and then begin to treat the cause of this pathology.

Improper functioning of the hormones of the ovaries, organs where the egg cell matures every month and female hormones are produced, leads to a shift in the menstrual cycle in one direction or another.

The reasons why bleeding occurs before and after menstruation are listed:

• hormonal changes due to illness or stress
• pathology of the endocrine system
• starting or stopping the use of hormonal contraceptives
• use of emergency contraception
• drug therapy

Discharges with blood streaks, which appear regardless of the cycle, require an examination, which includes: a visit to the gynecologist, analysis of a smear from the vagina (bacteriological and microscopic), colposcopy, ultrasound of the genital organs. Then carry out the required to restore the cycle of menstruation.

Colors thicken during menstruation - what is the reason

During menstruation, there is an abundant release of blood, but there are changes in its consistency, which signal a possible pathology. If the bleeding occurs in the form of large blood clots, it is:

• congenital bending of the cervix
• violation of the process of blood clotting and a predisposition to the creation of blood clots
• vitamin B deficiency
• neoplasms in the uterus: polyp, fibroids, endometriosis

Having found such signs in yourself, you should visit a specialist for examination, diagnosis and.

Features during pregnancy

The time of bearing a child for every woman is a time of close attention to her condition.

Discharge with blood streaks during pregnancy scares every expectant mother.

True, many women who had such a problem carried and gave birth to a full-term baby.

Bleeding during childbearing cannot be considered the norm - at the first sign of this, you should immediately consult a doctor.

When the discharge occurs 6-12 days after conception, this is a sign that pregnancy has occurred.

Thus, the fetal egg "gets used" to the wall. Such bleeding is painless and disappears within a few hours, maximum - in a day.

In this case, treatment is not required unless the bleeding becomes profuse. From this moment on, you should take better care of your health: give up alcohol and smoking, get more rest and be in the fresh air and eat right.

But there are other reasons for the appearance of blood during gestation:

• Violation of the hormonal background. Light bleeding appears on the day of the expected menstruation. Allocations are plentiful or scanty, but do not last long. The reason for this is the lack of progesterone. It does not allow the endometrium to exfoliate, and if it is not enough, this happens. With a very low level of progesterone, a miscarriage can occur.
• Ectopic pregnancy. This happens when the egg is fixed not in the uterine cavity, but where necessary. It occurs with inflammation, lack of hormones and even stress. It is impossible to keep such a pregnancy. Intense and unbearable pain begins in the groin area. It is necessary to call an ambulance, otherwise the risk of death increases.
• premature birth. Happens at any time. You can understand that a miscarriage is occurring by a tense uterus, pain in the lower back and groin, and volumetric discharge with an increasing blood content. Only a doctor can save the fetus, based on the condition of the woman. You should call an ambulance for such manifestations.
• Frozen pregnancy. Pain in the groin and bleeding begin - in the presented case, the fetus can no longer be saved, but the mother needs urgent medical hospitalization. If a miscarriage does not occur, then suppuration and blood poisoning may begin, leading to death.
• Placenta previa. In this case, the fetus can be carried, but only with the help of medical conservation therapy to avoid the threat of miscarriage.

Blood-streaked discharge may begin because the walls of the vagina become loose and microtrauma during douching, examination using a speculum by a gynecologist, or intimacy.

The appearance of blood in the smear is due to an infection of the genitourinary system - gentle treatment of the mother is required here so as not to harm the child. Just before the birth, there may be discharge with blood due to the discharge of the mucous plug.

In any case, blood is found on her underwear, the pregnant woman should immediately inform the doctor about it. Only he can identify the cause and choose the right treatment in a particular situation that has arisen.

With menopause

With the onset, women also have various discharges, including bloody ones. Normal are transparent whites that do not bring discomfort in the form of itching and burning.

Dangerous is the presence of blood in the smear, which is considered a sign of a serious one. If they appear at the initial period of menopause, then this is considered the norm.

When they occur a year after the onset of menopause, this is considered a signal of a disease. Often such a problem in the period of menopause speaks of minor deviations and diseases that can be treated. But sometimes it serves as a signal of a serious illness.

