Brown discharge and blotches in the early stages. Early pregnancy: brown discharge. Pathological discharge - what they can be

When carrying a child, the presence of secretions is considered quite normal, but not all of them are the norm. Dark discharge during pregnancy is considered a fairly common occurrence, they may indicate natural processes or indicate the development of pathological conditions.

If you have any suspicious symptoms, immediately contact your gynecologist

When such secretions appear, one should not panic, because strong psychological overload can result in an abortion. With any problems, you need to contact a specialist who will determine the cause of the pathology and prescribe the necessary treatment to prolong the pregnancy.

By the nature of vaginal discharge, one can judge the sexual health of a girl, even if she has never had sexual intimacy. With normal health of the genital area, the discharge is pale yellow or transparent, mucous or liquid, without any smell. By the middle of the cycle, against the background of ovulatory hormonal changes, they become somewhat larger.

With unprotected sexual intercourse, there is also a sharp increase in mucous secretions. Also, an increase in the amount of mucus is observed immediately after it turned out to become pregnant, as well as before childbirth. In the process of bearing, women also often encounter dark secretions.

They occur for various reasons, but always require specialist advice. Mom categorically should not be nervous, in her position this can lead to negative consequences. To treat the situation more calmly, you need to at least superficially have an idea of ​​\u200b\u200bwhat can cause the appearance of dark secretions. It is also necessary to distinguish when such a daub is considered normal, and when it warns of the development of pathological conditions.

Normal dark or brown discharge

Dark brown discharge during pregnancy is not always evidence of a dangerous pathology. Normally, within 12 days after meeting with the sperm, the fertilized female cell moves into the uterine body and implants into its inner endometrial layer. This period is also called implantation. It is at this time that discharge during early pregnancy may appear.

Additional testing may be required

But it is necessary to pay special attention to the shade and duration of bleeding. A brown or pinkish daub of a creamy texture is considered normal. Many girls by mistake can even take such traces on linen for the beginning of the next menstruation. If the discharge is more abundant, prolonged and too dark in color, representing an almost black mess with a pronounced bloody odor, then an urgent need to contact a specialist.

Sometimes dark brown discharge in early pregnancy, especially in the first couple of months, occurs on the days when the girl should have had her period. In a similar situation, a woman observes brown marks on her underwear. In this case, the patient does not feel any pain or discomfort. But even if the pregnant woman is confident in the safety of such a daub, it is necessary to notify the doctor about the presence of such manifestations.

Common factors causing dark discharge

Experts identify several groups of provoking factors that cause dark spotting from the vagina in pregnant women.

• The cervical canal is characterized by high sensitivity of the tissues lining it, so their integrity is easily damaged. If there are erosive lesions on the neck, then the appearance of dark marks on the linen may occur during active sexual intimacy or after a gynecological examination.
• Erosion is eliminated by cauterization, but only after delivery. But it needs to be treated, because it can provoke the development of oncological processes.
• Also, dark leucorrhea may appear against the background of inflammatory lesions and infections, STDs. At the same time, the secreted mucus exudes a specific smell, there are uncomfortable sensations, cutting pains when emptying the bladder.
• Infection can occur even before fertilization, the infection simply waits, and when the immune barrier weakens at the beginning of gestation, it activates and begins to show characteristic signs.

To avoid such surprises, you need to undergo an appropriate examination in advance, and only then plan a child. If it so happened that the pathology develops already during gestation, then the therapy should be as safe and gentle as possible so as not to harm the baby.

Causes of discharge before 12 weeks

At the beginning of the development of pregnancy, a change in whites is quite logical and understandable, and most often it does not have any threatening consequences or dangerous conditions. If a woman, when a dark daub appears, does not experience any discomfort, itching, soreness or burning, general malaise, then there should be no fear.

If pathological symptoms occur, then you need to urgently run to the gynecologist who observes the pregnancy. The cause of dark whiteness in the first trimester can be quite a variety of factors: egg implantation or hormonal disorders, the threat of miscarriage or ectopic, cystic drift, etc. Therefore, the intervention of a doctor is necessary at least to determine the exact cause of dark discharge.

