Brown discharge in early pregnancy: causes, possible dangers, treatment

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

The female body reacts differently to the changes that occur inside. One of the characteristic and rather specific is discharge from the genital tract. Throughout the cycle, their structure and quantity change depending on the physiological process. For women who plan pregnancy and monitor their cycles, discharge can say a lot.

Discharge in the first month of pregnancy

After the end of menstrual bleeding, they stop, until the moment of ovulation should not bother at all. When the egg matures, the nature of the discharge changes. A woman may notice that they have become plentiful, viscous. At the peak of ovulation, they are compared to egg white. Thus, the body helps to penetrate the sperm into the uterus, with a successful combination of circumstances, fertilization occurs.

If you suddenly have light browndischarge in early pregnancy, we are talking about the first month, it is necessary to establish the nature of their occurrence. This is not always a cause for concern. It's one thing when a woman controls her cycle and the pregnancy is planned. In this case, it is necessary to determine on what day from the beginning of the last menstrual bleeding they began.

Small brown discharge in early pregnancy, namely at the end of the cycle, may indicate its beginning. Thus, the implantation of a fertilized egg, which is now called a zygote, occurs. She went through important stages of division and attached herself to the inner layer of the uterus - the endometrium.

Implantation bleeding

When the male and female cells are connected and successfully fixed in the body of the uterus, doctors say that implantation has occurred. The first symptom, which is far from being manifested in everyone, but has a place to be, is brown discharge in early pregnancy. Some women noticed that they had a pinkish tint or that it was clear mucus with blood streaks.

It is noteworthy that the process of cell penetration deep into the endometrium can take from several hours to two days. It depends on how many enzymes the cell produces and what condition the mucosa is in. Therefore, the duration of implantation bleeding cannot last long.

When the process is completely finished, the selection stops by itself. They do not require intervention and additionalmedical control. Moreover, you should not take any medications. Such light brown discharge in early pregnancy is physiological and quite natural. Also, do not worry if a woman even has implantation without any external manifestations.

Fears should be caused by abundant discharge, which is accompanied by pulling pains in the lumbar region, fever or cramping cramps in the lower abdomen. If they occur at the end of the first month, then they can talk about the threat of termination of pregnancy and the beginning of a new cycle. In this case, menstrual bleeding is the same duration as normal. The advisability of taking additional medications is determined only after consultation with a doctor.

Hematoma

There are often cases when there are several reasons for brown discharge in the early stages. Along with hormonal deficiency, an intrauterine hematoma can also form. It happens even in physically he althy women. Until a certain time, the hematoma does not manifest itself, exactly until it begins to come out. At this point, a woman may experience dark brown discharge in early pregnancy. Their number depends on the size of the hematoma. If the internal bleeding has stopped, then after some time the discharge will go away on its own.

The most dangerous thing is if after a day or two a woman discovers that their color has turned scarlet. This is a clear sign that the bleeding is notstopped and the threat persists. During the examination, the doctor can determine how high the risk of miscarriage is. If the cervix is open, then this is a clear sign of a threatened miscarriage. However, even when it is closed, it remains. Therefore, you should not try to stop smearing brown discharge in early pregnancy on your own.

Causes and diagnosis

A hematoma can form between the wall of the uterus and the fetal membrane or the place where the embryo is attached. A small accumulation of blood in the first case is less dangerous than in the second. However, their number is of great importance. Detachment of the chorion (when a hematoma forms around the embryo) or placenta (relevant for pregnancy starting from the 16th week) provokes damage to the blood vessels. This is fraught with the fact that the fetus is separated from the walls of the uterus. Worst prognosis when miscarriage occurs.

There can be several reasons for the appearance of blood accumulation (hematoma):

• Injuries to the abdominal cavity, in the pelvic area (for example, due to falls, blows).
• Medical manipulations, including surgical interventions.
• Sexually transmitted infections.
• Poor blood clotting (in particular, we are talking about thrombophilia).
• Sudden changes in blood pressure.
• Abuse of bad habits (alcohol, smoking, taking psychotropic, narcotic drugs).
• Incorrect attachment of the ovum (central or marginal).

Doctorswarn that before a woman finds a small brown discharge in early pregnancy, a dull aching pain in the lumbar region and lower abdomen may develop. Suspicions can be confirmed with the help of ultrasound, which determines the size, location, prescription of the hematoma. The data obtained allow us to choose the optimal treatment regimen that will allow us to maintain the pregnancy and not harm the developing embryo.

When there is heavy bleeding that cannot be stopped, there is a risk of miscarriage. In this case, surgery will be required. As a rule, pregnancy fails, and we are talking about saving the he alth of the mother.

Treatment methods

Decreased muscle tone allows you to get rid of the primary symptoms, such as hypertonicity and pulling pain in the lumbar region. To do this, they resort to safe drugs that are known to many firsthand. For example, it could be "No-shpa". However, if this does not help, then the following basic rules should be followed during the treatment of pink-brown discharge in the early stages:

• Sexual and physical rest.
• Taking hemostatic drugs. The most popular are Tranexam, Askorutin, Etamzilat, Calcium Gluconate.
• Compliance with all doctor's orders.