The causes of bleeding during this period are:

• Changes associated with age. With the onset of menopause, the formation of the female hormone estrogen gradually stops. This depletes the vaginal mucosa, so the slightest mechanical action causes microtrauma.
• Inflammation and infection. Inflammation occurs at any age, inflammation of the vagina, cervix and thrush are more common. Infections include chlamydia and trichomoniasis.
• Polyps on her neck too. These are formations, usually benign, of small sizes - from 3 mm to 3 cm. They are due to the growth of the endometrium. They bleed from mechanical impact.
• Violation of metabolic processes. Changes in carbohydrate and lipid metabolism in the body provoke blood into the secretions. This happens with diabetes, obesity, arterial hypertension.
• Hyperplasia of the uterus. Uncontrolled growth of the endometrium provokes bleeding, it is accompanied by pain in the groin.
• Vaginal cancer. This disease is very rare and usually occurs in women over 60 years of age. In the process of illness, the discharge is strong or scanty. Painful emptying of the bladder and intestines, a feeling of a foreign body inside is also provoked.
• Cervical cancer. This disease is quite common and appears due to the human papillomavirus. The discharge then smells strongly, and with intimacy there is severe pain. It is necessary to conduct a cytology test twice a year in order to diagnose the disease at an early stage.
• endometrial cancer. With this disease, there are heavy bleeding, but in the early stages there are brown discharge.

If these are found, it is not necessary to wait for the end of bleeding, but you should immediately contact a specialist. Heavy bleeding is always abnormal and dangerous, so in this case, you should immediately call an ambulance.

Does vaginal discharge always indicate the presence of any disease? When is vaginal discharge considered normal?
Vaginal discharge can occur even in completely healthy women, and this condition is considered normal. Signs of healthy vaginal discharge include:

• Clear, liquid discharge jelly, slime)
• Discharge without a noticeable odor
• A small amount of discharge
• Discharges that do not cause irritation of the skin and mucous membranes of the genital organs
• Discharge, not accompanied by fever, pain or discomfort in the genital area.

Vaginal discharge - what can it be?
Below, readers will be provided with information on the most common forms of vaginal discharge, as well as the reasons that provoke their development.

Vaginal discharge of various colors, odors and textures
A little higher, we have already said that all healthy women have watery, transparent and colorless vaginal discharge. If they acquire a different consistency, a specific smell or some color, then, most likely, some disease has settled in the woman's body:

Bloody (red) vaginal discharge - are a signal that there is blood in the vaginal discharge. In most cases, this kind of discharge occurs two to four days before the onset of menstruation, after which they are converted into copious discharge along with the onset of menstruation. It is worth noting that this kind of discharge tends to be observed even a few days after menstruation. If the discharge is not plentiful, then it is better for a woman not to panic. Especially often this phenomenon is observed in women who wear a spiral.
Quite often, spotting is endowed with a blackish or brown color, which indicates the fact of oxidation, as well as the destruction of blood in the vagina.
There are also cases when a woman has spotting discharge, which contains a small amount of blood. As a rule, perimenstrual bloody discharge does not have a specific smell.

Sometimes mild spotting occurs at the time of ovulation, as well as in women who wear a spiral or use oral contraceptives. In the case of a constant occurrence of this phenomenon against the background of wearing an intrauterine device or using contraceptives, it is necessary to discuss this fact with a gynecologist, having previously signed up for a consultation with him.
If bloody vaginal discharge is in no way connected with the menstrual cycle, then they can be considered a signal of the presence of any pathology.
In most cases, this kind of discharge makes itself felt:

• For menstrual irregularities
• Endometriosis ( adenomyosis)
• Cancer or erosion of the cervix. In this case, the discharge is especially abundant after sexual intercourse.

Purulent vaginal discharge noted in such infectious pathologies as chlamydia, trichomoniasis, thrush, gonorrhea and others. As a rule, this kind of discharge also causes a feeling of discomfort in the genital area and itching. Sometimes women complain about pain in the lumbar region or in the lower abdomen. During pregnancy, whitish viscous vaginal discharge is considered to be a normal condition in the event that other symptoms of the disease are not observed in the expectant mother.

