Monthly with ectopic pregnancy: go or not?


Monthly with ectopic pregnancy - the truth or the myth? This question is asked of every woman who has recently learned about her interesting position, who has discovered a spotting. The attachment and development of the ovum outside the uterus is a dangerous condition that threatens the life and health of the pregnant woman. Menstrual discharge is one of the signs of pathology.

Every woman should know about their character, features and reasons of appearance. Only in this case, she will be able to suspect pathology in time and seek medical help.

Fortunately, in the arsenal of modern doctors there are all the means to diagnose a dangerous condition in the early stages and rid the patient of such a pregnancy without harming her reproductive system.

Ectopic pregnancy: symptoms and effects

The uterus is the only organ in which child bearing is possible. If the fertilized egg stuck outside its cavity (in the fallopian tube, on the neck, in the abdominal cavity or the ovaries) - the successful completion of the pregnancy is excluded, it is impossible to save the baby.

Moreover, the life and health of a woman is under threat, because the consequences of pathology are:

  • rupture of tissues of a pipe or another organ into which an egg was implanted,
  • internal bleeding
  • peritonitis,
  • development of inflammatory processes in the pelvic organs with the formation of adhesions and scars,
  • infertility,
  • in the worst case, death.

Sometimes, in order to save a woman's life in the event of late detection of an ectopic pregnancy, doctors have to remove the fallopian tube, which in the future reduces the chances of conception.

That is why every woman should be attentive to her condition after the test showed 2 treasured strips. This is especially true of future mothers who have already faced a dangerous diagnosis in the past - the chances of recurrence of the pathology are very high.

Can menstruation go for ectopic pregnancy? The answer is negative, since even with implantation of the ovum outside the uterus, the body undergoes characteristic changes designed to create optimal conditions for the development of the embryo.

First of all, active production of progesterone begins, inhibiting the cycle. However, during ectopic pregnancy, there may be a flow-like discharge.

They are one of the hallmarks of a dangerous pathology and are particularly alarming in combination with the following symptoms:

  • pulling pains in the abdomen, worse when walking and turning the body,
  • weakness, fainting,
  • dizziness
  • weakly pronounced second strip on the test.

Along with these signs, a woman can experience all the symptoms of a normal pregnancy:

  • swelling of the mammary glands,
  • soreness and darkening of the nipples,
  • change in taste,
  • reaction to smells, etc. Read more about the first signs of pregnancy →

Doctors detect an ectopic pregnancy by ultrasound (for a period of 6-7 weeks, an egg in the uterus is visualized through the abdominal wall, for a period of 4-5 weeks - using a vaginal sensor) and tests for hCG in the blood (fears cause a mismatch in terms and too slow their height).

Noticing a drop of blood on underwear in the first trimester of pregnancy, you should immediately consult a doctor.

Often, discharge, resembling menstruation, are not a sign of ectopic pregnancy, but represent a variant of the norm or indicate less serious pathologies, such as:

  • Implant bleeding - scanty discharge that occurs 10-14 days after conception and lasts a maximum of 1-2 days. Their cause is slight damage to the uterine vessels as a result of the fertilized egg being fixed in its mucosa.
  • Erosion that occurred before conception or formed under the influence of changes in the hormonal background. During pregnancy, she may be bleeding, which is sometimes a symptom of an increase in the inflammatory process in the small pelvis - in any case, a doctor needs to be examined, but the prognosis for a successful outcome is high. Read more about erosion during pregnancy and planning →
  • Vaginal trauma - for example, as a result of sexual intercourse or examination on a gynecological chair.
  • Menstrual-like discharge in the first months associated with the habit of the body: there are cases of "red pregnancy" when in the first trimester on the usual days of the cycle women have bloody discharge (most often, this is an inherited feature). The phenomenon is due to the peculiar adjustment of the body to reduce the amount of hormones produced after the fertilization of the egg has not taken place, and in rare cases every 4 weeks after conception, the hormonal background changes slightly, but this is not the norm, but the threat of miscarriage.

Do menstruation with ectopic pregnancy: the nature of the discharge

So, it turned out that during ectopic pregnancy can go monthly - more precisely, the discharge, which can be mistaken for menstruation.

How to recognize an alarming symptom? And what can cause such bleeding? Every woman should know about this - nobody is insured against the occurrence of pathology.

There are a number of reasons why menstruation can occur during ectopic pregnancy:

  • Independent rejection of the ovum is the most successful variant of the development of pathology, characterized by scanty secretions and pulling pains in the lower abdomen, which can be given to the rectum.
  • Implantation of a fertilized egg in the cervical part of the uterus - this segment of the organ is permeated with a huge number of blood vessels that are damaged when the fetal egg is fixed, provoking, as a rule, excessive bleeding, which sometimes poses a threat to the life of a woman and simply cannot go unnoticed.
  • Rupture of the fallopian tube - such bleeding in the absence of timely treatment is guaranteed to occur by the end of the first trimester or earlier, with tubal ectopic pregnancy, the pathology is accompanied by increasing sharp pain and discharge. The bill at this point is already on the clock, the woman needs emergency medical care.
  • Stretching and tearing of tissues of an organ not intended for carrying a child - in this case it is easy to distinguish the discharge from the usual periods. They occur in uncharacteristic terms, have, as a rule, a dark brownish color and an atypical consistency.
  • The rupture of the wall of the ovum with its subsequent release is also a fairly successful outcome of the pathology, accompanied by secretions of dark brown color and pains of a pulling character in the lower abdomen. To prevent the development of complications requires curettage in the hospital.

It is important to remember: if they go for ectopic pregnancy, menstruation or not, a woman needs control and intervention by specialists.

What are the projections if the monthly with ectopic pregnancy do not go?

The absence of atypical discharge does not guarantee a safe course of the child's bearing period. Blood on linen is not the only and completely optional sign of a dangerous pathology.

It is impossible to independently determine the incorrect attachment of the ovum, therefore, immediately after using an interesting situation with the help of the test, it is necessary to go to the consultation and get registered.

