So nature intended that women vagina is constantly formed a secret, or to put it simply, separation. A healthy female representatives vaginal leucorrhea characterized as slimy, clear discharge without odor. Throughout the menstrual cycle, vaginal secretions change their character. For example, during ovulation Ovulation - How to determine as accurately as possible?   the discharge becomes thick and resemble egg white. But in some cases appear brown discharge from the genital tract on the eve of menstruation. Typically, such a "botched" before menstruation suggests some pathologies and needs to see a doctor.

Causes

The main reasons for "daub" before menstruation include:

• endometriosis, uterus (adenomyosis);
• endometriosis of the cervix;
• chronic endometritis;
• hormonal contraception;
• hyperplasia or endometrial polyps.

Endometriosis Uterine

The most common cause of brown discharge before menstruation Selections before menstruation - that is the norm?   Endometriosis is a cancer. In addition to spotting the patient complained of aching pain in the abdomen.

Pain is usually amplified before and during menstruation. At gynecological examination during the premenstrual period rezkoboleznennaya determined, globular and fixed uterus, which is tilted back (a result of adhesions). It featured ultrasound adenomyosis Symptoms of adenomyosis - characteristic and recognizable   include cellular structure of the myometrium, which found melkokistoznye education, often in the uterine wall units are defined heterogeneous structure.

Endometriosis Cervical

Endometriosis of the cervix are often, especially lately. This is probably due to the widespread use of diathermocoagulation (moxibustion) cervical erosion. After cauterization of burns at the site of the endometrium implanted particles, are rejected during menstruation. In addition, cervical endometriosis can occur on the grounds of injuries after abortion, childbirth or pathological dilatation and curettage.

Visually, to the vaginal part of the cervix defined small pockets in the form of nodules (two to five mm in diameter), which have a reddish color, and are allocated on a pale pink mucosa of the uterine cervix. In the luteal phase, especially before menstruation, endometrial foci acquire a blue-purple color, and the size of a slight increase. The diagnosis is confirmed by colposcopy.

Chronic endometritis

As a rule, a consequence of chronic endometritis undertreated acute postpartum or post-abortion endometritis. Often chronic endometritis develops as a result of frequent diagnostic curettage about uterine bleeding. Typically, the process is secretive.

Due to the inadequacy of the endometrium breaks down the process of desquamation (rejection) of the functional layer during menstruation, which is the cause of brown discharge before menstruation. Externally, the allocation look like "meat slops" with an unpleasant odor. Throughout the menstrual cycle, vaginal discharge look like a serous or sero-purulent. Also, patients complain of constant aching pain in the abdomen, when a pelvic examination is determined by the number of enlarged uterus and compacted.

Endometrial hyperplasia and polyps

The clinical picture of hyperplasia or endometrial polyps is varied and depends on the woman's age, hormonal ovarian function, the presence of comorbidity. The most frequent and almost constant feature of the disease are menstrual irregularities. Also premenstrual spotting observed "scribble" in the middle of the cycle. The diagnosis is confirmed by ultrasound, hysteroscopy and hysterography.

Hormonal contraception

While taking oral contraceptives combined in the first three months may experience brown discharge Brown allocation - what do they say?   before menstruation. Also, "spotting" is against the backdrop of IUDs containing hormones ("Mirena") and long-acting progestational contraceptives (Depo-Provera).

Anna Sozinova

The menstrual cycle is divided into several phases, each of which has a certain number of days. Every woman's "own" individual length of the menstrual cycle, and thus the number of days of each phase also differ. To calculate the "safe" when fertility is minimal or, on the contrary, "dangerous" days gynecologists advise to keep a calendar of menstrual cycle by which you can identify all his days. From the day of the menstrual cycle is not only fertile woman's ability (ability to get pregnant), but her emotional state.

The phases of the menstrual cycle

The first day of the menstrual cycle is considered to be (relatively) the first day of menstruation. Ideally, the length of the menstrual cycle is 28 days.

Follicular phase

The beginning of the follicular (proliferative) phase is considered the first day of menstruation. The duration of the first phase of the menstrual cycle is dependent upon its length. The average (with 28-day menstrual cycle) follicular phase lasts fourteen days, but can range from 7 to 22 days. In the first phase of the cycle under the influence of pituitary follicle-stimulating hormone in the ovaries begin to produce estrogen, which ensure the growth and maturation of follicles among them the dominant (main) follicle from which the future will mature egg capable of fertilization. In the same phase in the endometrium of the uterus occur proliferative processes, it begins to grow and thicken.

In the first or second day of the menstrual cycle, a woman feels the aching pain in the abdomen Abdominal pain: when to sound the alarm? Possible headaches, dyspepsia and irritable Irritability - you try to control my temper .

Third-sixth day of the menstrual cycle is characterized by a stabilization of the mood and physical condition.

In the seventh, the eleventh day of the menstrual cycle a woman is in a good mood, happy life, makes plans for the future.

Ovulatory phase

Ovulatory phase lasts 36-48 hours and at 28-day menstrual cycle begins on day 14-15. In the ovulatory phase of the estrogen level reaches its peak, it stimulates the production of luteinizing hormone by the pituitary gland, which is under the influence of the dominant follicle ruptures and out into the abdominal cavity leaves mature egg, then the estrogen level begins to decrease gradually. During the ovulatory phase may appear small, in the form of one or two drops of blood on the underwear (ovulatory bleeding).

In the twelfth to fifteenth days of the menstrual cycle, a woman unconsciously watching their appearance, becomes passionate (due to increased sexual desire), and more feminine. He feels well.

Luteal phase

Luteal or secretory phase of the value of a more or less constant and lasts on average (with 28-day cycle) 13-14 days (plus or minus two days). After breaking his main follicle wall and fallen down on this spot formed the corpus luteum, which produces progesterone Progesterone - norm and pathology . Luteal phase flows under the influence of the pituitary luteinizing hormone. Under the action of progesterone in the lining of the uterus occurring phenomenon secretory endometrium becomes swollen and loosened (preparation for implantation of a fertilized ovum).

From the eighteenth to the twenty-second day of the menstrual cycle, a woman feels great, there is a burst of energy.

In 23-28 days of the menstrual cycle in women begins premenstrual syndrome. It is capricious, irritable, prone to depression Depression - a little more than a bad mood   and tearfulness. The mood is unstable and changes several times a day. There may be swelling in the face and legs, pain in the lower back, swelling and increased sensitivity of mammary glands.

Phase desquamation

Phase desquamation - a rejection of the functional layer of the endometrium, or menstruation. The first day of menstruation, ie the first day of the menstrual cycle.

Anna Sozinova