Hormonal disruptions

Fatigue is a common occurrence

A fairly common phenomenon in the early stages are various kinds of hormonal disorders, against which a dark daub occurs. Quite often they manifest themselves in the form of progesterone deficiency. There can be many reasons for this condition: the threat of interruption, delayed fetal development, functional disorders in the corpus luteum or placenta.

With a progesterone deficiency, the mother's body does not perceive pregnancy as a fait accompli, and therefore dark whites are observed. Progesterone deficiency is especially dangerous before the twentieth week, because it threatens to interrupt gestation. It is in the first trimester that it is especially important to be examined regularly so that the doctor can timely detect a lack of progesterone hormone and prescribe therapy using Utrozhestan or Duphaston.

Brown leucorrhoea can also be caused by hormonal-reproductive memory, that is, the body, out of habit, secretes dark bloody leucorrhoea on the days of the expected menstruation. At the same time, mom does not have any pathological sensations such as pain or discomfort. The volumes of released bloody masses are scanty and short-term, lasting no more than two days. Sometimes such a daub occurs periodically in the first couple of months. Such leucorrhoea cannot pose a particular threat, but during these periods, gynecologists recommend that mothers treat themselves with more attention and spend these days in bed.

Sometimes such a daub is present in mothers until the end of gestation. But such whites should not cause concern, although you still need to consult a gynecologist. If a mother has borderline low progesterone for a long time, then inpatient treatment is necessary. Often, such low progesterone is usually accompanied by high testosterone, which affects gestation very negatively.

Implantation processes

Quite often, a dark brown daub occurs during the implantation process.

1. Immediately after successful fertilization, the implantation period begins. During these processes, the cell moves along the fallopian tube to the uterine cavity, where it is introduced into the inner, endometrial layer that lines the walls of the organ.
2. The duration of implantation is about 7-12 days from the moment the mature egg leaves the follicle.
3. When the fetal egg reaches the uterus, it is introduced into the endometrium, which is accompanied by micro-ruptures of the uterine mucosa, which causes dark discharge.

Experts recommend that patients planning a pregnancy pay attention to the probable period of implantation. If they have signs of such a daub about a week after ovulation, then you need to limit psychological and physical stress for about a couple of days, then the fetal egg will be able to gain a foothold in the uterus more thoroughly.

Frozen pregnancy

All medical prescriptions must be strictly followed.

The cause of the discharge of a dark color can also be the fading of the fetus. This can happen in the first or second trimester of gestation. This condition is dangerous because in the first months a woman is not yet able to feel the movements of the crumbs, therefore she cannot notice the fading in time. There can be no talk of saving the child, he is already dying inside the mother's womb. If such a fetus stays inside the uterus for a long time, it can lead to intoxication of the body and the development of disseminated intravascular coagulation.

A sign of frozen gestation is frequent dark smearing mucous spots on linen, accompanied by hyperthermia, dizziness, vomiting, etc. An ultrasound examination reveals a discrepancy between the size of the fetus and the timing, and also reveals the absence of a fetal heartbeat. When a frozen fetus is detected, the patient is sent for inpatient treatment in order to artificially induce uterine contractions, then the body itself will get rid of the fetus. If rejection does not occur, then the patient is cleaned with a curette.

Threat of interruption

The condition is considered extremely dangerous when dark discharge occurs against the background of the threat of interruption. Usually the cause is the processes of detachment of the fetal egg. At the site of its connection with the uterine wall, the vessels are damaged, which causes bleeding. Usually, a factor leading to a miscarriage is an acute shortage of progesterone hormone, which is responsible for the successful development of pregnancy in the first weeks.

How is it shown? Progesterone affects the full maturation of the endometrial layer so that its thickness is sufficient for implantation of the egg. Also, a sufficient level of this hormonal substance is necessary for the full maturation of the placenta. With progesterone deficiency, the embryo is rejected. In this case, the patient feels painful symptoms in the uterus, nausea and even vomiting reactions, there are noticeable mucous impurities in the secretions.