In the early stages of ectopic pregnancy, when the treatment is the easiest and most gentle, suspicious symptoms can be determined only by a specialist. If the pathology is discovered late, sometimes getting rid of it is associated with the removal of an organ or part of an organ — the site of implantation of the ovum.

Whether there are periods during ectopic pregnancy or not - this point does not affect its prognosis. Discharge with blood impurities is one of the most visible and visible signs that allow to recognize the pathology, but their presence or absence does not change the position - it is impossible to carry the baby outside the walls of the uterus.

In any case, in the absence of surgical intervention during the first trimester (maximum of 11-12 weeks), the organ will rupture with massive internal bleeding and high chances of death.

Situations in which ectopic pregnancies go during periods occur frequently. This is not a norm, but an alarm signal, allowing one to suspect that something was wrong and to see a doctor in time. It is not necessary to postpone the visit to the specialists, perhaps, the bill has already gone to the clock.

Author: Natalia Roy,
specifically for Mama66.ru

Main characteristics of pathologists

There are only a few types of WB. Immediately it should be noted that, depending on where the fertilized egg is located, depends on the course of the pathological pregnancy.

If an ovarian pregnancy is observed, then the fertilized egg does not extend beyond the limits of the organ. Therefore, the embryo begins its development in the ovary.

When an abdominal pregnancy is detected, this means that the fertilized egg is located in the peritoneum. To make it more clear, the ovary simply “pushes” the fertilized egg and thus it does not penetrate into the uterine cavity, but is simply attached to the wall of the peritoneum.

In gynecological practice, tubal pregnancy is also distinguished. With this pathology, the embryo begins its development in the fallopian tube.

In rare cases, there is another type of VB, which is called rudimentary, developing exclusively in the rudimentary process.

Why does an ectopic pregnancy develop? The reasons may be very diverse. Often such a pregnancy develops if a woman has inflammatory diseases of the reproductive organs or during adhesions. In addition, this condition may occur due to a sharp failure in the production of hormones in the body.

As for cervical pathology, it most often develops with increased enzymatic activity, directly of the ovum.

Do menstruation with ectopic pregnancy?

In order to understand the question, you need to understand the development cycle of this state.

The egg cell begins to exit the follicle, after which it “meets” with the sperm. Then the fertilized egg is looking for the place of attachment. As this cycle goes through, other changes occur in the body.

Hormonal background begins to work actively, thereby producing a large dose of the hormone progesterone. Due to the large release of progesterone, menstruation stops.

But, it should be noted that in a certain category of patients, it is in the early stages of ectopic pregnancy that there is most often spotting. Thus, a woman confuses them with the onset of menstruation.

Causes of bleeding during ectopic pregnancy

There are many reasons, so consider the most basic.

Spotting in this pathological pregnancy can occur due to rejection of the ovum. Such a course is considered to be favorable by physicians, since it is not necessary to resort to surgical procedures. When rejection from the genital organs begin to stand out scarce bleeding. In addition, there is pain in the lower abdomen, often giving a painful sign to the rectum.

The second cause of bleeding - attachment of the ovum to the neck. Since the attachment occurred in the cervix, where there are many blood vessels, they begin to get damaged. In this case, there are abundant discharge.

  1. When a pipe ruptures, it is always accompanied by bloody discharge. Such secretions become dark brown in color, there is severe pain. The discharge is quite abundant, so you should immediately contact a gynecologist. If you do not take timely measures, the excess blood can cause intra-abdominal bleeding, so the outcome can be very sad.
  2. When you break the wall of the most ovum also bloody discharge occurs. They have a rich dark color, there is a sharp pain in the lower part of the abdomen, which sometimes does not stop with antispasmodics.

When you break the wall of the ovum, doctors perform an immediate surgical operation, during which the uterine cavity is scraped.

How to recover after ectopic pregnancy

The period of recovery of the body depends on the chosen method of treatment of the pathology. In the early stages prescribed drugs, after which the recovery rate is short.

If a surgical operation was performed, then the recovery period is longer, the woman needs to take certain drugs and adhere to the general recommendations of the gynecologist.

In the process of rehabilitation after surgery, the patient must undergo a course of antibiotic therapy. Medications will help to quickly restore the body and prevent unwanted gynecological diseases.

Physiotherapeutic procedures are prescribed, as a rule, they are prescribed as prophylaxis of adhesions. But physiotherapy also helps prevent the development of the inflammatory process.

  • Ultrasound therapy.
  • Mud therapy
  • Phototherapy

Often, after surgery for ectopic pregnancy, a short course of paraffin applications or interference therapy is prescribed.

In case of a complicated course of pathology, galvanization is prescribed in combination with antibiotic therapy. The main purpose of the procedure is to eliminate the inflammatory process.

They can prescribe electrophoresis using drugs, for example, Lidase, Novocain or Dexamethasone.

The first drug contains hyaluronidase. The active components of the drug contribute to the stimulation of interstitial fluid.

The procedure is not carried out with this drug, if available:

  • malignant tumors,
  • severe bleeding after surgery
  • the presence of acute infectious and inflammatory diseases in reproductive organs,
  • respiratory failure.

The second drug Novocain, is composed of the active ingredient procain. In addition, the composition of the drug includes water and hydrochloric acid. The drug has a good analgesic effect, so it is often prescribed to relieve a painful symptom after surgery. Despite the scanty composition, the drug has a fairly extensive list of contraindications.

The procedure is not carried out with Novocain:

  • with cardiovascular failure,
  • in acute blood loss,
  • with renal failure.

Electrophoresis can be carried out in conjunction with the drug Dexamethasone. A hormonal drug that has anti-allergic, anti-inflammatory, as well as a good immunomodulating spectrum of action.

  • the procedure is not performed with Dexamethasone, if a patient has a bacterial or viral disease,
  • with diabetes,
  • in diseases of the gastrointestinal tract,
  • with psychosis,
  • with acute renal or liver failure.

What kind of medicine is prescribed together with electrophoresis for recovery after WB, only the doctor will decide, based on the history and general condition of the patient.