Curdled, frothy, thick vaginal discharge
A change in the consistency of vaginal discharge is also considered to be one of the clear signs of the presence of a particular pathology. A little higher, we have already said that normal secretions must be liquid, similar to mucus. If the discharge is white curdled or foamy, then most likely the woman has some kind of infectious disease.

Vaginal discharge with an unpleasant odor
The appearance of vaginal discharge, endowed with a specific odor, indicates the presence of an infectious pathology. The smell in this case can be both sour and rotten or resemble the smell of fish. It occurs against the background of the vital activity of pathogens, which tend to decompose nutritional components, while releasing gases endowed with a very unpleasant odor.

Vaginal discharge before and after sexual intercourse
At the time of sexual arousal, the vaginal glands of the fair sex tend to intensively synthesize vaginal lubrication, so a large amount of transparent liquid discharge that occurs before and during sexual intercourse is considered to be the norm. Women should not be afraid of the appearance of thick, abundant discharge after sexual contact. The fact is that if sexual intercourse took place without the use of a condom, then it is quite possible that in this way the vagina is trying to clear itself of sperm. In most cases, this kind of discharge disappears in a fairly short period of time.
If a woman has spotting during or after sex, then most likely she has cervical erosion.
The appearance of yellow, purulent, white, gray or greenish discharge a few days or weeks after sexual intercourse is considered to be a signal of the occurrence of an infectious disease.

Vaginal discharge as a symptom of an infection
Vaginal discharge is considered to be a clear sign of the development of an infectious pathology of the genital tract in only a few cases. The greatest number of pathologies in which vaginal discharge is noted are infectious and are transmitted during sexual contact.
The most common causes of vaginal discharge include:

• candidiasis ( thrush)
• Urogenital trichomoniasis

Diagnosis of urogenital trichomoniasis
It is impossible to make an accurate diagnosis of urogenital trichomoniasis, considering only the presence of discharge and some other symptoms of this pathology.
To identify this pathology, it is necessary to conduct such studies as:

• The cultural method of research is the cultivation of colonies of microorganisms taken from the vagina on special nutrient media and their further study.
• Microscopic examination of unstained ( native) swab taken from the vagina.
• PCR (polymerase chain reaction) research method involving the study of genetic material Trichomonas vaginalis .
• Microscopic examination of a stained vaginal smear. It is dyed with special dyes.

Therapy for urogenital trichomoniasis is possible only if a woman has been given a truly accurate diagnosis of this pathology. Among the most effective medicines used in the fight against this pathology, one can rank: Nimorazole, Metronidazole , Ornidazole, Tinidazole other. It is very important that the therapy of this disease is carried out under the vigilant supervision of a doctor. Self-treatment in this case is not recommended, since this pathology, with irrational treatment, can become chronic. As a rule, during the treatment of urogenital trichomoniasis, vaginal discharge first becomes weaker, after which it disappears completely. It is also important to draw the attention of readers to the fact that the absence of discharge is not a fact of complete healing, so the course of treatment must be carried out to the end. How long it will last, your doctor will determine.

Bacterial vaginosis as a cause contributing to the development of vaginal discharge
Bacterial vaginosis is a very common pathology, accompanied by secretions that are endowed with an unpleasant odor. This disease occurs as a result of a very strong growth of bacteria directly on the mucous membrane of the vagina. In a healthy state, these bacteria are also found in the vagina, but only in very small quantities. Among them can be counted as Peptococci, and Gerdenerella vaginalis , Bacteroids other. With the development of this pathology, a woman has white vaginal discharge, endowed with the smell of fish. To make a diagnosis of bacterial vaginosis, it is not enough just to know about the presence of secretions.

Diagnosis of bacterial vaginosis involves the use of such research methods as:

• pH-metry, or detection of the acidity of the vaginal environment. In the normal state, the vagina has an acidic environment, but in the case of bacterial vaginosis, it becomes alkaline.

Therapy for bacterial vaginosis involves the use of local drugs, namely:

• Vaginal suppositories clindamycin ( one hundred milligrams) - must be inserted into the vagina once a day for six days.
• Gel metronidazole seventy-five percent - must be inserted into the vagina once a day for five days.

