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Brown discharge during pregnancy after various manipulations

 
, medical expert
Last reviewed: 06.08.2019
 
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The appearance of brown discharge during pregnancy, which does not accompany other suspicious symptoms, does not have to be associated with physiological processes in the body. A small hemorrhage in the internal genital organs of a woman can be triggered by some manipulations. Most often we are talking about the mechanical effect on the delicate tissues of the mucous membrane, as a result of which microcracks can form and small capillaries can be damaged, the blood from which goes out together with the vaginal secretion to the outside.

So, during a normal pregnancy, sexual contact is not prohibited. Caution in this period is very important in the early and late periods, while in other periods copulation is not forbidden.

Doctors, of course, recommend to abstain from pregnancy from too violent sex, but lovers do not always manage to restrain themselves, so it is not necessary to be surprised if a slight brown or bleeding occurs for a few hours after sex with the expectant mother. If they are not accompanied by pain and spasms that are characteristic of improving the tone of the uterus and the threat of miscarriage, you should not worry too much, but in the future it is better to refrain from such experiments for your own peace and security.

Brown discharge during pregnancy  women may also note after examining the cervix  at the gynecologist and taking a smear. Ideally, such manipulations during this period are minimized. But often women just find out about their pregnancy when they get up from the gynecological chair. A smear on the microflora in any case is mandatory, because it allows you to identify hidden infections that can later cause great ills.

The mucous membrane of the internal female genital organs is a very delicate and sensitive structure, which during pregnancy due to hormonal changes and a rush of blood to the genitals, becomes even more prone to trauma. Any careless movement of a doctor manipulating hands and instruments can damage the delicate tissues of the vagina and uterus, which is sometimes accompanied by minor hemorrhages.

Usually, the brown or reddish discharge lasts no more than 2 days after the gynecologist's examination. They have a low intensity and are not accompanied by other symptoms, except that short-term discomfort in the lower abdomen within 1-2 hours after the manipulation. But longer smear or severe bleeding for 2 or more hours is already a serious cause for concern, since it can be associated with certain diseases, damage to internal organs, threatened miscarriage, etc.

Brown discharge after examination in the chair in the last months of pregnancy, carried out to assess the condition of the uterus before childbirth, usually associated with the discharge of cork mucous membrane and should not bother a woman. The appearance on this background of cramping abdominal pain will be evidence of the beginning of the generic process.

But in the 1st and 2nd trimester pregnancy pain, burning or itching in the vagina, fever after a gynecological examination are most often evidence of an infectious process caused by non-compliance with sanitary and hygienic conditions. These symptoms can not be ignored, because the infection itself will not disappear anywhere, but it may well complicate the course of pregnancy and affect the development of the fetus.

In some cases, a woman, according to testimony or voluntarily, has to terminate a pregnancy at different times. You need to understand that this is a trauma for the whole organism, aiming at the reproduction of a new life and creating all the conditions for this. If the self-pathological detachment of the amniotic egg or placenta is accompanied by bleeding, then what can we say about forced intervention.

But the duration and intensity of discharge in this case will depend on many factors: the gestational age, the age of the pregnant woman, comorbidities, the methods and means used for abortion, the professionalism of the doctor. If we are talking about pharmacological means of hormonal nature, giving the body a serious shake, then the discharge after them in some cases can last up to a month.

In most cases, the case is limited to 2-7 days. But you need to understand that at first a couple of days can go strong bleeding with clots, sometimes accompanied by pain and spasms, and then for several days there is a light or dark brown daub, which normally should not have an unpleasant smell.

With a mini-abortion (vacuum aspiration), first there is a strong bleeding, which decreases on the second day, after which brown daub is possible for another 3-8 days. Sometimes such secretions are accompanied by slight pulling pains and discomfort in the lower abdomen.

