How the discharge changes before menstruation and what they say24.05.2022
Menstruation is a physiological process; from its appearance, the days of the cycle begin to count. According to the rhythm and nature of bleeding, deviations in health can be suspected. Discharge before menstruation indicates pathology or special conditions. They can differ in color, volume, additional sensations and often require a visit to the doctor.
What is considered normal
The normal microflora of the vagina, the cervical canal are involved in the formation of a secret, the amount of which varies depending on the day of the cycle. The maximum volume of secretions appears before ovulation due to an increase in estrogen levels. After it, no more than 1 ml is released per day, which are not felt by a woman.
Discharge before menstruation may turn red
The secretions leave a stain in underwear or panty liners. It should not be more than 3 centimeters. The consistency in the second phase of the cycle in a healthy woman is creamy. Liquid discharge indicates pathology. Pay attention to the color, it can be shades of white, but greenish or red is not the norm.
The discharge should not be accompanied by aching pain in the lower abdomen or other sensations. For any change in health, you should consult a doctor.
The nature of normal discharge in women can change under the influence of external factors:
- after unprotected intercourse – an admixture of semen makes the discharge mucous, with small white clots;
- when using oral contraceptives – they practically do not change during the cycle, when the adaptation period has passed.
With the approach of menopause, estrogen deficiency occurs. This leads to the death of normal microflora, a decrease in the synthesis of lactic acid. Therefore, the amount of natural whites is reduced. But during menopause, liquid and fetid leucorrhoea, which are a sign of a malignant process, should cause alertness.
Red and pink discharge
Any shades of red indicate the appearance of an admixture of blood. The color depends on the source and intensity of bleeding. Fresh, uncoagulated blood gives a scarlet hue. If the bleeding has already taken place, the breakdown of hemoglobin occurs, so the blood becomes brown. The entire secret from the vagina can be stained, or streaks of scarlet color appear in it.
Pre-period discharge may change color after intercourse. With erosion of the cervix, active sex can lead to trauma to the exocervix and the appearance of a few drops of blood on the linen.
The color of the discharge changes during the inflammatory process. Edema and hyperemia of the mucous membrane leads to an increase in its permeability and vulnerability. The leucorrhea takes on a shade of pink, but streaks of red may sometimes appear. Particular attention should be paid to the following symptoms:
- after sex, intense spotting appears;
- worried about pain in the lower abdomen, radiating to the lower back or perineum;
- body temperature rises;
- bleeding does not stop on its own after a few hours.
With endometriosis, brown discharge may appear. Foci of pathological growth of the endometrium are also subject to hormonal regulation. But in focal forms, when cavities are formed in the wall of the uterus, filled with clotted blood and endometrial remnants, they can be emptied shortly before menstruation and continue to do so after it. Therefore, the appearance of a brown daub is noted a few days before menstruation, in the middle of the cycle.
Brown discharge means an admixture of blood
Signs of inflammation
Menstruation often acts as a provocateur of exacerbation of chronic genital infections. In the luteal phase of the cycle, the main hormone is progesterone, which not only prepares the uterine mucosa for implantation, but also reduces local immunity. Inflammation is often nonspecific. It is accompanied by the following symptoms:
- copious yellow discharge with a green tint;
- feeling of itching and burning in the vagina;
- redness of the labia;
- dysuric disorders.
Due to the proximity of the urethra and vagina, the bacterial flora enters the urethra. There is a burning sensation, the urge to go to the toilet becomes more frequent. If there is an exacerbation of the inflammatory process in the uterus or appendages, the discharge becomes serous-purulent. They irritate the mucous membrane of the vulva, the skin of the perineum, lead to the appearance of redness.
Vulvovaginitis is not accompanied by a deterioration in the general condition, in addition to yellow discharge, itching and burning are characteristic of it. An increase in temperature, signs of intoxication are characteristic of endometritis or adnexitis. An acute or chronic inflammatory process in the acute phase is treated in a hospital setting.
Often recurrent adnexitis leads to the formation of adhesions in the pelvis and in the lumen of the fallopian tubes. Therefore, the next exacerbation often ends with a tubo-ovarian abscess. This condition requires emergency medical attention.
White curdled discharge, accompanied by itching, redness, speaks in favor of thrush. Chronic candidiasis can worsen as early as a week before menstruation. It has a characteristic sour smell.
Candidiasis is one of the forms of violation of the composition of the microflora of the vagina. It can be combined with the active growth of another pathogen – gardnerella. This microorganism changes the acid-base reaction of the environment and provokes such secretions:
- the shade of the discharge becomes gray;
- copious and liquid;
- with the smell of rotten fish.
The unpleasant odor increases during washing with soap. This is how the waste products of gardnerella react with alkaline substances contained in the detergent. Frequent washing will not help get rid of this symptom, the smell and amount of discharge from hygiene procedures only intensifies.
White discharge appears with thrush
Discharge due to pregnancy
During pregnancy, non-specific signs appear, by which one can assume the accomplished conception. After fertilization, on the 7-8th day, the implantation of the embryo occurs. Before menstruation, discharge with a small amount of blood can be an indicator of successful attachment of the embryo. Some confuse them with the failure of the menstrual cycle, so they do not know about their position for a long time.
What should be normal leucorrhoea after conception:
- odorless or naturally sour;
- whitish, translucent;
- slimy consistency.
Women who planned to conceive and are aware of the likely onset of pregnancy, on the eve of menstruation, sometimes notice spotting. If they last for several days or appear after a short delay, there is a high probability of an early miscarriage. It is difficult to diagnose it, on ultrasound in this period the fetal egg is not yet determined. The only way to find out about the existence of an embryo is to do a blood test for hCG. This hormone is determined in the serum within a few days after conception.
Whites are an important symptom by which one can judge the state of the female reproductive system. Bloody discharge after sex, which goes away on its own in a day, is an indication for colposcopy. Yellowish or abundant light leucorrhoea is often a sign of inflammation that requires treatment.
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