Such symptoms should be the reason for calling an ambulance, while mom needs to calm down and lie down before the doctor arrives. Any emotional unrest and physical activity can only aggravate the situation. If measures are taken in a timely manner, then it is quite possible to save the pregnancy, but for this the woman is placed in a hospital, the strictest bed rest and progesterone therapy are prescribed.

bubble skid

According to statistics, in one case out of a thousand, the appearance of dark brown discharge is due to a hydatidiform mole, which is a very dangerous anomaly. The prerequisites for its occurrence are two clinical situations:

• When a female cell is fertilized by two sperm at the same time, then a cell with an excess chromosome set is obtained;
• When an egg is fertilized with a defect in the form of a lack of chromosomes.
• As a result, instead of placental tissues, a tumor formation of predominantly benign origin begins to develop inside the uterus on the endometrium, although malignant ones are rare.
• Usually, a mole consists of many cystic structures filled with liquid contents.

Typical symptomatic of this pathology are headaches, dark brown daub, emetic reactions, elevated blood pressure and nausea. Treatment involves surgical removal of the problem. With a successful solution to the problem, the patient can become pregnant again a year or two after cleaning.

Ectopic pregnancy

Self-medication is very dangerous

Due to certain factors, implantation is not carried out in the uterine endometrium, but in the tubal wall, ovary, or somewhere else outside the uterus. Such a condition entails very unfavorable consequences, since as the embryo grows, it stretches the tube, and then breaks it, which is accompanied by profuse blood loss.

The main signs of this condition are pulling pain in the area of ​​​​implantation of the egg, dark spotting. An ectopic pregnancy threatens the life of the mother herself; in this case, the child cannot be saved from the outset. If the pipe breaks, it cannot be restored, so the organ is removed, which disrupts the patient's reproductive functions. Treatment of an ectopic involves surgery.

Causes of dark discharge in the second trimester

Dark discharge in the second trimester of gestation, regardless of the reasons, should be considered as an alarming symptom that threatens the life of the baby. Therefore, any appearance of a dark daub at this time requires an urgent appeal to a specialist.

The appearance of dark bloody marks on the linen may indicate an incipient placental abruption, in the future the bleeding will only increase, which will lead to profuse blood loss of the patient herself, and hypoxia and nutritional deficiencies are dangerous for the fetus. It's just that the placenta, during the processes of detachment, loses its life-support functions for the little man.

Particularly susceptible to detachment are patients suffering from high blood pressure, smokers, having scars on the uterine body after operations, or who have received abdominal injuries during gestation. An umbilical cord that is too short can also lead to placental abruption. The first signs of such a condition are strong, cutting pains and tension in the lower abdomen, dark spotting of any intensity - from daubing to heavy bleeding.

Also, a dark daub can provoke placental presentation. In such a situation, placental tissues overlap the uterine os. The embryo presses on the placenta, which damages its tissues and blood vessels, causing bleeding. The pressure on the placenta increases, provoking its detachment, but with a timely visit to the doctor, everything can be corrected and the pregnancy can be saved. But the only way of delivery will be caesarean, and the period remaining before childbirth, the woman will have to spend under the strictest medical supervision.

Why dark discharge appears in the third trimester

In the last trimester, some of the factors described above that provoke the appearance of dark discharge persist.

• The etiology can be supplemented by the rejection of the mucous cervical plug, which closes the cervical lumen from the penetration of external aggressors.
• Such a dark daub occurs a few days before childbirth, and does not pose any threat to mom and baby.
• Also, the cause of dark bloody leucorrhoea can be too active sexual intercourse or an intravaginal ultrasound examination. Just in the process of these events, trauma to the uterine cervix can occur, which causes dark brown marks on the linen.

If any, and not just dark discharge, appears, a woman should consult a specialist. If at the same time there is a pulling pain or discomfort in the uterus and abdomen, then a visit to the gynecologist should be immediate. You also need to follow the instructions of the doctor, take tests. Don't risk your baby's health.

A common occurrence is brown discharge during pregnancy. They often look like spots or stripes of brown, brown or dark red. In some cases, there are painful sensations.

Hormone production hydatidiform mole doctor supervision
folk medicine Treatment Abundant
Unpleasant itching ectopic pregnancy pregnancy

The causes of these phenomena are dangerous for the health of the mother and fetus. But in any case, you should not panic, but you need to see a doctor, undergo an ultrasound scan and keep the situation under control. Four out of five women who have observed brown discharge in early pregnancy carry it on and give birth to children.

When is it safe?

After fertilization, there comes a period that is especially predisposing to the appearance of such symptoms. But in the first trimester, they are most often safe.