In order to check the patency of the fallopian tubes, a woman is sent to the hydrotubation. Through the uterine cavity, a special fluid is introduced into the tube. This method can be used as a prophylaxis of adhesive processes.

Recovery of menstruation after ectopic pregnancy

A lot of women are interested in the question: how long does the menstrual cycle recover after a pathological pregnancy? This question is very difficult to answer, since it is necessary to take into account not only the individual characteristics of the hormonal background, but also the type of treatment.

There is a specific algorithm that predicts the approximate day of the onset of menstruation.

For the first day it is considered to be the day of the surgical operation. Then it is necessary to add to this day as many days as the cycle lasts normally.

After that, you get some number, and again you need to take 5 days, and then add 10. It is the obtained date should be the day of the onset of menstruation.

If the lady does not have any complications, then menstruation occurs between 28–40 days after surgery.

But remember that bleeding begins earlier. Therefore, as soon as bleeding occurs after surgery, it is necessary to consult a doctor as soon as possible.

Monthly with ectopic pregnancy does not occur

The delay of menstruation is considered a period of 40 days after treatment. If during this period of time the menstrual cycle is not restored, then it is necessary to undergo a routine examination by a gynecologist and also resort to additional methods of examination.

Why do not go monthly:

  1. The most common cause of delayed menstrual cycle is hormonal imbalance. As a rule, such a violation occurs even before pregnancy, and after treatment, the situation is aggravated. Необходимо пройти комплексное обследование, чтобы выяснить точную причину нарушения и уже на нее воздействовать.
  2. Повлиять может стресс. Many people after World Bank often experience a nervous breakdown, and this greatly affects the recovery period of the menstrual cycle.

In addition, the delay may occur against the backdrop of the complexity of the treatment. If during surgery there was a trauma to the reproductive organs.

Remember, the harder the operation, the longer the recovery period. Therefore, it is important to recognize ectopic pregnancy at the earliest stages in a timely manner.

What should I do to make the recovery period go faster?

There are a number of rules and recommendations from doctors that will help you recover faster and more effectively after surgery and avoid complications.

Rules for a speedy recovery:

  1. To refuse from bad habits.
  2. Take drugs in a strictly prescribed dosage. Otherwise, an adverse reaction may occur.
  3. If necessary, consult a psychologist to improve your psycho-emotional state.
  4. Adhere to proper nutrition.

Gynecologists strongly recommend taking vitamin and mineral complexes after surgery, which will help to increase immune strength and thus improve the overall condition.

What is an ectopic pregnancy and what are its possible causes?

Ectopic pregnancy occurs due to impaired movement of a fertilized egg - zygotes. Most often, it gets stuck in the tube, but there are times when a zygote enters the ovary, or when it reaches the uterus, it falls out of it. When the reproductive organs rupture, it may be in the abdominal cavity. An automatic mechanism launched after fertilization leads to the fact that the zygote is implanted into the surrounding organic tissue. At best, an impaired chemical interaction leads to an unsuccessful attachment and early miscarriage without introducing the woman's body to the state of pregnancy.

If implantation is completed, we can talk about the onset of an ectopic pregnancy - the development of the zygote will be continued due to the destruction of the tissues of the organ in which it is fixed. The outcome of this condition can be:

  • involuntary miscarriage, after which medical intervention is required,
  • a complicated condition with tissue rupture, peritonitis and internal bleeding, which requires resuscitation care and often leads to death.

The cause of pathology is a violation of the dynamics of contractions of the fallopian tube, which is triggered by the interaction of many factors associated with the structural features of the reproductive organs and the production of hormones. Factors that increase the risk of ectopic pregnancy:

  • congenital or acquired anomalies of the anatomical structure of the fallopian tubes,
  • tumors of the reproductive organs
  • chronic inflammation of the urogenital system caused by infections
  • endocrine diseases, hormonal drugs,
  • a sharp change in the climatic zone, a state of stress or physical overload,
  • condition after therapy from tubal or hormonal infertility,
  • abortion in history,
  • contraception intrauterine device,
  • age over 35 years.

Ectopic pregnancy is diagnosed:

  • ultrasound examination for a period of 4-5 weeks using a vaginal cylinder, at later terms - through the abdominal wall,
  • based on the results of the analysis of hCG in the blood in the detection of atypical hormone production.

What symptoms should I pay attention to?

The early symptoms of normal and ectopic pregnancy coincide, the characteristic signs of pathology are felt at that stage when it already began to have a devastating effect. The best prevention of complications is to conduct a study to confirm pregnancy with the establishment of its localization.

General symptoms of the norm and pathology, which occur approximately 10 days after conception, when the embryo is implanted:

  • toxicosis with nausea, dizziness, changes in taste,
  • breast swelling and tenderness
  • increase in basal temperature
  • fatigue, sleep disturbance.

Symptoms that increase the likelihood of ectopic pregnancy:

  • sharp, pulling or dull pains in the lower abdomen, worse when walking and turning,
  • pain during intercourse,
  • bleeding from the vagina,
  • indistinct indicators of pregnancy tests.

Ectopic pregnancy at any stage may manifest symptoms that require an emergency medical call:

  • severe attacks of pain, extending to the legs and lower back (picture similar to appendicitis),
  • heavy bleeding, which may or may not coincide with the days of menstruation,
  • lowering blood pressure
  • loss of consciousness.

Do they come during ectopic pregnancy, what is the nature of the discharge?

Given the timing of ovulation, the life cycle of the sperm cell and several days that pass before the embryo is fixed, there is a small probability that the hormonal system will not have time to slow down the process, and menstruation will occur after conception. Only in this case, the question of whether the menstruation goes for ectopic pregnancy can be answered positively.

How to distinguish menstruation from uterine bleeding during ectopic pregnancy?

False menstruation with ectopic pregnancy is mistakenly perceived as the norm precluding pregnancy. The first sign that distinguishes bleeding caused by tissue rupture from the menstrual one is two strips on a pregnancy test, which can be clear or pale. This will mean that the body produces the hormone hCG, in which menstruation is impossible, and, consequently, bleeding, regardless of their volume and intensity, indicate trauma to the internal organs.