• Ornisid forte should be taken orally five hundred milligrams in the morning and evening for five days.
• Clindamycin take in capsules of three hundred milligrams in the morning and evening for seven days.
• Metronidazole(Trichopol) in the form of tablets of two hundred and fifty milligrams. Take two tablets in the morning and evening for seven days.

Urogenital candidiasis (thrush) as a cause contributing to the occurrence of vaginal discharge
Urogenital candidiasis is an inflammatory pathology of the genital organs in women and men, resulting from exposure to the body of fungi of the genus Candida. In women, with the development of this disease, white thick discharge is observed. In addition, they may be disturbed by discomfort, as well as itching in the genital area. Quite often, this disease also causes pain and cramps during urination.

Diagnosis of thrush involves the use of the following research methods:

• Microscopic examination of unstained swabs taken from the vagina.
• Examination under a microscope of swabs stained with special dyes taken from the vagina.
• A mycological study involving the detection of a type of fungus that provoked the development of urogenital candidiasis.

• Clotrimazole vaginal tablets two hundred milligrams - must be injected into the vagina once a day for three days.
• Vaginal cream clotrimazole one percent should be injected into the vagina once a day for seven to fourteen days.
• Isoconazole- vaginal suppositories of six hundred milligrams. It is recommended to enter into the vagina once.

• Itraconazole (Irunin, Orungal) should be taken two hundred milligrams once a day for three days.
• Fluconazole ( Diflucan, Flucostat, Mycomax) - is used according to several treatment regimens: one hundred and fifty milligrams once, or one hundred milligrams on the first, fourth, and also the seventh day of therapy.

Vaginal discharge during pregnancy
Vaginal discharge is especially alarming for expectant mothers, since during this period they are responsible not only for themselves, but also for the child. In fact, every pregnant woman should pay special attention to the nature of vaginal discharge in order to “sound the alarm” at the right time.

Discharge in early pregnancy
A little higher, we already said that abundant clear discharge in the first months of pregnancy, which are not endowed with a specific odor, is normal.
If a woman has spotting during this period, then this can serve as a signal of an unexpected miscarriage or an ectopic pregnancy.
Whitish or purulent vaginal discharge in the early stages of pregnancy is considered to be a sign of the development of a particular infectious pathology.

Discharge in late pregnancy
In the second trimester of pregnancy in a healthy pregnant woman, vaginal discharge may become thicker and more viscous. This phenomenon is the norm. If the vaginal discharge is bloody, this may signal the onset of preterm labor or miscarriage, so in such cases, emergency hospitalization of the expectant mother is recommended. Brown vaginal discharge in late pregnancy is quite often due to minor bleeding from the vessels of the cervix. In this case, a pregnant woman should also visit a doctor.

When should you see a doctor for vaginal discharge?

Normal secretions are in a small volume, translucent, transparent or whitish in color, watery, creamy or jelly-like consistency, with a slight sour smell. Normal discharge does not irritate the genitals, does not cause discomfort, itching, redness or swelling. Also, normal secretions do not emit a strong or unpleasant odor (eg fishy odor, strong sour odor, etc.).

In addition, slight bloody or brownish discharge is considered normal 2 to 4 days before and after menstruation. It is also normal to have mild spotting for several days during the ovulation period.

Spotting is considered pathological not before or after menstruation, and also not during ovulation. In addition, discharges of a greenish, yellowish, grayish, earthy color, containing impurities of pus, blood, flakes, vesicles, having a curdled or other heterogeneous consistency, emitting an unpleasant pungent odor or causing itching, burning, swelling, redness and discomfort in the genital area, are pathological. organs.

Which doctor should I contact with pathological vaginal discharge?

If within two weeks after intercourse the nature of the discharge has changed, impurities of pus, mucus, flakes or vesicles have appeared in them, they have turned greenish, yellowish, grayish or earthy in color, they have begun to emit an unpleasant odor, then the woman can also contact a venereologist or a gynecologist, since such discharge indicates infection with an infectious disease.