The first manifestations are associated with the physiology of pregnant women. After fertilization, a few days, from 5 to 14, the egg moves inside the uterus. Then it is attached to a specific place on its walls. During this process, blood vessels can be damaged, causing slight bleeding. This leads to the appearance of pathological discharge at the beginning of pregnancy.

Their color can vary from beige, pink to brown. There are no severe pains, although some women note varying degrees of severity of sensations in the lower abdomen. The structure of the content is quite thick, the smell is neutral, itching is absent. Very often, women take them for the beginning of menstruation, since there are no other signs yet.

Another reason for brown discharge that appears in the early stages is the improper production of hormones. The spots appear around the time when the next menstruation was supposed to pass. The duration of this process can reach two days, the volume of discharge is small. No discomfort is shown.

Hormonal disbalance

Similar discharge can appear at the 8th week of pregnancy. Such a phenomenon is not dangerous either for the expectant mother or for the embryo. Even more, it can repeat two or three more times during the first months.

But these are all the reasons why brown discharge during pregnancy is not dangerous. There are many more pathologies that can harm the baby and the health of the mother. That is why a visit to the doctor is necessary.

The main causes of pathology

Very often, brown discharge during pregnancy, at about 5 weeks and later, indicates a threat of miscarriage. They are called from the walls of the uterus. This damages the blood vessels.

The reason for this phenomenon is the lack or lack of production of progesterone by the female body. This hormone is needed to support the development of the baby.

The appearance of such secretions of a dark color is possible at any time, for example, at 12 weeks. Initially, there are few of them, perhaps an average number. There are mucous patches. A woman may feel:

• soreness in the lower abdomen;
• nausea;
• possible vomiting.

A rare but dangerous situation is a hydatidiform drift. With it, on ultrasound, instead of the placenta, a large number of fluid-filled vesicles - cysts - are found in the uterus. Allocations during pregnancy are brown, yellow-brown, brown, interspersed with bubbles. Women note:

• pain sensations;
• nausea;
• high blood pressure;
• headache.

Dangerous situation - blistering

The fetus usually dies at 9-10 weeks of gestation, discharge begins earlier. The tumor is able to penetrate inside the walls of the uterus, then metastases in the lungs and vagina are possible. Treatment is usually by removing the mole, sometimes even the uterus. There are isolated cases of partial hydatidiform mole when a full-term baby was born.

A more common dangerous cause of dark discharge, most often at week 6, is an ectopic pregnancy. In this case, the fetal egg is introduced into the fallopian tube, the growth of the fetus will inevitably lead to rupture.

This situation requires an immediate solution. In addition to the possibility of complete removal of the tube, a woman runs the risk of getting peritonitis. This leads to the filling of the abdominal cavity with fluid due to rupture of the tube. Even death is possible.

So, the most common causes of discharge during childbearing are as follows.

Instructions for maintaining health

The manifestation of brown discharge during pregnancy requires mandatory medical supervision. An ambulance must be called immediately. You need to wait for the doctors in a horizontal position and in a calm state. Nervous tension, physical activity will not help.

Obligatory supervision by a doctor

If the cause of dark or light discharge in early pregnancy was the attachment of the fetal egg, no treatment is required. that occur due to hormonal failure are also usually not treated. But here a consultation with a gynecologist is already required, who is able to assess the seriousness of the situation and its consequences.

The threat of miscarriage, ectopic, other pathologies - all this is treated in a hospital. Brown discharge at the beginning of pregnancy with such pathologies is just a symptom. Still, sometimes doctors use some methods of treatment at home, and rehabilitation therapy is also prescribed after inpatient treatment.

If pathological discharge associated with the threat of miscarriage appears at 5, 6, 7 weeks of pregnancy, it is possible to prescribe therapy with Magne-B6. This medicine contains:

• Magnesium;
• Vitamin B6.

Application patterns may vary.

1. Two tablets in the morning and evening.
2. One in the morning, in the middle of the day and two at night.
3. Duration of application - from two weeks to childbirth.

After eliminating the ectopic pregnancy, if it was the cause of brown or light discharge, the doctor prescribes drugs for recovery, which are taken at home. The medications used depend on the individual.

An example is:

• Phlogenzyme;
• Terzhinan;
• Bifiform.