Distinctive signs of false menstruation:

  • the displacement of the beginning of menstruation by 1-2 days or the prolonged nature of bleeding
  • difference in intensity and consistency from the usual menstruation: profusion or scarcity of discharge, the appearance of clots, darker or lighter color of blood,
  • abdominal pain in the abdomen, especially if they are localized in one area or similar to intestinal.

Bleeding can be a symptom of rejection of the ovum - miscarriage during ectopic pregnancy. Even in case of its termination, it is necessary to undergo examination and, if necessary, curettage of the affected area. When a zygote is implanted into the cervix, in which the blood vessels are concentrated, blood can flow abundantly at the risk of critical loss. Dark brown discharge may indicate internal bleeding due to rupture of the fallopian tube or other tissues. Both cases require urgent medical attention.

What to do if blood discharge appeared in early pregnancy?

Discharge with blood or bleeding similar to menstruation is a warning signal. Scanty discharge 10–14 days after fertilization is indicated by the medical term “implant bleeding”. It occurs due to minor damage to the vessels during the attachment of the zygote. If this happens in the uterus, there is no cause for concern.

The cause of bleeding may be cervical erosion or trauma to the vagina, which was before pregnancy or was caused by hormonal changes. It can be detected upon examination by a gynecologist, and in the overwhelming majority of cases, medical supervision ensures the normal course of pregnancy. Another reason for which is bleeding - the threat of miscarriage, requiring timely treatment to the doctor.

Is it possible the absence of menstruation during ectopic pregnancy?

An ectopic pregnancy, as well as a normal one, triggers the hormonal adjustment mechanism, stopping the process of egg production, which means that it is impossible for menstruation to occur. An ectopic pregnancy can be painless and without atypical discharge. If defense mechanisms work, the embryo rejects naturally, if not, self-destruction processes are triggered, and the degree of symptoms may vary.

Due to the individual characteristics of the body, a traumatic effect on the organs can be hidden, but without medical intervention, a maximum of 11-12 weeks leads to rupture of the tissue into which the embryo is implanted. This provokes profuse internal or external bleeding incompatible with life. The only way to exclude an ectopic pregnancy is a visit to the gynecologist for 4-7 days after the delay.

Modern technology allows you to identify pathology at the stage when you can use drug therapy. With later detection, laparoscopic surgery is performed, which allows you to remove the ovum without injury to surrounding tissues. Ectopic pregnancy, the probability of which is 1.5-2% of all conceptions is a tragic loss for the failed mother, and she must be survived without delay in order to preserve the chances for future motherhood.

What is pregnancy outside the uterus, and can monthly go with gynecological abnormalities?

Pregnancy outside the uterus is a pathological complication that is characterized by the fixation of a fertilized egg outside the uterus.

Depending on the place of localization of the ovum, ectopic pregnancy is isolated:

Full development and childbearing is possible only in the uterus. In other cases, the outcome of pregnancy is predetermined - it is impossible to endure and save the child. In other words, when implanted outside the uterus, the woman will lose the baby. But the danger is not only that. Gynecological anomaly can lead to female infertility (infertility), and in some cases, pregnancy outside the uterus can threaten the life of a woman. Taking into account all the dangerous consequences of the pathological process, it is important to recognize the danger in time and take measures to eliminate it. Perhaps that is why women are interested in, can there be critical days with anomalies?

From the first days of conception in the female body begin to occur certain changes, and, first of all, it concerns the hormonal background. During this period, progesterone begins to be actively produced, which is very important for the normal course of pregnancy, therefore the onset of menstruation is impossible. But in the early stages of pregnancy, women often have bloody vaginal discharge. Such symptoms can not be called monthly, but they can be a sign of gynecological pathology.

The main cause of bleeding in an ectopic pregnancy is the rupture of the tissues of the organ in which the fertilized egg has been fixed.

But not always bleeding is a sign of pathology. In most cases, women experience blood during the implantation period during pregnancy. But it is impossible to call this phenomenon bleeding, since the number of such secretions is insignificant, they are also called “daubs”. Also, such symptoms may be absent during the period of implantation of the ovum.

What is an ectopic pregnancy?

This is a pregnancy whose development has gone the wrong way. After conception, a fertilized egg, failing to reach the uterus, is assigned to its limits. More often in the fallopian tubes, less often in one of the ovaries or in the abdominal cavity. Since none of them has the ability of the uterus to stretch to the desired size, sooner or later, the growing embryo simply breaks the inelastic tissue.

According to statistics, there is one ectopic per 100 cases of normal pregnancy. In 95% of the fertilized egg develops in one of the fallopian tubes.

Normally, the attachment of a fertilized egg most often occurs in the upper section of the posterior or anterior wall of the uterus. To explain to the end why atypical pre-anchoring of the egg happens, doctors still can not. It is believed that the occurrence of this pathology can be triggered by:

  • Various anatomical changes in the fallopian tubes, due to which they are unable to transport the egg into the uterus. Such changes may occur after suffering inflammatory diseases, surgical interventions, when using the intrauterine device or after abortion.
  • Hormonal disorders caused by endocrine diseases or incorrect use of hormonal drugs. They can also be the reason that during ectopic pregnancy are menstrual periods.
  • External causes, such as abrupt climate change, prolonged severe stress, high physical exertion.

What you need to pay attention to?

A pathological pregnancy cannot end safely by itself. Therefore, it is important to be able to recognize it. After all, the earlier you go to the doctor, the less your health will suffer. It happens that an embryo attached outside the uterus stops its development, dies and does not require surgical intervention. However, in this case, a visit to the doctor will not be superfluous.

In the worst case scenario, when a grown fruit ruptures the fallopian tube or ovary, pregnancy will have the following signs:

  • Severe pain in the lower abdomen, extending to the side from which the fertilized egg grew and into the rectum.
  • Pallor, dizziness, low pressure, tachycardia, sometimes fever, loss of consciousness.
  • Uterine bleeding, as a rule, is strong and prolonged, which can be mistaken for monthly.
  • Sometimes a clue may be the second strip on the test, which, although there is, but will not be so bright.

