The main causes of blood after menstruation


Many women faced in their lives with a very delicate problem - the emergence of a bloody secret after the completion of menstruation. Let's figure out why after the menstruation there is blood discharge.

Often women panic, because they believe that this symptom is an indicator of any pathology in the body. And they are right, but not always blood flow signals about the disease. Sometimes it is a completely natural phenomenon for a woman’s body.

Bleeding 7 days after menstruation

Why is attention paid to such a period? Blood discharge after a week of menstruation is very common. The main cause of this pathology is endometriosis, accompanied by pain and secretions of the consistency of the consistency.

The number and cyclical nature of bleeding depends on the degree of development of the disease and the location of the pathological focus, but in most cases occurs within a week. For example, finding a pathological process on the cervix will lead to scanty discharge, and when spreading to the uterine muscle layer, the discharge can last up to a week and have a dark color.

Blood discharge after a week after menstruation and result from a failure of the activity of the ovaries. Various factors can cause their dysfunction: inflammation, intense exercise, infection, stress, and others. One of the symptoms of ovarian dysfunction and are permanent intermenstrual bleeding.

Bleeding a day after menstruation

The duration of their menstrual cycle girls know from the first menstruation. But with a short duration of menstrual bleeding (up to 4 days), bleeding may occur a day after menstruation. The causes of this phenomenon are:

  1. The uterus in a short time does not have time to clear, so pinkish secretion may occur. This is not a pathology, and the number of such manifestations is limited to 5 times during the year.
  2. In the first months of hormone therapy, due to the habituation effect, poor secretion may occur during the postmenstrual period.

Spotting may be delayed for up to 3 days, which also explains the cleansing of the uterus from endometrial residues.

What to do when there is a post-menstrual bleeding?

If there is bleeding after a period, they do not go away after a short time and are accompanied by other unpleasant symptoms, you should immediately consult a doctor, who, according to the results of the examination and relevant tests, will prescribe a course of therapy.

The main diagnostic measures:

  1. Ultrasound of the uterus and ovaries.
  2. Gynecological smear for the detection of infectious agents.
  3. Hysteroscopy - examination of the uterus with a hysteroscope in a gynecological chair. Used to identify endometrial pathologies.
  4. Colposcopy - examination of the cervix under magnification using a colposcope.
  5. A smear on the histology of the uterus and cervical canal.
  6. Analysis of hormones, which will eliminate or confirm the endocrine origin of the pathology.
  7. Analysis of tumor markers, which will eliminate malignant tumors.

Depending on the results of the research, the doctor will refer you to narrower specialists or prescribe the appropriate treatment, the method of which will depend on the detected diagnosis.

When blood after menstruation is normal

Before you panic, you need to pay attention to the nature of the discharge. As every woman should know, the menstrual cycle includes the period of ovulation (12-14 days). These days can go to the blood in the form of pinkish discharge or just smears. This process is sometimes accompanied by a slight weakness and does not last longer than a few days.

After menstruation, blood appears again in women with an unstable hormonal background. This process is considered normal when it is associated with age-related changes. So, in girls in the first few years since menstruation started due to the lack of ovulation and the lack of progesterone, this is normal and is called juvenile bleeding.

Women in adulthood can also face the fact that critical days have passed, and the bleeding has appeared again. This is due to the onset of menopause. But even in this case, this symptom should not be ignored, but it is better to consult with the gynecologist.

Gynecological diseases

Unfortunately, abundant periods after seven days from their beginning may indicate the occurrence of a serious pathology. And above all, these are diseases in terms of gynecology:

  • endometriosis,
  • cervical erosion,
  • malignant tumors in the endometrium,
  • oncology of the cervix,
  • polyps
  • infection,
  • myoma (benign tumor).

Depending on the cause of the discharge, they may look like this.

  1. Endometrial polyps. Dark brown, with a sharp unpleasant smell. Most often stand out in the middle of the cycle.
  2. Myoma. Heterogeneous, with a large number of clots. Appear both after and during critical days.
  3. Cervical cancer. Blood streaks in bely (discharge after menstruation).
  4. Endometriosis. Smears brown.

Each of these diseases is dangerous and can lead to complete removal of the uterus and even death. It is characteristic that many of these diseases are almost painless, and sometimes with the formation of polyps, the usual pain syndrome that accompanies critical days, on the contrary, may disappear. In this case, the fact that there is blood in the period after menstruation may be the only symptom indicating a problem.