The scheme of application can be as follows.

1. 21 days - three tablets of Phlogenzym three times a day.
2. 10 days - Terzhinan's candle for the night.
3. Week - Bifiform tablet three times a day.

In case of hormonal failure during pregnancy and the appearance of brown discharge, along with the treatment prescribed by the doctor and with his permission, alternative recipes can be used. One of them:

Pregnancy for every woman is associated not only with the joy of waiting for the birth of a baby, but also with various kinds of worries and experiences. The first trimester is the most critical period. At this time, changes occur in the body to prepare for bearing and maintaining pregnancy. In the first weeks, the embryo is implanted in the endometrium, and the placenta and amniotic sac have not yet formed. The probability of spontaneous abortion is highest at this time.

The hormonal background that has changed with the onset of pregnancy affects the consistency and amount of vaginal secretions. Normal discharge in the first trimester is watery, slightly more liquid than usual. Possibly more profuse, clear or whitish, without foul odor or itching.

But not always the processes in the body correspond to the norm. There are cases when brown discharge suddenly appears from the genital tract of a pregnant woman in the early stages of pregnancy. You should not be scared right away, because the reasons may be different. It is not very difficult to distinguish normal discharge from the harbingers of an incipient miscarriage. You need to pay attention to other symptoms and your own well-being.

Implantation of the future embryo into the endometrium of the uterine wall. Usually the discharge is not abundant, viscous, brownish or brown. Occur about a week before the expected menstruation. They do not cause pain or any noticeable discomfort.

Blood erosion of the cervix, damage to the vaginal mucosa during examination by a gynecologist or sexual intercourse. With the onset of pregnancy, the vaginal mucosa becomes more susceptible to damage. Therefore, brownish or spotting may occur in response to careless manipulations from the outside. Such discharge quickly passes and also does not carry additional pain.

Low localization of the embryo. At the beginning of pregnancy, the embryo is attached to the wall of the uterus by chorionic villi - outgrowths of the outer shell of the fetal egg, which provide nutrition and breathing for the unborn child. In the future, by about 12 weeks, the placenta will form from this structure.

If the embryo has attached low and the villi reach the cervix, brown discharge may sometimes appear early in pregnancy. Low attachment (low placentation) usually resolves as the placenta develops, as the placenta is more likely to grow upward.

Detachment of the fetal egg. One of the situations dangerous for bearing when there is a partial detachment of the chorionic villi, with which the embryo is attached to the uterus. Due to the rupture of microvessels, brown discharge appears. Their consistency can be different, as well as the color - from scarlet to brown-brown. Especially unfavorable prognosis if the discharge is accompanied by pain in the lower abdomen. This is direct evidence of an incipient miscarriage.

Frozen pregnancy. Sometimes, for some unknown reason, the embryo suddenly stops developing. Factors leading to freezing can be different - from environmental to hormonal. It is difficult to notice a frozen pregnancy right away - in the early stages it is still impossible to hear the baby's heartbeat, heartbeats are visible only on ultrasound, from the fifth week of development. However, there are signs that suggest the death of the embryo.

If smearing brown discharge appeared, all the accompanying symptoms of pregnancy disappeared: the breast suddenly ceased to be painful, toxicosis passed, drowsiness disappeared - it may be too late to take measures to preserve the fetus.

In any case, it is worth checking the status of pregnancy with an ultrasound. With the death of the embryo, even in the early stages in our country, surgery is indicated - cleaning the uterine cavity. This is necessary to avoid inflammatory processes and complications.

Ectopic pregnancy. A very dangerous condition, especially for the life of the pregnant woman herself. An unsuccessfully attached growing embryo stretches the fallopian tubes. As the embryo grows, the walls of the tubes fail and may rupture. In this case, severe bleeding begins, which can lead to death. An ectopic pregnancy is accompanied by a strong pain symptom, especially from the side where the fetal egg was implanted.

bubble skid. Quite a rare occurrence, occurs 1 time in a thousand pregnancies. The reason for it is a deviation in the chromosomal set of the embryo. Instead of the placenta, an altered tissue begins to form with a large number of cysts and vesicles. The drift can be partial and complete. With partial introduction, part of the placenta remains normal, then there is a chance to bear the child.