Monthly or not?

The cunning of an ectopic pregnancy is that in the early stages it has no particular signs. Subjectively, you feel the same nausea in the morning, fatigue, irritability, the test shows two bars and even the level of hCG can be increased. The body at this moment, although it knows that there is a pregnancy, but still does not understand that its development has gone wrong.

Do menstruation with ectopic pregnancy? From the point of view of physiology, these two phenomena are incompatible. In the first phase of the cycle, the uterus prepares for possible fertilization. If it does not occur, then the endometrial layer dies off and goes along with bleeding. If the pregnancy has occurred, the endometrium, on the contrary, is strengthened and prepared for embryo adoption.

Despite the fact that the development of the fetus does not occur where nature intended, the body goes through all the stages characteristic of this state. After fertilization of the egg and its implantation, it begins to produce progesterone, which inhibits the menstrual cycle. Theoretically, monthly with ectopic pregnancy can not go. However, this is not always the case.

When menstruation is possible

Monthly with ectopic pregnancy, as in the case of normal, there are in the early period, when fertilization occurred closer to the end of the cycle. From the moment of the meeting of the egg with the sperm and until its attachment can take from five to seven days.

The egg cell does not have time to implant until the end of the cycle and send a signal that triggers the production of progesterone. Therefore, it may well end in normal menstruation. Although this is quite rare.

When it is not menstruation

Often there is another situation when the period of uterine bleeding is taken for menstruation with ectopic pregnancy. Such a false menstruation can appear:

  • With the rejection of the ovum, when the body itself gets rid of the pathological pregnancy. It happens that such bleeding, which has come in the days that are familiar to the calendar, is taken for the beginning of menstruation.
  • When the fertilized egg entrenched on the cervix, rich in blood vessels. In this case, too, often there is profuse and prolonged bleeding.
  • Rupture of the ovary or fallopian tube caused by the development of a fertilized egg. This ectopic variant is the most dangerous and is often accompanied by severe pain.

Any situation related to uterine bleeding should be the reason for the visit to the doctor. Especially if the test was positive. Physiologically periods with ectopic pregnancy is a very rare phenomenon.

What should be done?

It is necessary to consult a doctor as soon as possible. The rupture of the organ in which the fertilized egg has developed can lead to a large blood loss and the saddest consequences. Recognize ectopic pregnancy by the level of the chorionic hormone. His performance will be lower than it should be at this time. The second mandatory research method is ultrasound.

After the location and duration of ectopic pregnancy are established, the doctor will decide on the method of treatment.

Such a pathology does not always end with an operation. In the early stages of diagnosis, with a small embryo size, treatment with medication is possible.

Is it possible to keep such a pregnancy? Until recently, it was impossible. In 99% of cases, an ectopic pregnancy ended with an operation. Today there are cases of successful transplantation of the ovum into the uterus. However, such an operation is associated with a greater risk for the woman and the birth of a premature baby.

Causes of pathology

In time to identify the wrong location of the ovum, you need to know the reasons for which there is a "failure" in the body.

These include:

  1. Инфекционные заболевания, которые способны поразить трубы матки, придатки, яичники и прочие женские половые органы. They cause obstacles for the fertilized egg, as a result of which it has to be fixed on the walls of the reproductive organs.
  2. The abnormal structure of the genital organs, which has an innate nature. This pathology can cause incorrect placement of the uterine tubes, with the result that the egg can not penetrate into its cavity.
  3. Surgery or surgery performed on the female reproductive system: abortion, removal of cysts, vacuum aspiration.
  4. Violation of the hormonal level.
  5. The use of certain types of contraception, for example, intrauterine device.
  6. Adhesions of the fallopian tubes.
  7. A long hormone-based medication that a woman saw for the treatment of infertility.
  8. Neoplasms on the ovaries, which causes an obstacle to the advancement of a fertilized egg.

How to determine ectopic pregnancy. First few days after the onset of conception to identify the symptoms of this state will not work. However, women should always monitor their condition in order to take timely action.

How to determine ectopic pregnancy. Signs that appear during improper implantation of the egg, can be detected almost immediately, since as the growth of the ovum they will increase and become more noticeable.

These include:

  • pains of a pulling nature, localized in the lower abdomen,
  • discomfort in the lower back,
  • painful sensations become more stitching and harsh,
  • signs of intoxication
  • dizziness,
  • the appearance of dark luminous discharge,
  • increased heart rate and fainting in particularly sensitive women,
  • bleeding after intimacy,
  • low pressure.

Fortunately, most women notice unpleasant symptoms on time and immediately visit a doctor that carries favorable implications for their health.

When it is false monthly: the reasons for the appearance and nature of discharge

It is not always possible to understand without appropriate diagnosis, menstruation or not appear, especially if the test showed a positive result. Such bleeding is usually called monthly.

In ectopic pregnancy, discharge may appear at the same time when a woman should usually have her period. If the fetus is attached in a place rich in blood vessels, the bleeding will be abundant.

When at the site of rupture of the tissues of the vessels a little, spotting or scanty periods can be observed.

The nature of such periods depends on the location of the ovum, as well as the period at which the tissue is ruptured due to the growth of the fetus. Monthly with ectopic pregnancy differ from the usual menstruation:

  • consistency they resemble coffee grounds or mush,
  • the color is usually darker: from brown and burgundy to almost black,
  • there may be non-uniform discharge.

Bleeding of this kind is possible with failures of the menstrual cycle, cervical erosion, vaginal trauma, as well as in a special condition called red pregnancy (the first trimester is normal).