What tests can doctors prescribe for vaginal discharge?

First of all, for any nature of the discharge, the doctor prescribes a gynecological bimanual examination (with hands) and an examination of the tissues of the vagina and cervix in the mirrors. These studies are considered routine and are performed without fail when a woman contacts a medical facility for any kind of vaginal discharge.

Further, if there is a fairly heavy bleeding (bleeding, as during menstruation, in the same or more quantity), the doctor usually prescribes an ultrasound examination (ultrasound) (endometrial hyperplasia. If the cervix is ​​not damaged, then with minor bleeding / blood smearing is prescribed hysteroscopy, diagnostic curettage and ultrasound.

With pathological discharges of an inflammatory nature (with a greenish, yellowish, grayish, earthy color, containing impurities of pus, blood, flakes, vesicles, having a curdled or other heterogeneous consistency, emitting an unpleasant pungent odor or leading to itching, burning, swelling, redness and discomfort in the genital area) the doctor always prescribes first swab for flora (make an appointment), which allows you to identify a number of the following infectious diseases: candidiasis, trichomoniasis, bacterial vaginosis, gonorrhea (sign up). These genital infections are most common compared to others, and therefore, at the first stage, the doctor does not prescribe more expensive and complex tests, because a simple smear on the flora allows them to be detected.

If, according to the results of the smear, it was possible to identify candidiasis, trichomoniasis, gardnerellosis or gonorrhea, then the doctor can go in two ways - either immediately prescribe treatment, or take a smear from the vagina for bacteriological and mycological culture to determine which antibiotics and antifungal agents will be the most detrimental to the infectious agent present in the particular case. If the immediately prescribed treatment is ineffective, then the doctor prescribes a bacteriological or mycological culture.

If, according to the results of the smear, no infectious agents were found, but there is a picture of inflammation, then the doctor prescribes more complex tests to identify pathogenic microbes. Usually, first of all, an analysis of the vaginal discharge for the presence of Trichomonas and gonococci is prescribed by PCR and blood test for syphilis (pale treponema) (make an appointment), since these pathogens are most common. If, according to the results of the analysis, those are found, then treatment is prescribed.

If gonococci, Trichomonas or pale treponema are not detected, then it is prescribed analysis for ureaplasma (sign up), chlamydia (sign up), mycoplasma (sign up), gardnerella, bacteroids. Analyzes for these pathogens can be different - bacteriological culture, PCR, ELISA, and various methods of taking and staining smears from the vagina. The choice of analysis is made by the doctor and depends mainly on the technical capabilities of the medical institution or on the financial capabilities of the patient, since the most accurate analyzes most often have to be taken in private laboratories for a fee.

If the results of the tests revealed the absence of trichomoniasis, gonorrhea, syphilis, candidiasis, ureaplasmosis, chlamydia, mycoplasmosis and gardnerellosis, but there is an inflammatory process in the genitals, then the doctor may prescribe tests for the presence of viruses - herpes virus types 1 and 2, human papillomavirus, cytomegalovirus, Epstein-Barr virus, which are also capable of provoking inflammation in the genitals of a woman.

Pregnant women with suspected amniotic fluid leakage are usually prescribed a vaginal smear test for scales. In addition, there are pharmacy, ready-to-use tests for amniotic fluid leakage, which are similar in principle to pregnancy tests. A pregnant woman can use such tests on her own. Otherwise, when inflammatory discharge from the vagina appears, pregnant women are prescribed the same tests as non-pregnant women. And when bleeding occurs during pregnancy, women are sent to the hospital for examination, since in a similar position they can be a sign of pregnancy complications.

What will the discharge in early pregnancy tell about?

Normally, spotting can appear in women only during menstruation and on the eve of them. Their duration should be no more than 3 - 7 days. But it happens that a woman notices discharge with streaks of blood after menstruation, which is very alarming. The reasons for the development of such conditions are different: from ovulatory daub to malignant neoplasms. How to understand what is happening, what to do in such situations?

Read in this article

Normal discharge

Vaginal discharge in a woman changes during the cycle, and this is absolutely normal. Such fluctuations can only be regarded as a good hormonal background.

