Brown discharge in pregnancy after various manipulations

The appearance of brown discharge during pregnancy, which is not accompanied by other suspicious symptoms, does not necessarily have to be associated with physiological processes in the body. A small hemorrhage in the internal genital organs of a woman can also be provoked by some manipulations. Most often, we are talking about mechanical impact on delicate tissues of the mucous membrane, as a result of which microcracks can form and small capillaries can be damaged, blood from which comes out together with vaginal secretions.

Thus, during a normal pregnancy, sexual contacts are not prohibited. Caution during this period is very important in the early and late stages, while in other periods, intercourse is not prohibited.

Doctors, of course, recommend abstaining from too stormy sex during pregnancy, but lovers do not always manage to restrain themselves, so do not be surprised if the expectant mother has minor brown or bloody discharge for several hours after sex. If they are not accompanied by pain and spasms, characteristic of increased uterine tone and the threat of miscarriage, there is no need to worry too much, but in the future it is better to refrain from such experiments for your own peace of mind and safety.

Brown discharge during pregnancy can also be noted by women after a gynecologist has examined the cervix and taken a smear. Ideally, such manipulations are kept to a minimum during this period. But often women find out about their pregnancy just when they get up from the gynecological chair. And a smear for microflora is mandatory in any case, since it allows you to identify hidden infections that can subsequently cause big troubles.

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

Usually, brown or reddish discharge lasts no more than 2 days after a gynecologist's examination. They are of low intensity and are not accompanied by other symptoms, except for short-term discomfort in the lower abdomen for 1-2 hours after the manipulation. But longer spotting or heavy 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, the threat of miscarriage, etc.

Brown discharge after examination on the chair in the last months of pregnancy, conducted to assess the condition of the uterus before childbirth, is usually associated with the discharge of the mucous plug and should not bother the woman. The appearance of cramping pains in the lower abdomen against this background will be evidence of the onset of the labor process.

But in the 1st and 2nd trimesters of pregnancy, pain, burning or itching in the vagina, fever after a gynecological examination most often turn out to be evidence of an infectious process caused by non-compliance with sanitary and hygienic conditions. These symptoms cannot be ignored, because the infection itself will not go away, but it can significantly complicate the course of pregnancy and affect the development of the fetus.

In some cases, a woman, either by indication or by her own wish, has to terminate a pregnancy at different stages. It is important to understand that this is a trauma for the entire organism, which is aimed at reproducing a new life and creating all the conditions for this. If the independent pathological detachment of the amniotic sac 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 duration of pregnancy, the age of the pregnant woman, concomitant pathologies, methods and means used to terminate pregnancy, the professionalism of the doctor. If we are talking about hormonal pharmacological agents that give the body a serious shake-up, then the discharge after them in some cases can last up to a month.

In most cases, it is limited to 2-7 days. But it is important to understand that at first there may be a couple of days of heavy bloody discharge with clots, sometimes accompanied by pain and spasms, and then for several days there will be light or dark brown spotting, which should not normally have an unpleasant odor.

With a mini-abortion (vacuum aspiration), there is initially heavy bloody discharge, which decreases on the second day, after which brown spotting is possible for another 3-8 days. Sometimes such discharge is accompanied by minor pulling pains and discomfort in the lower abdomen.

After a surgical abortion, the discharge is the most intense and prolonged. A woman may bleed for a week, and then the discharge becomes less abundant, gradually turning into a brown spot. At an early stage of pregnancy, there may not be much blood discharge, and everything will be limited to brown discharge. But as the size of the fetus increases (and curettage is carried out up to 22 weeks), the uterus also grows, and the larger the damaged surface and the likelihood that fetal particles will not be completely removed, the stronger the bleeding and the greater the risk of all sorts of complications.

Quite often, curettage is performed due to the freezing or cessation of fetal development, which occurs in most cases in the first trimester of pregnancy. Brown discharge in this case can occur both during the development of pathology and after curettage of a frozen pregnancy or spontaneous rejection of the fetus with its natural removal.

A frozen pregnancy is accompanied by nagging pains in the lower abdomen, which do not disappear even after termination of such a pregnancy by any means. But it is worth talking about discharge in more detail. Both excessively heavy prolonged bleeding and its absence or weak spotting are considered dangerous. If there is no discharge at all or it is scanty and brown in color, then we are talking about insufficient cleansing of the uterus, requiring additional cleaning. But brown discharge that appears after red is considered normal. The main thing is that it is not accompanied by an increase in temperature, severe pain in the abdomen, an unpleasant odor, and does not have unusual inclusions.

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

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

Brown discharge during pregnancy immediately after IVF, as well as pink or red, are considered an alarming symptom if they last more than 1 day, and especially if accompanied by a pulling sensation in the lower abdomen. But the appearance of such discharge after 1-1.5 weeks should not frighten the expectant mother, because, as with natural conception, during this period the fertilized egg attaches to the wall of the uterus, which is accompanied by rupture of small vessels and smearing discharge. But the discharge should stop by 12-14 days from the moment of embryo transfer. An alarming factor is the frequent appearance of pain and long, fairly intense discharge.

Symptoms of brown discharge during pregnancy after IVF 14 days after embryo transfer can result in various complications: embryo freezing, rejection of the ovum, deficiency of the hormone progesterone, which helps maintain pregnancy. To prevent this from happening, expectant mothers are prescribed maintenance therapy with hormonal agents. These can be either oral drugs containing progesterone or local agents that can mix with vaginal secretions and maintain the appropriate hormonal background directly in the embryo implantation zone.

" Dyufaston " is a drug that doctors often prescribe to pregnant women when they have symptoms that imply a threat of miscarriage. Brown discharge during pregnancy when taking "Dyufaston", which women sometimes mention, is not related to the drug itself, it is just that during the period when it is prescribed, the attachment of the fertilized egg occurs or pathological conditions that are dangerous for the loss of the child may occur. It is to prevent the latter that "Dyufaston" is prescribed. After a course of treatment with the drug, the discharge should stop.

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

Some women may complain that brown discharge during pregnancy began not during the intake, but after the withdrawal of progesterone. Single episodes of such spotting can be attributed to the body's reaction to a sharp reduction in the dose of hormonal drugs, but prolonged discharge indicates that it is too early to refuse hormonal therapy and the threat of termination of pregnancy is still relevant. The most reasonable way out of this situation is considered to be continuing treatment and maintaining rest (physical and mental). In some cases, the use of drugs is indicated up to the 37th week of pregnancy.

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