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Causes of red discharge in women, diagnosis and rate

Red discharge from the genital tract of a woman is a variant of the norm only during menstruation.

In other cases, as a rule, we are talking about some kind of pathology (with the exception of scanty pink-red secretions that appear in some women at the time of ovulation). Therefore, the appearance of this symptom should serve as a signal for consultation with a gynecologist.


Causes of red discharge in women

Causes of red discharge

The most likely causes of red discharge in women depend on her age. According to statistics, in young girls (aged 12-15 years), most often their appearance is due to functional hormonal disorders.

Over time, they lead to dysfunctional bleeding. In rare cases, the cause of bleeding at a young age can be ovarian tumors with hormonal activity.

Young girls, in violation of the menstrual cycle, it is recommended to conduct an ultrasound examination.

In the reproductive age, the list of conditions, when the red discharge appears (but not monthly), expands.

A similar symptom may indicate a number of diseases:

  • Uterine fibroids, especially its submucosal forms, violate the process of contraction of the myometrium;
  • Cervical erosion (it can cause injuries, infections and hormonal imbalances);
  • Uterus polyps (local growth of the inner layer);
  • Ovarian cyst, accompanied by the formation of hormones that stimulate the growth of the endometrium;
  • Endometriosis, characterized by the presence of foci in the body that undergo cyclical changes, like the uterus, which leads to the release of blood from them.

If there is a red discharge in women older than 45 years old - this may be the first sign of a malignant tumor of the uterus or its cervix.

Therefore, such patients are always recommended a comprehensive examination to detect cancer pathology, the likelihood of which at this age is increased.

Only after neoplasms are excluded can polyps and uterine myomas be considered as the cause of hemorrhages. The reverse approach is wrong, because can lead to diagnostic errors when serious life-threatening diseases are missed.

A similar principle is followed in women with stopped menstruation (menopausal age).

What do the red highlights mean to them?

In this age group, the risk of oncopathology is even higher. Therefore, cancer of the uterus and its cervix are considered as the primary cause.

The second place is occupied by arterial hypertension, in which the vessels are affected, and their rupture occurs on the background of the next increase in pressure. This leads to bleeding in the menopausal age in the absence of any gynecological pathology.

Red discharge after menstruation

Red discharge after menstruation Quite often, women ask the question: "Why do the red discharge after menstruation continue or appear again?" This gives them discomfort, incl. and in the intimate sphere.

The main reasons leading to prolonged blood loss are varied. They may be:

  • Adhesions in the uterine cavity ( Asherman syndrome that develops after curettage of the uterus);
  • Chronic inflammatory process of the uterine mucosa (most often it is a consequence of urogenital infection and is manifested by red-white secretions due to the admixture of leukocytes in them);
  • Endocervicosis (this is the second name for cervical erosion);
  • Polycystic ovaries characterized by increased testosterone production;
  • Hypothyroidism - a decrease in thyroid function is accompanied by persistence (long-term existence) of the corpus luteum.

A new, but still undiagnosed pregnancy can also cause the appearance of red discharge. In some women, this occurs at the time of implantation of the egg into the uterus.

Therefore, bleeding after menstruation, appearing over several menstrual cycles, requires a number of studies:

  • Vaginal examination;
  • Ultrasound diagnostics of the uterus and its appendages, the thyroid gland;
  • Colposcopy - visualization of the neck under a microscope;
  • Analysis of blood or vaginal contents for urogenital infections - mycoplasma, chlamydia, ureaplasma;
  • Analysis of the hormonal profile (female and thyroid hormones).

Red highlight in the middle of the cycle

Red highlight in the middle of the cycle

red blood cells

Red discharge in the middle of the cycle may indicate ovulation has occurred. Their appearance is due to a sharp decrease in the level of sex hormones, which is particularly significant in some women.

The result is a rupture of the capillaries of the uterine lining. The risk of such bleeding (albeit minimal) increases with the wearing of a spiral.

