Normally, during pregnancy, the features of the female cycle change, and menstrual flow stops for this period. In some cases, there are exceptions; certain hormonal and individual factors affect this. Menses during early pregnancy are quite possible, the main thing is to carefully monitor your health and well-being in order to prevent possible problems.
Causes of discharge during pregnancy
Many factors can influence this process:
- hormonal imbalance (lack or excess of progesterone);
- the presence of gynecological or sexually transmitted diseases (for example, with cervical erosion, discharge may appear due to a strong blood flow to it, normally they do not pose a danger to the fetus);
- the development of an ectopic pregnancy;
- pathology during implantation of the ovum;
- attachment of the egg to the wall of the uterus;
- ablution of the fetus;
- cystic drift.
Each of these factors, to varying degrees, can affect menstruation during early pregnancy. If no health problems and hormonal conditions were found, then spotting is not considered a pathology.
They can also be at a time when the woman was supposed to begin menstruation if fertilization did not occur. Therefore, before you worry and draw conclusions, you need to be thoroughly examined and get advice from a gynecologist.
Progesterone deficiency
Progesterone is the main pregnancy hormone. Its functions include secreting the corpus luteum, which ensures the full and proper development of the embryo. In violation of the production of progesterone, miscarriages are possible in the early stages.
To start treatment on time, you need to know the symptoms of hypoandrogenism:
- severe tiredness;
- increased irritability;
- headache;
- enlarged chest and abdomen;
- a sharp jump in weight;
- soreness during menstruation.
The hormone provides the development of the corpus luteum; it, in turn, produces hormones necessary for the development of the fetus up to 16 weeks. After this period, the formed placenta independently provides the fetus with all the necessary nutrients.
With the onset of pregnancy, a consequence of a lack of progesterone can be spotting and pain in the lower abdomen. If you do not pay attention to these symptoms in time, then after a short period of time the pain intensifies, becomes cramping in nature and a miscarriage occurs. Menstruation during early pregnancy should always alert a woman and be an important reason for visiting a doctor.
Hyperandrogenism
Behind this word lies the problem of an excess of the hormone progesterone. When too much male hormone is produced in the female body, the process of implantation of the fetal egg is disrupted. Or, when pregnancy has already begun, the egg is rejected by the body and a miscarriage occurs early.
Symptoms of hyperandrogenism are:
- weakening of toxicosis;
- lack of engorgement of the mammary glands;
- the appearance of bloody discharge;
- pain in the lumbar region and lower abdomen.
Discharges in the early stages of pregnancy in the presence of these symptoms require immediate medical attention. Only a timely determination of the level of this hormone in the blood and correctly prescribed treatment will help to avoid a miscarriage.
Correctly decipher the analysis for progesterone will help the table by weeks of pregnancy, showing its normal content.
| Pregnancy period | The content of progesterone in the blood, nmol / l |
| 1 trimester (up to 12 weeks) | 8.9-468 |
| 2 trimester (up to 27 weeks) | 71.5-503.1 |
| 3 trimester (up to 40 weeks) | 88.7-771.5 |
Fluctuations in the amount of hormone depend on the individual characteristics of the hormonal background of a woman and the difficulties observed during pregnancy. Normally, the progesterone content can vary widely, without exerting a negative effect on the development of the fetus.
Bleeding from genital tract infections
During pregnancy, there are periods and due to the presence of various diseases, in particular sexually transmitted diseases. Discharge can not always occur in a pregnant woman who has a sexual infection, therefore, at the first signs of pregnancy, it is necessary to undergo an examination to exclude STDs. If this is not done and treatment is not started in time, spontaneous miscarriage can occur with serious consequences.
Months are possible during pregnancy and in the presence of any pathological, chronic or inflammatory processes in the pelvic area and appendages. Therefore, in the presence of spotting, which has a disturbing character, it is necessary to undergo an examination and visit a doctor who is able to make the correct diagnosis and prescribe treatment with which you can save the pregnancy.
Ectopic pregnancy
In this case, implantation and development of the fetus is carried out in the fallopian tube. Since the structure of this organ does not have the ability to significantly increase in size, such a pregnancy can be a cause of tube rupture and the development of peritonitis.
The cause of an ectopic pregnancy may be:
- pathology of the fallopian tubes (partial or complete obstruction, the presence of adhesions);
- inflammatory processes of the reproductive system (inflammation of the pelvic organs, appendages and their pathology);
- the presence of infectious or sexually transmitted diseases that were transmitted through unprotected sexual intercourse.
An ectopic pregnancy is always accompanied by severe pain in the abdomen and appendages. Therefore, the manifestation of this symptom requires the help of medical staff. Women's consultation must be visited at the first sign of pregnancy to exclude its ectopic course.
Ovum attachment pathologies
The fetal egg is always attached to a healthy uterus that does not have any damage. If a woman has any chronic diseases of the reproductive system, adhesions, it is necessary to carefully monitor the course of pregnancy and the state of her health.
The attachment of the egg can be carried out very low - to the bottom of the uterus, or even to its cervix. As a result of this, the placenta is not located there, placenta previa appears. Cervical pregnancy is the most dangerous, as it causes severe bleeding and in many cases it is followed by removal of the uterus.
Monthly periods during early pregnancy in most cases indicate the presence of a pathological or infectious process in the female reproductive system.
Embryo implantation
The process of implanting a fetal egg into the wall of the uterus can also be accompanied by scanty spotting, the duration of which varies from several hours to several days.
Such bleeding may be the very first sign that pregnancy has occurred. A description of the implantation process of the fetal egg can be obtained in more detail in the antenatal clinic. In this matter, it is important to be able to distinguish between implantation and pathological bleeding.
To exclude worries about this, you can visit your treating gynecologist. However, it is important to remember the dangers of any gynecological intervention in early pregnancy.
Washing the fetus
In this case, the monthly discharge is false. That is, with the onset of fertilization on the appointed day, menstruation begins. In this case, it is important to pay attention to your well-being (dizziness, weakness, nausea) and the duration and profuse course of menstruation.
It is recommended that, if there is any suspicion, a pregnancy test is nevertheless made to finally verify the presence or absence of pregnancy, and after confirming this fact, he will immediately consult a doctor.
Do not worry about why your period came during pregnancy. In medical practice, this phenomenon is not considered pathological.
Bubble drift
This indicates the abnormal development of the fetal egg - when on the outer shell of the embryo (chorion), instead of villi, bubbles or cysts filled with liquid begin to form.
Bubble drift is the cause of excessively rapid cell division and proliferation of the membrane, resulting in the death of the embryo. The development of this pathology is the cause of the violation in the genetic sphere. In this case, the embryo lacks the chromosome set of the mother, and the paternal is duplicated. Such a cystic skid is called complete.
Partial pathology may occur due to fertilization of the egg with a sperm with a diploid set of chromosomes. In this case, in the process of fetal development, a large number of pathologies are found, which are incompatible with life.
Most often, cystic skidding can develop in the fallopian tubes during ectopic pregnancy. But there have been cases of its discovery in young mothers and women over 35 years of age.
Women's consultation should provide the pregnant woman with all the necessary help in terms of examination and treatment. If it is necessary to conduct additional analyzes, it is necessary to provide the woman with all the documents and directions.