Brown vaginal discharge and nipple are usually very concerned about women, casting thoughts of incurable disease. Is it so? It turns out, brown discharge is not always indicate severe disease, but definitely should be a cause for seeking medical attention.

Brown discharge in women of normal vaginal

Vaginal discharge in women are always. Different women normally they can be of different nature, color and texture. Including are normal and can be brown discharge. Why go brown discharge? Because the blood had time to curl up as the source of bleeding is not in the vagina and in the uterus or its appendages. Normal small spotting brown considered if they appear:

• in the first two or three months of hormonal contraceptives - is hormonal changes and the transition of the natural menstrual cycle to the artificial; it does not require the abolition of contraceptive and runs independently;
• 1-2 days before menstruation and continued for 1-2 days after menstruation;
• in the middle of the menstrual cycle - linked to the rupture of the follicle and the release of the egg from it; brown discharge during ovulation Ovulation - How to determine as accurately as possible?   very short-term.

Pathological brown discharge in different phases of the menstrual cycle

Quite often brown discharge may indicate the presence of a particular disease. So if brown spotting before and after the menstrual period lasts longer than two days, contact your gynecologist and get tested. This character can be discharge in inflammatory processes in the uterus, diseases associated with hormonal disorders - endometrial hyperplasia Hyperplasia endometrial cancer - requires timely detection and treatment   and endometriosis, as well as polyps of the endometrium. At a delay menstruation brown discharge at the end of month, which lasts more than two days, may indicate an ectopic pregnancy.

Sometimes there brown discharge during menstruation. This may indicate:

• an anomaly structure uterus - blood accumulates in some part of the uterus, which leads to slow its purification; Blood becomes brown and is often released in the form clots;
• of increased blood clotting - blood clots, forming clumps of brown;
• the presence of IUD, irritating the endometrium;
• of various inflammatory processes in the uterus and its appendages;
• of hormonal disorders.

Brown vaginal discharge associated with pregnancy and childbirth

Brown discharge during pregnancy Discharges during pregnancy - should not be afraid   always have to guard a woman. When they appear on any terms should be referred to a gynecologist. In the first weeks of pregnancy small brown discharge can be a sign of an ectopic pregnancy, the outcome of which is often the fallopian tube rupture and severe bleeding - a condition requiring immediate hospitalization.

Brown discharge in the first trimester (first 12 weeks) may be a sign of missed abortion Signs of missed abortion Partial detachment of the ovum or the beginning of miscarriage. Management of pregnancy in all these cases are different, but they all require immediate treatment to the doctor.

Brown discharge in mid-pregnancy can talk of a partial detachment of the placenta, which occurred somewhat earlier, in a few hours or days - time to clot blood. The condition is very dangerous, because at any moment can start re-detachment of the placenta, followed by heavy bleeding.

Often women spend the operation scraping of the uterine lining - the endometrium. This operation can be carried out with the aim of getting rid of unwanted pregnancy diagnosis (scraped mucous membrane is sent to laboratory research), as well as for therapeutic purposes, such as hyperplasia (overgrowth) of the endometrium. After scraping of the endometrium appear bright red highlight. Brown discharge after curettage usually appear at an elevated blood clotting or the presence of inflammation.

What inspections are necessary when a brown vaginal discharge

First of all, you want to gynecological examination, during which the doctor takes swabs for analysis. Carrying out endoscopic examination of the vagina and cervix (colposcopy). Always held ultrasound of the pelvic organs, according to testimony - endoscopic examination of the uterus (hysteroscopy) and X-ray (hysterography).

According to the results of the survey established causes of brown discharge, the final diagnosis and treatment is prescribed.

Brown monthly allocation instead show a significant suppression of ovarian function. Such a condition may develop as artificial suppression of ovarian function using contraceptives or drugs, and for different diseases of the ovaries, to diminish their function.

Brown discharge instead of monthly while taking hormonal contraceptives and medical treatment

Against the background of hormonal contraceptives (combined oral contraceptives - COC) may cause brown discharge. It is also possible the emergence of such discharges with irregular hormonal contraceptives. Sometimes there are monthly instead of light brown discharge on the background of intrauterine contraceptives.

Thick brown discharge instead of monthly can occur with frequent use of hormonal contraceptive for emergency prevention of pregnancy Postinor. It consists of a synthetic analogue of progesterone in dosages many times greater than its concentration in the COC. Under the influence of Postinor endometrium of the uterus changes its properties, and the fertilized egg can not penetrate it. Some time after receiving postinora progesterone level in the blood rises sharply, which causes rejection mucosal bleeding. Such strong hormonal damage from frequent repetition can completely disrupt the work of ovaries and pituitary gland.

In some cases the medical suppression of ovarian function, for example, adenomyosis - endometriosis, uterine body. For this purpose, high-performance prescribed hormonal drugs - synthetic versions of hormones of the hypothalamus, which inhibit the secretion of pituitary gonadotropins (TG). Without the incentive effects of TG ovaries may secrete the female hormones, they are turned off, artificial menopause occurs, which can be maintained as long as necessary.

For drugs in this group include Diferelin, Dekapeptil, nafarelin, buselerin and others. During the course of treatment Diferelin menstruation does not happen, but instead of menses may appear small brown spotting.

Scarce brown discharge instead of the month with a decrease in ovarian function

The most common condition that develops against the backdrop of declining ovarian function, is the climax. Menopause begins after 40-45 years. The gradual decline of ovarian function leads to the fact that the menses have become increasingly rare, and then disappear altogether. Often during climax instead of menstruation appear scant brown discharge. Menstrual irregularities are combined with symptoms such as flushing and upper body, dizziness, sweating, irritability, fatigue, anxiety Anxiety - how to distinguish normal from disease? Sleep disorders.

But sometimes a similar condition can develop much earlier, up to 40 years. In this case we speak of early depletion of ovarian syndrome. For it is also characterized by a scant brown discharge instead of monthly. Hot flashes may have a different duration, occur at any time, often accompanied by pain in the heart, heart attacks, numbness and tingling of the fingertips, sometimes even loss of consciousness. Vertigo develops in the jumps in blood pressure arising due to the increased excitability of the autonomic nervous system.

There is also resistant ovary syndrome - a condition in which the ovaries become insensitive to the effects of pituitary hormones, resulting in longer secrete hormones, leading to the disappearance of menstruation. At the same time there are characteristic of menopause vegetovascular symptoms - irritability Irritability - you try to control my temper , Flushing, heart attacks, heart pain Pain in the heart - always consult a doctor , Sweating, weakness, headaches in violation of disability.

Dark brown discharge Brown allocation - what do they say?   instead of monthly can also occur in polycystic ovary syndrome (PCOS). When PCOS changes occur in the structure of the ovaries that result in dysfunction of this organ. Reduction of ovarian function are rare and irregular menses, usually from the start of formation of the menstrual cycle. But in some cases, the disease manifests itself in the form of dysfunctional uterine bleeding. For PCOS is characterized as obesity, increased body hair, and infertility.

If you go to a forum on the Internet, you'll find that there is an active debate about brown discharge instead of monthly. No less actively asked a similar question gynecologists at different sites. Hard to say, to the extent practicable. Maybe such consultations suitable only for those who can not, for whatever reason, will soon get to the gynecologist. If such a possibility, it is not necessary to pull.

Galina Romanenko