It provokes an inflammatory process in the uterus, with which its contraceptive effect is connected. On its background, the vascular wall becomes thinned and easily broken.

In addition to the spiral, the risk of ovulatory red secretions increases if:

  • The woman has repeatedly performed abortions and scraping of the uterus;
  • Endometritis developed after childbirth or abortion;
  • In the body there are sharp jumps of female hormones, deviating from the norm;
  • The thyroid gland functions with violations.

Therefore, patients who are worried about bleeding in the middle of the cycle are advised to confirm their association with ovulation.

For this, special tests can be used (the peak of luteinizing hormones is determined) and ultrasound examination (diagnostic markers of follicle rupture are available).

If a direct connection is revealed between the appeared hemophysis and the ovulatory phase of the cycle, further examination is not required. Otherwise, the changes occurring are regarded as a violation of the cycle.

This implies a diagnostic search to determine the true cause of this condition.

Red highlight before monthly

Red highs before menstruation are always scanty. An important diagnostic criterion is the presence or absence of pain. If it is present, and the discharge is red-brown, then endometriosis can be considered the most likely cause of this condition.

It is characterized by intense pain, which is especially pronounced in the first days of menstruation. Then they gradually subside and pass by the third - fourth day.

Red highlight before monthly Of the drugs, nonsteroidal anti-inflammatory drugs (Ibuprofen and others) are the most effective for stopping them. If the disease is not treated, this leads to a gradual psycho-emotional exhaustion of the woman.

But for an adequate selection of therapy requires the establishment of the correct diagnosis. For this purpose, an ultrasound examination (on the eve of menstruation) and diagnostic laparoscopy are performed.

Spotting before menstruation, which are not accompanied by pain, is a variant of the norm. The uterine lining during menstruation can not be rejected at once, so the discharge increases gradually.

In the early days, they may be merely smearing, scanty .

Red discharge during pregnancy

Red discharge during pregnancy in most cases indicate its complicated course, which may pose a threat to the fetus.

A variant of the norm is the appearance of the so-called “implant bleeding”. This is the presence of ACCIDENT bleeding at the time of introduction of the egg into the endometrium.

This condition is not observed in all pregnant women. Often, when such a symptom occurs, the woman still does not even know that she is in an “interesting” position. Therefore, patients of a young age, with the presence of such a complaint, are recommended to perform a pregnancy test.

Red discharge during pregnancy

Red discharge during early pregnancy may indicate a number of complications:

  • The threat of interruption (miscarriage);
  • Low location (in the uterine cervix) of the placental tissue;
  • Erosion on the cervix (in this case, the risk to the fetus is minimal).

Spotting in the second half of pregnancy is a sign:

  • Changes in the cervix occurring with the threat of premature birth;
  • Detachment of normally located placental tissue;
  • Exfoliation of the presenting (low-lying) placenta.

In addition to these causes, the bright red color seen on the pregnant woman’s underwear may be due to hemorrhoids or the inflammatory process in the urogenital system (urethritis, vaginitis).

To conduct a differential diagnosis, the gynecologist performs a vaginal examination and a number of additional examinations:

  • Vaginal secretion microscopy;
  • General clinical analysis of urine;
    General clinical blood test to determine the level of hemoglobin (low value indicates a chronic, repetitive nature of blood excretion);
  • Ultrasound examination that evaluates the length of the neck and its diameter.

Depending on the established diagnosis, further treatment is carried out.

With the threat of interruption, agents are prescribed that reduce the tone of the uterus and correct hormonal disorders. Detachment of placental tissue requires the appointment of hemostatic and antispasmodic drugs.

Periodically bleeding erosion is not treated during pregnancy. Her treatment should be done 1.5 months after delivery, when the cervix will return to its normal state after involutive processes.

Usually either cryodestruction (exposure to low temperatures) or coagulation with electric current is performed. In pregnant women, the impact of these physical factors may adversely affect the development of the fetus.

2016-06-02 10:30:37
Discharge from the genital tract of a woman is quite a physiological phenomenon, if they are transparent, have no odor and impurities.

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