First half cycle

Pathology of the uterine cavity

Bloody discharge after menstruation is characteristic of endometrial polyps and. In this case, the daub appears in most cases after physical exertion, psycho-emotional experiences, sexual intercourse, and also for no apparent reason.

Bloody discharge is most often mild, but may resemble breakthrough bleeding. They are also often accompanied by pain in the lower abdomen.

Acute or chronic, has similar manifestations. Sometimes it can proceed only with periodic daubing. With more extensive inflammatory processes, the discharge may acquire an unpleasant odor or change its color.

Pregnancy

Bloody discharge after critical days may appear in a woman if she is pregnant. But at the same time, "menstruation" is actually a threat of interruption for a short time.

On the supposed critical days, menstrual-like discharge appears, and after a certain period of "purity" they reappear, perplexing the woman. At the same time, other signs of pregnancy are also noticeable: a change in taste preferences, breast swelling, nausea, etc. Against the background of bloody discharge, which can be both streaks among mucus and abundant, in most cases pains appear in the lower abdomen, lower back.

Ovarian pathology

Volumetric formations (cysts, tumors, etc.) of the ovaries can lead to a change in their function, which affects the balance of hormones. As a result of jumps in estrogens and progestogens, a daub may appear.

Sexual contacts

If streaks of blood appear in the vaginal mucus or even drops, the possibility of injury during sexual intercourse should be excluded. Even microcracks in the mucosa can lead to the appearance of such secretions.

Especially often, a daub appears after sexual intercourse if a woman has polyps of the cervical canal and cervix, erosion or ectopia, as well as cancer.

Gynecological examination

If a woman has recently been to a gynecologist for an examination, then a slight daub may also appear in a day or two. Especially if some manipulations were carried out on the cervix or in the cervical canal (smear for oncocytology, scraping, sampling for the study of STIs, etc.). Don't worry, everything will be back to normal on its own. And only with heavy bleeding should you visit the doctor again.

While taking hormonal pills

Often while taking oral contraceptives, especially in the first months of use, irregular spotting appears, including some time after menstruation. Such violations are permissible for no more than 2 - 3 cycles, during which the body gets used to the "new conditions". In other cases, it is better, together with the doctor, to decide on a replacement for another composition of contraceptives.

Daubing, streaks of blood can be after taking emergency contraception. It is difficult to predict such violations in advance; this is an individual reaction to hormones in a single high dose.

Oncological diseases

Cancer of the cervix and uterine cavity often manifests precisely with irregular bloody discharge in the form of streaks or more abundantly, including after sexual intercourse. At the beginning of the disease, a woman does not feel any pain, or increased fatigue, or other symptoms. All this appears as the disease progresses.

Endocrine pathology

The genital organs and their function are closely related to the work of other endocrine glands. The thyroid gland plays a special role in this. Therefore, in case of violation of its work (hyper- or hypothyroidism), the normal cycle of menstruation can go astray, irregular spotting appears. It is possible to determine this particular cause only after a special examination (ultrasound of the thyroid gland and a blood test for its hormones).

What to do if found

When bleeding occurs after menstruation, you should not panic. In some cases, you can independently find an explanation for this, but only a specialist will explain everything most reliably. Therefore, when streaks of blood appear in the vaginal mucus, daubing, you should consult a gynecologist. But beforehand, you can still try to find out why the violation occurred. It is recommended to do the following:

• Remember, perhaps a day or two ago, a woman was already at the doctor's office or had gynecological tests.
• Sexual contact, especially on the background of alcohol intoxication, could be accompanied by minor injuries. But in this case, it is always necessary to be wary of spotting. Contact daub is one of the signs of the oncological process.
• A pregnancy test will help rule it out or confirm it.
• The menstrual calendar will tell you exactly the day of the cycle when the violations occurred. Perhaps this is the period of ovulation and the daub that accompanies it.

Mucous discharge with streaks of blood after menstruation or daubing in most cases is a sign of the presence of some kind of disease, especially if these are regular violations, and not single ones. Only a doctor after a comprehensive examination can accurately determine the cause and prescribe the most effective treatment.

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