With complete cystic drift, the entire placental structure is changed, the embryo dies in the early stages. This pathology is manifested by spotting, nausea, vomiting. In this case, there is no question of maintaining pregnancy, the uterine cavity is cleaned.

In any case, when brown discharge appears in early pregnancy, you should consult a doctor. Some symptoms require an urgent visit to the hospital or even an ambulance.

Indications for urgent medical attention

• Heavy bleeding.
• Drawing pains, other pain symptoms in the uterus and appendages.
• Severe nausea, vomiting.
• Increasing pressure.

Pregnancy is a difficult and responsible period in the life of every woman. She must be attentive to the signals of her own body for her own sake and for the sake of the developing child. A timely visit to the doctor can often be the only way to save the life of the unborn baby and your own health.

A woman during pregnancy should carefully monitor her own health. What usually seems like a trifle for a pregnant woman can be fatal and cause serious, dangerous consequences.

In some cases, a pregnant woman herself may suspect the onset of any pathological process, and consult a doctor in a timely manner. This ensures the usefulness and effectiveness of treatment: the main thing is that the primary diagnosis should be carried out as early as possible.

What do you need to pay attention to?

Very many diseases of the gynecological (or obstetric) sphere are manifested, among other things, by pathological discharge from the genital tract. Discharge can be a sign of serious pathologies, and may appear in a healthy woman, as a variant of the norm.

It is worth considering in detail one of the most common types of pathological discharge - brown discharge. This color, as a rule, gives clotted blood, if it is not very much.

Brown discharge is easy to distinguish from bleeding from the genital tract: when bleeding, red liquid blood is released. With menstrual blood, everything is a little more complicated, but the very fact of the appearance of menstruation during pregnancy a priori indicates the presence of pathology.

In what cases is brown discharge in pregnant women not a pathology?

During pregnancy, discharge from the genital tract is always present, in one form or another. Usually, Normally, these secretions are colorless and odorless., and, of course, do not bring discomfort to a woman.

However, a change in the color, volume or smell of secretions is also not always a danger signal. Even if you notice the appearance of brown discharge, do not panic. The best thing you can do is to see a doctor. He will conduct an examination and differential diagnosis, after which he will decide whether such discharge is a cause for concern.

In what cases can brown discharge during pregnancy be considered the norm?

• The most common cause of brownish discharge from the genital tract is small contact bleeding during intercourse. As a rule, they appear during pregnancy - the mucous membrane of the vagina, due to a sharp change in hormonal levels, becomes more sensitive and "fragile". This is a normal, transient state.
• Sometimes spotting appears at the very beginning of pregnancy, literally in the first days. This reflects the processes of implantation of the blastula into the uterine mucosa.

Brown discharge during early pregnancy: what should be feared?

Early pregnancy is the most important period in a child's development. This is the time when the most important systems are laid: nervous, cardiovascular and others. In this regard, any factor that affects a woman's body in the first trimester of pregnancy is potentially dangerous for the health and life of the child.

This determines the particular importance of timely diagnosis and treatment of any diseases (both sexual and extragenital) in the early stages of pregnancy. It is very important to understand what symptoms indicate the most dangerous diseases at this time.

Ectopic pregnancy

An ectopic pregnancy is the development of an embryo outside the uterine cavity. There are several options: implantation can occur in the cavity of the fallopian tube, in the abdominal cavity, in the cervix, or even in the ovary.

In most cases, such a pregnancy makes itself felt only at the moment when the volume of the fallopian tube becomes small for the grown embryo. Then a tubal abortion begins, which, as a rule, manifests itself with brown discharge.

Discharge during tubal abortion (at first) is small, they are scarce, thick, rich brown in color. Sometimes films are released along with the blood. In parallel with complaints of discharge, patients complain of a pulling pain in the lower abdomen and a delay in menstruation (a mandatory sign!).

Ectopic pregnancy requires immediate treatment in a hospital, since rupture of the fallopian tube, ovary, or compression of the abdominal organs often turn out to be conditions that directly threaten the life of a woman.

Bladder mole and choroidepithelioma

Bubble drift is a variant of trophoblastic disease (chorionic disease), in which the placenta is affected by the pathological process. Placental cells, which for a number of reasons are prone to various malignant and hyperplastic changes, degenerate into multiple vesicles filled with a clear liquid.