There are several reasons for discharge, which are mistaken for ordinary menstruation:

  1. Rupture of cervical tissue. It is literally penetrated by blood vessels, so its damage to the fetal egg causes abundant bleeding and loss of consciousness, a drop in hemoglobin, pallor.
  2. Rejection of the ovum. Causes pulling pain in the lower abdomen, extending into the lower back and rectum, small spotting blood. Such a situation is regarded as spontaneous miscarriage.
  3. Rupture of one of the fallopian tubes. Usually occurs in ectopic pregnancy by the end of the 2-3rd month. This condition is characterized by acute pain, heavy discharge. Emergency help from doctors is needed.
  4. Independent exit of the ovum after rupture of its wall. In this case, there is also pulling pain and dark brown discharge. However, this does not exclude the need for scraping.

If a woman notices bloody discharge in herself, then it is possible to understand whether this is a menstruation or a characteristic sign of an ectopic pregnancy, for additional symptoms. Increased bleeding, severe pain in the lower abdomen, dizziness require emergency hospitalization to rule out or treat pathology.

Symptoms of ectopic pregnancy

In the early period to distinguish the normal development of the fetus from the pathological is not easy. Characteristic symptoms in ectopic pregnancy:

  1. Delayed menstruation. In some cases, it may be absent, however, the allocation will be different - more scarce and darker (false teaching).
  2. Signs of toxicosis. These include drowsiness, nausea, especially in the morning, a change in taste preferences, intolerance to certain odors and tastes.
  3. Spotting appearing at the end of the 2nd-3rd month. The fruit grows, grows in size, begins to squeeze blood vessels, tear soft tissues, which leads to the appearance of bleeding. If the eggs are attached to the cervix, they can begin already at the end of the first month and will be abundant.
  4. The emergence of acute and sharp pain in the lower abdomen radiating to the rectum, lower back, side, legs. It is also a sign of the pathological development of pregnancy.

The delay and negative test result should alert the woman. Usually, any pain and spotting appear later - with the development of the ovum in an uncharacteristic place. In the early stages of pregnancy, the ectopic "variant" does not differ from the usual one.

Since the main symptom is bleeding, a blood test may show anemia. This is expressed by pallor of the skin, frequent dizziness, weakness, drowsiness. The pain is often localized in the part of the abdomen where the embryo has attached.

Causes of ectopic pregnancy

Most often, an ectopic pregnancy develops for the following reasons:

  1. Physiological changes in the body. These include the occurrence of scars, adhesions that impede the passage of an already fertilized egg to the uterus - the only possible place for the development of the fetus. These formations occur after inflammation, frequent abortions, operations, oncological processes in the urogenital system.
  2. Congenital diseases of the genital organs. This leads to the fact that implantation does not occur in the uterus. The reason - short or winding pipes. Most often, such anomalies develop in the period of intrauterine development, may occur after injuries and surgeries, childbirth.
  3. Wearing a navy. Intrauterine devices protect only the uterus from implantation of a fertilized egg, without closing the fallopian tubes. The risk increases when wearing the tool for more than 5 years.
  4. Hormonal contraceptives. Medroxyprogesterone injections or taking a mini-drank only partially suppress ovulation because the products do not contain estrogen.
  5. Artificial insemination (IVF). Every 20th such pregnancy develops outside the uterus.

It happens that fertilization occurred in the "wrong place" due to other factors, such as:

  • women over 30 years old
  • hormonal imbalance,
  • smoking, drinking alcohol.

In women with a history of ectopic pregnancies, the risk of interfering with the development of the ovum in the fallopian tube or other place outside the uterus increases 12-fold.

Diagnosis of ectopic pregnancy

There are the following methods for detecting pregnancy outside the uterus:

  1. Inspection. Allows you to identify developing pathology only for a period of more than 2 months. By the end of the first trimester, the doctor will determine the lag of the size of the uterus from the time calculated for the delay, palpating the packed and enlarged appendages.
  2. Blood test. The hCG level determines the pathological condition at the earliest possible time.
  3. Determination of progesterone levels. In ectopic pregnancy, the rate is much lower than 26 mg / l, also the increase in leukocytes can be determined.
  4. Ultrasound. Transvaginal or transabdominal studies allow you to determine the "wrong" pregnancy, starting from the 6th week of fertilization. Not only the uterus is investigated, but also the cervix, the appendages, the abdominal cavity, the tubes.

The most informative is laparoscopy. The procedure allows to determine not only the presence of pregnancy, but also its clear localization. With this invasive method, diagnose and remove ectopic pregnancy.

In the absence of therapy, an ectopic pregnancy can entail consequences that are dangerous for a woman’s health and life. The main method of treatment is the surgical removal of a fertilized egg, extremely rarely resort to the use of the drug Methotrexate, which provokes the death of the fetus at the site of attachment and its subsequent resorption.

The following surgical methods are used:

  • salpingotomy - is performed until the fallopian tube ruptures, if an egg is attached there,
  • laparotomy - rarely used, mainly for massive blood loss and life threatening,
  • laparoscopy is a low-impact invasive technique used today more often than others.

Without the intervention of doctors, there is a rupture of tissues, vessels in the place of attachment of the embryo. This is fraught with heavy bleeding, painful shock and even death.

At the slightest suspicion of ectopic pregnancy should consult a doctor, and with increasing bleeding and severe pain syndrome - immediately call an ambulance. This will preserve the health of the woman, including the possibility of subsequent conception.

Can monthly go

Concerning secretions during pregnancy, many opinions are expressed. To understand the reasons why menstruation occurs during pregnancy, it is necessary to take into account the prerequisites contributing to the challenge of this situation:

  • hormonal features, anomalies and failures,
  • especially the behavior and development of the fetus,
  • creation of new eggs and their destruction.

The first two options suggest that the released blood mixture, in fact, is not menstruation.

Partly monthly can be called discharge, appearing in the case of the third option. In other situations, women in an interesting position, there is bleeding. The peculiarity of the menstruation is that the set of tissues and fluids released during menstruation includes not only blood and mucus, but also particles of a dead egg.

