Menstruation during early pregnancy, what are they?

A woman learns that she is pregnant after a few weeks from the moment of conception and it is the first sign that indicates pregnancy, lack of menstruation.

Many women naturally ask the question - are menstruation or regulation possible in the early stages of pregnancy, what threats do they pose to the child and mother, what reasons provoke discharge? All this will be discussed further.

Possible causes of menstrual flow.

Are menstruation possible during pregnancy - doctors unequivocally say yes. The thing is that the fertilization of the egg by the sperm occurs in the middle of the cycle, after it there will be more 7-14 days get into the uterine cavity.

As a result, the body has not yet had time to rebuild and menstruation during early pregnancy is quite normal.

If scanty discharge and smearing, then nothing to worry about, but with abundant discharge, a woman should definitely see a female doctor.

The reasons that provoke menstruation during early pregnancy are most often identified by doctors as follows:

1. Failure in the hormonal background. In this case, we are talking about the predominance of such a male hormone as androgen in the blood, or a lack of progesterone has been diagnosed - this reason does not pose a threat to the fetus. It is enough to contact a gynecologist and take a course of hormone therapy.
2. Early menstrual bleeding may speak about the process of detachment of a fertilized egg and spontaneous miscarriage. If the detachment is small, the woman's body can cope on its own, actively producing progesterone. The discharge, however, will be meager, will be smearing, but with profuse blood loss, you should immediately visit a gynecologist.
3. During the period of gestation in the early stages, minor bloody discharge resembling menstruation arising from mechanical injury to the vagina or cervix. This can happen after visiting and inspection at the gynecologist, when taking a smear from the vagina for laboratory analysis - such a reaction of the body is permissible.
4. Bleeding that is mild in intensity may occur on time and after intercourse - the reason is mechanical injury during excessively intense movements of the partner. The woman is recommended to undergo an examination by a female doctor using an ultrasound scan, and it is imperative to monitor the development of the fetus.
5. The reason menstrual cycle during pregnancy may be ectopic fetal developmentwhen a sperm fertilized egg attaches to the fallopian tube. With the development and growth of the fetus, the pipe will be injured, as a result, it may rupture, which provokes profuse bleeding and danger for the woman in labor. If there is a rupture of the tubes, it is possible to save a woman, but her reproductive system and her ability to conceive and give birth in the future will be lost.
6. Minor or profuse spotting may bother the future woman in labor. with genetic failures in the body or pathological development of the fetus, provoked by intrauterine diseases. In such a situation, it will not work to keep the pregnancy.
7. An inflammatory process can also provoke bleeding in the early stages of pregnancy, as a result of which spontaneous miscarriage can also occur.
8. Freezing of the fetus can manifest itself in a variety of ways, but a woman must understand that the fetus can die in the first trimester, and as a result, they will manifest themselves menstrual flow. A genetic abnormality in the structure of the fetus, a mother's disease of an infectious nature, incorrect her lifestyle and weakened immunity, stress, malnutrition, when a woman's body is simply unable to endure fetus.
9. Multiple pregnancy, or rather the wrong flow. If one embryo dies, it will simply leave the woman's body in the form of copious menstrual flow.
10. Abnormal in its physiological structure of the uterus. In this case, the course of pregnancy depends on the pathology and should proceed under the strict supervision of a gynecologist.

Menstruation during pregnancy: norm and pathology - where is the line?

If, in the first month of pregnancy, a woman has menstrual flow that is not abundant and painless, her overall health is normal - you should not worry.

If there is profuse bleeding, lasting a long time, accompanied by pain in the lower parts of the abdomen that give off pain in the lower back - a woman is shown to immediately visit a gynecologist or call an ambulance help.

In what cases is regulation at the initial stages of pregnancy the norm?

As the doctors themselves note, any bloody discharge, menstruation during the period of gestation is not considered the norm, but in practice there are cases when the discharge manifests itself and it is not worth sounding the alarm.

In some cases, regulation in the early stages of pregnancy does not pose a danger to the mother and fetus.