Bubble skid may appear with the beginning of the formation of the placenta: each of the formed chorionic villi turns into a whole "bunch" of bubbles, the number of which is constantly increasing.

An important sign of a mole is an increase in the uterus, which does not correspond to the expected gestational age. Sometimes bubbles can fall out of the uterine cavity - patients often notice them themselves.

An almost constant symptom of a mole (even uncomplicated) is the appearance of spotting brown. These discharges appear against the background of the absence of menstruation, since all signs of pregnancy are characteristic of hydatidiform mole: both indirect and direct. Often, spotting and uterine enlargement are the only clinical symptoms on the basis of which this disease can be suspected.

The importance of timely diagnosis and treatment of cystic drift is not associated with the threat of termination of pregnancy (it is impossible to save the fetus during cystic drift), but with the subsequent degeneration of this formation into choroidepithelioma.

Choroidepithelioma is one of the most "evil" tumors. It grows and metastasizes extremely quickly, and just as quickly leads to the death of the patient. The most common symptom of the presence of this tumor is a persistent, untreated brown spotting from the vagina.

Do not be afraid of these diseases - the risk that brown discharge from the genital tract is associated with trophoblastic disease is extremely low. Vesical mole occurs in no more than 0.25% of cases, and chorodiepithelioma is almost 100 times less common. However, it is worth remembering them.

Other causes of brown discharge from the genital tract (including in the II-III trimester)

With a high degree of probability, when a woman has brown discharge from the genital tract in late pregnancy, there is a significant risk of preterm birth or abortion. In some cases, this can be avoided - for this, in any potentially dangerous or doubtful situation, it is important to quickly establish competent medical supervision for the patient.

Placental abruption, placenta previa

The placenta, the organ that connects the body of the mother and fetus, is formed after the 12th week of pregnancy. Since the end of the development of the placenta, there is a danger of its premature detachment (normally, placental abruption occurs in the third stage of labor), which is accompanied by bleeding.

Not always detachment occurs simultaneously, with the opening of massive bleeding. Often, the vessels of the exfoliating placenta are destroyed gradually, causing the appearance of scanty spotting.

As a rule, there is a lot of blood in the discharge during placental abruption, so their color varies from brown to red, and the volume depends solely on the degree of abruption.

No less formidable condition is placenta previa. The term "presentation" was created by analogy with the presentation of various parts of the fetal body (occipital, frontal, facial, etc.). The meaning of this definition is the same: in this case, the placenta "presumes", i.e. located at the exit from the uterine cavity and closes it.

Usually with placenta previa bleeding begins before childbirth, with the onset of labor, but spotting from the genital tract may appear earlier.

endometriosis

The tissues of the uterus, intended for the development of the embryo, have very specific characteristics. It doesn't matter which tissues are meant - they are all capable of rapid reproduction and survival in unusual conditions for them.

If the endometrium of the uterus is transplanted to any other area, it will not die, but, on the contrary, will “take root” and begin to function. This is exactly what happens with endometriosis: uterine epithelial cells are “screened out” to other organs: the ovary, abdominal cavity, lungs, etc.

This epithelium, regardless of its location, responds to changes in the hormonal background. When during menstruation, blood can be released not only from the genital tract: bleeding occurs from the navel, hemoptysis, blood appears in the urine (this depends on where the endometrial cells have settled).

However, in any case, this blood is similar to menstrual blood. As a rule, it is thicker and darker - in the case of damage to the genital organs, endometriosis will be manifested by the appearance of brown discharge.

Neoplasms of the female genital organs

The cause of brown discharge from the vagina can be various tumor processes, both benign and malignant.

Most often it is:

• polyps;
• myomatous nodes of the uterus;
• cervical cancer.

Polyps are benign neoplasms, which, as a rule, are “attached” to the mucous membrane with a leg. When this leg is twisted, or even when the polyp is torn off, bleeding of varying degrees occurs: from brown scanty discharge to massive hemorrhages.

Cervical cancer (as well as cancer of the body of the uterus or cancer of the vagina) is accompanied by brown discharge from the genital tract if the tumor begins to decay. During the decay, the blood vessels passing in the tumor and next to it are damaged, causing a slight (initially) bleeding.