The emergence of a new life in the womb is characterized by the attachment of a fertilized egg and its development within the envelope being formed. That is, the egg is not destroyed, which means that the discharge is not monthly. Therefore, the question of whether I can be pregnant if they go monthly, is incorrect. It is impossible to determine by eye whether there are residues of the egg in the resulting substance. Consequently, smearing or abundant, with or without additional symptoms, discharge during the child's birth is possible, but this is not menstruation, and pregnancy will not become less real because of them. So, the seemingly natural conclusion is that if the menstrual periods go, it means that I am not pregnant, it turns out to be wrong. Trusting the signals of going menstruation, many continue to remain in the dark about their interesting position until the 5th month. If there is a reason to suspect an early birth of a child, but the ongoing periods are misleading, the most appropriate approach to resolve this issue is to consult a specialist and be examined.

There are many reasons for which are monthly in the first month of pregnancy, dangerous and harmless. Most often with this discharge are insignificant in volume. For many, the fact that menstruation occurs in early pregnancy is completely incomprehensible. But, nevertheless, such selections are found. Their reasons lie in the following:

  1. Fertilized egg when embedded in the endometrium vessels are damaged, and they bleed. It is not dangerous for the pregnant woman and the embryo.
  2. The time for an egg to travel from the ovarian region to the anchoring site inside the uterus lasts an average of 9-12 days. When the period of menstruation came, and the egg is still in the process of movement, it is likely that menstruation. This does not affect the condition of the woman or the development of the unborn child.
  3. For some reason, the formation of a new egg after fixing the first embryo and the beginning of its normal development. This pathology is not dangerous. The second egg cell is killed and excreted by the body with small amounts of blood. The main fetus and the female body will not be affected.
  4. A multiple pregnancy is created, but one of the embryos is rejected by the uterus. This happens extremely rarely. The outworn embryo dies; it is excreted from the body with blood and endometrial particles. The situation is ambiguous, to exclude complications, it is necessary to be observed by a specialist.
  5. After the embryo is fixed, the body must maintain a high level of estrogen. With a sharp drop in the level of this hormone may cause discharge. If you do not correct the situation by correcting the hormonal background, continuing from month to month menstruation will create a threat of miscarriage.

In all cases of bleeding in the first months of gestation, it is difficult to recognize whether they are menstrual. If the test determines hCG, but menstruation occurs in accordance with the cycle, it is urgent to undergo an examination. This will prevent a sad outcome.

The presence of menstruation in the later stages of carrying a child is also found, and not so rarely. The reasons may be:

  • initial hormone imbalance, when progesterone is not enough, and androgens are abundant, secretions go on regularly and for a long time, albeit scarcely,
  • involuntary rejection of the fetus by the body, pains resembling contractions are noted, the most urgent measures are required to save the unborn child,
  • the extinction of the development of the embryo, the lush discharge of a dark red color signaling the probability of loss of the fetus,
  • Ectopic pregnancy is one of the most difficult pathologies, it is difficult to recognize, the consequences can be terrible,
  • features of the shape of the uterus (eg, saddle), a gentle regime is necessary,
  • placental abruption, infection of the cervix, these pathologies are treatable,
  • inadvertently grabbing and damaging the cervix and vagina when viewed, heals and passes without a trace, if one is to avoid infection,
  • rare pathology, when the body produces everything that is characteristic of this gestation. The embryo is either absent altogether or there are parts of the egg cell. The phenomenon of blistering is fraught with malignant tumors.

All types of abnormalities and pathologies require confirmation and selection of methods to correct the problem.

Nature of discharge

Depending on the situation, the monthly during pregnancy come with different strength. There are two main types - abundant and scanty discharge.

A large amount of blood, usually a bright red hue, indicates the most unfavorable developments. Such heavy bleeding can occur with:

  • threatened miscarriage,
  • ectopic pregnancy
  • improper presentation of the fetus (placental).

Urgent hospital admission in such cases is not just a recommendation, but a vital decision. It will enable doctors to do everything in their power to save the lives of mother and child.

Scanty periods are sometimes also to be feared. We are talking about ectopic pregnancy, which carries with it severe pain. In other situations, such as, for example, with hormonal imbalance, the scanty secretions gradually disappear, without bringing pain and harm.

We should also consider the question of how menstruations go after the medical interruption of the child's bearing. The situation can be developed in two directions, when the allocation is scarce and when they are abundant. The first option is dangerous remaining material in the uterus, which was supposed to go out completely. As a result, the body attempts to maintain gestation. A pregnancy that is not fully interrupted can lead to inflammation and more serious complications.

Bleeding and heavy discharge after abortion are explainable and acceptable, but within normal limits. For example, if the most powerful gasket is filled in 30 minutes or less, this is a pathology. The danger is not completely separated from the mucous membranes of the ovum. Further actions depend on the results of the survey. Operation is not excluded.

An interesting situation confirmed by the test means the beginning of a new period when a woman doesn’t have to worry about her period. Asking why there are no periods during pregnancy, it should be noted that the physiological ban on their appearance is associated with an increase in estrogen levels. As soon as this level is reduced, the monthly periods will go again, even if there is a pregnancy. The lack of estrogen leads to scanty discharge and creates prerequisites for a possible miscarriage.

Ectopic pregnancy is difficult to detect, since at first the nature of the discharge and the development of the uterus are slightly different from others. The gradual development of this pathology ends with either the release of dark blood with small clots, or internal bleeding. Both situations are very dangerous and require medical intervention.

How long is menstruation?

There are a number of anomalies in which the pregnancy must be urgently interrupted, an abortion.

Upon completion of the surgery, the body begins to cleanse from unnecessary tissues, and blood discharge occurs. На вопрос, сколько идут месячные после медикаментозного прерывания беременности, точного ответа нет.It depends on the duration of the planned monthly. At least, the duration of menstruation after surgery will exceed the planned length. According to the observations of the researchers, after the operation, a woman has a discharge for 5–10 days, a maximum of 14. Bleeding that lasts longer than this period requires seeking qualified help.

In an interesting position of a woman who does not find deviations in her state, her period can still go. This situation should not be taken as a model. Allegations about the normality of the passage of menstruation during pregnancy are unfounded. Although in some cases, discharge is actually observed up to 3-4, and sometimes up to the 5th month, in general, such a situation cannot be considered absolutely harmless. It is always better to consult with a doctor and pass the necessary examination.