Ignore this sign can not be. The fact is that the discharge can only look like a continuation of menstruation, and is the beginning of the discovery of uterine bleeding, which can lead to large losses.

Blood after menstruation when taking Norkolut

Often blood after menstruation due to the woman taking medication. One of these drugs is Norkolut. It is prescribed for such problems as endometriosis, a violation of the cycle due to problems with the ovaries, and more.

Norkolut directly affects the endometrium and nature of menstruation. If about 8 days after the end of the reception blood has gone, it is considered the norm. It is possible that the discharge began earlier, but if they linger, you need to contact your doctor.

The first time after taking Norcolute menstruation can go in very small quantities, smear and be darker than usual. This is when taking medication is considered normal. Nausea and vomiting may occur, and women often experience breast swelling.

It is necessary to suspect pathological processes if there are abundant menses after the end of Norkolut intake

Blood after menses and hormones

One of the main reasons why there is bleeding after menstruation is often the onset or cancellation of hormonal contraceptives. The main reasons why this happens:

  • non-compliance with the scheme of use,
  • abrupt interruption of reception
  • adapting the body to a new drug.

In the latter case, the bloody trace that appeared after the woman began to take new oral contraceptives, may not cause concern. But if this is repeated every month, during the end of the day after the month, most likely, contraceptives will have to be changed.

In almost 100% of cases, bleeding reopens after taking emergency contraception (for example, the well-known Postinor). In this case, women are often mistaken for breakthrough bleeding for the beginning of heavy menstrual periods after drinking. If after 3 days it does not stop, you need to consult a doctor for help (often prescribed hemostatic drugs).

Sexually Transmitted Diseases

Sometimes blood after the end of menstruation indicates the presence of STDs. The cunning of these infections is that they can develop in the body for years, and not a single sign indicating their presence will be noticeable.

Even if a woman has a regular partner, this is not a guarantee against infections of the urogenital system. If there is blood after menstruation and / or other secretions appear (especially those that are green), this may be an occasion to be tested for diseases that are sexually transmitted so as not to delay the treatment of both partners.

Mechanical damage to the vaginal walls

There are cases when blood after menstruation is not at all a sign of infection or illness. Sometimes, mechanical damage to the vaginal walls leads to similar effects. This happens for two reasons:

  • effects of medical examination,
  • traumatic intercourse.

The latter is often the result of violence or gross defloration (deprivation of virginity). A rupture of the posterior commissure of the vagina may occur, which leads to similar bleeding.

Unfortunately, and a carelessly performed examination by a gynecologist can lead to similar consequences. Being in a gynecological chair, it is better not to endure the painful sensations, but to immediately report discomfort to avoid injury and its unpleasant consequences. An intrauterine device can also cause injury and improperly installed or incorrect position.

In order not to cause mechanical damage, do not hesitate to this fact. Self-medication can only aggravate the situation, unlike competent medical care.

What to do when blood appears after menstruation

Even if it seems to a woman that she knows for what reason she has a blood trace, or copious discharge has started again, as with critical days, it is impossible to diagnose on her own. If mechanical damage can be noticed during the inspection, then a number of examinations should be carried out to identify deeper causes.

For girls in adolescence prescribed:

  • examination by a gynecologist,
  • blood tests (general, biochemical, level of sex hormones),
  • Ultrasound (pelvic organs).

For women of reproductive age, curettage of the walls of the uterus and the histological analysis of the material obtained are initially carried out. In this case, scraping helps to stop bleeding, remove the dead layer of the endometrium and blood clots.

  • Ultrasound,
  • hysteroscopy
  • hysterosalpingography,
  • blood tests.

After all examinations, it is determined which specialist a woman will be referred to for basic treatment.


Appearing in the middle of the cycle, or not so long ago after the end of menstruation, the smearing trail should be a reason to think about whether everything is in order with the health of the woman. Immediately to panic and find in yourself a dangerous disease, of course, not worth it. Here it will be advisable to consult a gynecologist for advice. It may be associated with a hormonal process or the action of contraceptives.

Three main reasons to seek emergency medical attention:

  • discharge abundant and remind bleeding
  • the presence of clots
  • sharp odor.

Another reason to be examined are non-abundant discharge, which appears monthly, accompanied by any symptoms and sneaking discomfort.