After surgical abortion, excretions are the most intense and prolonged. During the week a woman may bleed, and then the discharge becomes less abundant, gradually turning into a brown daub. At a short period of pregnancy, a strong bleeding may not be, and all limited to brown secretions. But with increasing fetal size (and cleaning is carried out up to 22 weeks), the uterus also grows, and the larger the damaged surface and the likelihood that the particles of the fetus are not completely removed, the greater the bleeding and the greater the risk of all sorts of complications.

Quite often, cleaning is carried out in connection with the fading or arrest of fetal development, which happens in most cases in the first trimester of pregnancy. Brown discharge in this case can be both in the development of pathology, and after curettage of a frozen pregnancy  or spontaneous rejection of the fetus with its natural removal.

The closing of the pregnancy is accompanied by pulling pains in the lower abdomen, which do not disappear even after the termination of such a pregnancy by any means. But about the selection should talk more. Both excessively prolonged hemorrhages, their absence or weak smear are considered dangerous. If there is no discharge at all, or they are scanty and brown in color, then it is a question of insufficient cleansing of the uterus, which requires additional cleaning. But the brown discharge that appears after the red, are considered normal. The main thing is that they are not accompanied by fever, severe abdominal pain, unpleasant smell, and no unusual inclusions.

Brown discharge after termination of pregnancy  (spontaneous or forced) is a variant of the norm and indicates that the active cleansing of the uterus ends, and its tissues are restored.

But from the sad back to the pleasant. One of the ways to solve the problem of infertility is considered to be in vitro fertilization, which makes it possible to know all the joy of motherhood almost from the moment of conception of the child, or rather from the minute the fertilized egg is placed in the woman’s uterus. By itself, the transfer of the embryo into the mother's body is a low-impact process and does not cause a change in the nature of normal secretions. In other words, after the IVF procedure, the discharge should remain transparent, without foreign inclusions and clots, unpleasant smell, etc.

Brown discharge during pregnancy immediately after IVF, as well as pink or red, are considered a warning symptom if they last more than 1 day, and even more so are accompanied by a pulling sensation in the lower abdomen. But the appearance of such secretions after 1-1.5 weeks should not frighten the future mother, because, as in natural conception, during this period the attachment of the ovum to the wall of the uterus occurs, which is accompanied by rupture of small vessels and spreading secretions. But excretions should stop before 12-14 days after embryo grafting. An alarming factor is the frequent appearance of pain and prolonged, rather intense discharge.

Symptoms of brown secretions during pregnancy after IVF 14 days after embryo replanting can have various complications: embryo freezing, rejection of the ovum, shortage of the hormone progesterone, which contributes to the preservation of pregnancy. To prevent this, expectant mothers are prescribed supportive therapy with hormonal drugs. It can be either oral medications containing progesterone, or local products that can mix with the vaginal secretion and maintain appropriate hormones directly in the area of implantation of the embryo.

" Duphaston " - a drug that doctors often prescribe to pregnant women when they have symptoms that involve the threat of miscarriage. Brown discharge during pregnancy while taking “Duphaston”, which women sometimes mention, is not related to the medicine itself, just in the period when it is prescribed, the ovum is attached or pathological conditions may occur, which are dangerous for the child to lose. It is to warn the last "Duphaston" and appoint. After a course of treatment with a drug, excretions must end.

But from the " Utrozhestan " used intravaginally, brown discharge during pregnancy may indeed appear. The point is that the components of the preparation themselves tint the vaginal mucus a little, giving it a beige, yellow or light brown tint. At the end of the course of treatment, the discharge again takes on a natural, transparent appearance.

Some women may complain that the brown discharge during pregnancy did not begin at the time of administration, but after the abolition of progesterone. Isolated episodes of such a daub can be attributed to the body's response to a sharp decrease in the dose of hormonal drugs, but prolonged discharge suggests that it is still early to refuse hormone therapy and the threat of termination of pregnancy is still relevant. The most reasonable way out of this situation is the continuation of treatment and respect for rest (physical and mental). In some cases, the use of drugs is shown up to 37 weeks of pregnancy.

trusted-source[1], [2], [3], [4], [5], [6], [7]

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