Is there a threat to the fetus

Appeared at the beginning of pregnancy, periods may be associated with such reasons as:

  • hormonal disbalance,
  • ectopic pregnancy,
  • dying off of an extra egg,
  • the long-term restructuring of the body under the task of preserving the fetus,
  • structural features of the uterus,
  • infections, inflammatory processes.

All these cases require additional attention to the features of the course of pregnancy. But hormonal failure and ectopic pregnancy carry the greatest threat to the child. When ectopic pregnancy fertilized egg is not subject to preservation for further development, it is simply impossible. In the case of a hormonal failure due to a lack of progesterone, the endometrium is not sufficiently developed. This leads to a loss of contact density between the fetal membrane and the uterus, and its gradual exfoliation begins. If the rejection is not stopped, a miscarriage will occur.

In modern conditions, stress and environmental factors adversely affect women's health. Therefore, it is not uncommon for menstruation to occur during pregnancy, especially in the first weeks after conception. During this period, it is possible to confuse the discharge with planned menstruation. If a woman in an interesting position has her menstruation due to a slow restructuring or the release of an additional egg, there is no threat to the fetus. Over time, the discharge will stop, the pregnancy will take its course, simultaneously setting the body to the best conditions for the child. The passage of blood and the "washing" of the fetus in this case does not harm the baby, his development and health are out of danger.

But, at the same time, remembering that the occurrence of menstruation is a pathological violation of the harmonious course of pregnancy, it is necessary to undergo examinations and adhere to a sparing regimen when such secretions appear.

Possible complications

With the onset of menstrual women have to experience pain in the abdomen. Pregnancy, especially its ectopic form, with menstruation is not assumed. But here it is necessary to understand, with ectopic pregnancy are monthly or not. Unfortunately, the answer is yes. Sometimes, finding a bit of brown-red discharge, women hesitate to consult a doctor, unaware of pregnancy. Regardless of how many days go monthly, pregnancy cannot be ruled out. Under normal conditions, a woman in an interesting position runs no risk. Ectopic form of pregnancy carries a greater threat. The problem in such cases is the wrong attachment of the egg. It occurs outside the uterus, usually in the fallopian tube. Obviously, the development of the fetus in such conditions is impossible. On the other hand, the growing fertilized egg, increasing its size, very quickly covers the lumen of the fallopian tube. Next, the fruit tries to stretch the walls - and breaks them.

It is known that an ectopic pregnancy is one of the most formidable and gloomy pathologies. It is accompanied by pain, characteristic, including, for planned periods. Although there is a distinguishing feature - pains, as a rule, are felt on the one hand, - they are easily confused, especially in the first weeks of pregnancy. And the delay in providing medical care causes not only complications during surgery to end this pregnancy, but may cost the woman’s health or life. With the rupture of the fallopian tube and subsequent internal bleeding, you can cope, but it is better not to bring the situation to this.

When to see a doctor

When carrying a child, the future mother's health must be constantly monitored and protected. If there are periods during pregnancy, especially if they are long or abundant, you should seek medical help. Especially dangerous is the presence of symptoms such as sharp pain, nausea, weakness, pallor, dizziness, and large sudden blood loss. The sooner help arrives, the more likely a favorable outcome will be.

If the test is positive, but there are monthly, it is preferable to believe the test. If you suspect it is necessary to consult a doctor. It must be remembered that the most difficult version of the pathology - an ectopic pregnancy - is very difficult to recognize. But this must be done in the most urgent way. So you can avoid unnecessary and dangerous complications.

About pathology

Before you find out whether there is monthly during ectopic pregnancy, you need to know what it is. This pathology involves the attachment of the ovum not in the uterus, as it should be, but in another place.

There are several types of ectopic pregnancy, which depends on the location of the embryo:

In the early stages, there are practically no signs of ectopic pregnancy, and therefore it is difficult for the expectant mother to identify this condition in herself.

The consequences of pathology are dangerous not only for a woman’s health, but also for her life, and also lead to infertility further. The result of ectopic fetal development is always the same - its loss.

Other effects:

  • development of inflammatory processes in the pelvic area,
  • internal bleeding
  • peritonitis.

For these reasons, every girl planning a baby should know all about the abnormal development of the embryo, the characteristic signs and symptoms. Hence the question often arises - can be monthly with an ectopic pregnancy or not.

Implantation of the embryo to the cervix

One of the options for the development of pathology - the introduction of the ovum to the cervix. At the same time, a woman begins to have heavy bleeding, which can last for a long time.

The reason is that there are many blood vessels in the tissues of the cervix. Their damage during the implantation of the embryo leads to secretions that are easy to take for ordinary menstruation.

Rupture of uterine tube

Dark, brown discharge, which is becoming more abundant, coupled with strong pain in the lower abdomen, right or left, can cause a rupture of the fallopian tube.

The danger in the development of internal intra-abdominal bleeding, so the woman requires urgent surgery.

Embryo rejection

Such a completion of the pathological development of the embryo is the most favorable for a woman.

Signs - the occurrence of pulling pain in the abdomen, giving into the rectum, meager bleeding, gradually passing into heavy bleeding.

What is hCG for ectopic pregnancy? Read in the article about the pathology and level of the hormone human chorionic gonadotropin, the causes of elevated and lowered indices, and such about when to take a blood test for hCG.

What are the causes of ectopic pregnancy? Details here.

How to determine the ectopic development of the embryo?

After conception, the expectant mother feels all the characteristic symptoms, regardless of the location of the embryo. It:

Care should be taken when conducting a pregnancy test. In the case of ectopic embryo development, it also shows two bands, however, one of them is often much weaker than the other.

It should be examined by a doctor with a positive test and the presence of pain in the lower abdomen, stronger right or left. Unexpected sharp pain in the abdomen during pregnancy, which do not subside and become stronger, should be the reason for calling an ambulance.

Such symptoms may indicate rupture of the fallopian tube or other organs where the fertilized egg was implanted. In this case, the woman urgently undergoes laparoscopy or surgical intervention in order to eliminate the pathology.