Such situations can be:

1. Hormonal imbalance in a woman's body - a lack of progesterone or an excess of androgen can provoke menstrual, bloody discharge in the early stages. If the discharge is short - you should not worry, but when it is long - it is recommended to consult a doctor and undergo a course of hormonal therapy.
2. Bloody, monthly discharge can bother a woman after the procedure implantation of a fertilized egg. This process - the implantation of a fertilized egg can take up to 2 weeks, when the body has not yet reorganized at the hormonal level, respectively, the menstruation is going according to plan.
3. Fertilization of the egg before the very menstruation. As the doctors themselves note, a woman can become pregnant even during menstruation, not to mention such a likelihood as before the onset of menstruation. The phenomenon is rare, but quite real - when conceiving before the very menstruation in the menstrual cycle, there will be no delay in the first month and menstruation will come, so to speak, on schedule.
4. Fertilization in a woman of only one of two mature eggs. In the early stages of pregnancy, menstrual flow can occur due to the fertilization of only one of the two eggs formed in different ovaries of a woman. In this case, the fertilized one will be preserved and develop further, but the one not fertilized by the sperm will come out along with the regulations.

The main thing that a woman should remember in this case - menstruation in the early stages of pregnancy is possible as normal only time.

When spotting manifests itself in the second and subsequent months of gestation, while neither color nor quantity, do not matter - this is a deviation in the work of internal organs and systems, a threat to the life of the child and women.

What is the danger of menstruation for the fetus?

If we talk about what kind of discharge is considered to be dangerous for the mother and child during the period of gestation - any, unusual in their theology and nature of origin.

The danger of menstruation is that bloody discharge can provoke detachment of the birth placenta.

This, in turn, can lead to the death of the fetus, its fading and, if untimely gynecological cleaning, provoke peritonitis.

The main thing is to monitor any discharge and in case of pain, discomfort, any changes in color and composition, immediately consult a doctor.

When visiting the gynecological office, the doctor underwent an examination and, if necessary, will send him for laboratory tests and additional examination. The main thing is not to be nervous with insignificant discharge - for the most part they will not harm the fetus, but chronic neurosis can provoke a miscarriage.

What does a woman need to do (recommendations, treatment)?

The main thing for every future woman in labor is to understand that discharge, like menstrual discharge, in the second and subsequent months of gestation, in particular, abundant and accompanied by pain, is a deviation, a signal from the body about violations in its work.

Most gynecologists claim that such a phenomenon can provoke fetal freezing and spontaneous miscarriage - at the very first negative symptoms you should immediately consult a doctor, call an ambulance.

If the root cause of bleeding is a failure in the hormonal background, the woman undergoes a course of hormone therapy.

Most often, doctors prescribe drugs containing artificial hormones - Dyufaston or Utrozhestan, determining the individual schedule and dosage.

With each cancellation of drugs containing progesterone, it is worth stopping their intake gradually - the whole point is that with a sharp decrease in the level of hormones, spontaneous miscarriage.

If diagnosed hyperandrogenism as the cause of bleeding - doctors prescribe drugs: Metipred, Dexamethasone.

The doctor prescribes the dosage of these drugs, based on the results of determining the level of hormones in the blood.

If cause of bleeding during the period of gestation there is an ectopic pregnancy, with a certain anomaly in the structure of the uterus - treatment in this case is not provided.

Most often, there is only one way out in this case - it is the termination of pregnancy in order to avoid harm to the woman's body and her life. The factthat the growing fetus will lead to rupture of the fallopian tubes, its walls, which in turn will provoke profuse bleeding and death of the woman.

In this case, treatment includes surgery and termination of pregnancy under general anesthesia. using laparoscopy or abdominal surgery, preserving or completely removing the uterus and tubes.

When diagnosed, placenta prevalence as the cause of menstrual flow during gestation fetus, the woman is shown complete rest, preferably bed rest and the absence of large physical overloads.

If necessary, the patient is placed in a medical institution for preservation.

It is enough to remember that the low-lying placenta will rise as the fetus grows - such a diagnosis is not a verdict for a pregnant woman.

If menstruation in the early stages of gestation provoked by stress and overwork, excessive physical exertion - the patient can also be placed in a hospital for the subsequent preservation of the fetus.

Most often, a woman undergoes a course of taking hemostatic drugs, as well as antispasmodics and sedatives. If there is a suspicion of a spontaneous miscarriage, with a frozen pregnancy - you don't have to do anything, since it is impossible to save the fetus and the pregnancy itself.

What a woman can do herself for any nature and intensity of discharge in the early stages of pregnancy and the entire period of gestation?

The woman is shown complete rest, take a sedative and antispasmodic, for example, No-shpu.

And of course - if any discharge resembling menstruation recurs during gestation, it is recommended to visit a gynecologist.

Timely attention to your health during the period of gestation, taking into account any signals from the body in the form of bloody discharge, pain and spasms, examination and consultation with a doctor, compliance with all recommendations guarantees the health of the mother, fetus, normal course pregnancy.