In the presence of thrombophilia, blood-thinning drugs, such as Aspirin, are prescribed. In order to reduce muscle tone, which becomes a threatto preserve the embryo, they use antispasmodics - "Drotaverine", "Papaverine", as well as medicinal formulas based on magnesium.

If the cause is a lack of progesterone, then hormonal pills or injections are prescribed. As a rule, their reception continues even after the onset of improvement, when the brown discharge has already stopped at an early stage. Feedback from many mothers about these treatments is mostly positive, despite the fact that some drugs are not cheap.

Ectopic pregnancy

In 2 percent of cases, a fertilized egg is fixed not in the body of the uterus, but in the fallopian tubes, cervix, ovary or in the abdominal cavity. Until a certain time, a woman may not suspect that her pregnancy is not proceeding as it should. The first alarming symptom for a woman is when brown discharge from the genital tract occurs at an early stage. At the same time, there is a sharp pain in the lower abdomen, the temperature rises.

Ectopic pregnancy can be diagnosed by ultrasound. If on the 4th week it will be difficult for a specialist to see a fetal egg in the body of the uterus, then after two weeks this can be done without difficulty. However, even for such a short period of time, with a detailed study of the pelvic organs, an increase in the size of the fallopian tubes and a small size of the uterus are visible. This should alert the specialist who conducts the study.

Because in this case the embryo will not be able to move on its own, the only treatment isin surgical intervention. A favorable prognosis is allowed if an ectopic pregnancy is known until the fertilized egg has grown into a growing fetus. This period ends at 10-12 weeks from the moment of the fusion of the male and female cells. The embryo is removed by laparoscopy. Thus, it is possible to avoid large blood loss, the fallopian tube is preserved and the risk of adhesion formation is minimized.

Atypical discharge at the end of the first trimester

The rapid growth of the uterus and the stretching of the cervical canal can cause light brown discharge in early pregnancy. Moreover, they can become abundant, and in color they are found up to scarlet. This can greatly alarm a woman who, not knowing about such consequences, has the right to suspect a threatened miscarriage.

The damaged erosive area will bleed until it heals. Since during pregnancy it is impossible to cauterize or carry out other manipulations with the neck, you will have to leave the treatment for the period after childbirth. Without medical assistance and complete physical rest is indispensable. Self-elimination of bleeding is not allowed, since for this it is necessary to know the nature of its occurrence, even if small brown discharge is observed in early pregnancy. Doctors' comments say that in most cases it is possible to stop them in time and save the fetus.

There is also a small percentage of frozen pregnancies at a certain stage. The most dangerous period for every woman is the first trimester, butit is worth knowing that the probability of intrauterine fetal death persists up to 28 weeks. This means that vigilance should be maintained at any stage of the intrauterine development of the baby.

The presence of a benign tumor such as fibroids is one of the reasons for the appearance of brown discharge. A woman who is observed by a gynecologist usually knows about it even before pregnancy. If its size is insignificant, then for all nine months the specialist must monitor the condition of the pregnant woman in order to eliminate the risk of premature termination of pregnancy (miscarriage).

Myoma is the reason for the onset of early labor, as it provokes the development of isthmic-cervical insufficiency. In this case, the neoplasm leads to a violation of the uteroplacental circulation. This is why brown discharge may appear in early pregnancy. Moreover, they can be maintained throughout the entire nine months, and not just at an early stage. As a rule, this is due to the fact that with the growth of the uterus, the size of the fibroids also increases.

However, in contrast to the frightening prognosis, there is a high probability that the neoplasm will resolve on its own or disappear after childbirth. Doctors explain this by the fact that large hormonal changes occur in a woman's body, which stimulate the process of resorption of fibroids.

The essence of the treatment of fibroids during pregnancy is to reduce muscle tone, antispasmodics are prescribed (orally or intramuscularly). This list can also include drugs,which will prevent premature onset of labor, as well as hormonal drugs.

Dangerous Consequences

The consequences that result from left unattended bleeding can be serious. Few people want to think that even if there is a slight light brown discharge in the early stages, this can be the first reason for a spontaneous miscarriage.

It is still possible to reduce the risks. To do this, it is enough to approach the planning process thoughtfully and in advance. First, you need to be tested for infections that are sexually transmitted. The growth of estrogen and abundant blood flow to the vagina provokes the development of papillomas. If this virus has previously occurred in the history of a pregnant woman, then in the future it may cause brown discharge.

Secondly, exclude the Rh-conflict on the blood type. Thirdly, to exclude heavy physical labor, emotional overload. Fourthly, it is worth putting in order the hormonal background. Fifth, any inflammatory process can cause small brown discharge in the early stages, which can become more abundant, up to bloody.

It is best to start treatment before pregnancy. However, if the presence of an infection was detected already in the process of its development, you should not be afraid of taking medications. Thanks to modern technology and progress in the field of medicine, there are many drugs that are safe for the mother and fetus.

A detachment of the placenta is one of the most alarming signals that one cannot do without medical help. Only a specialist can determine why brown discharge forms in early pregnancy. The risk is especially great if the fetal egg is attached low, directly, near the cervix. If such a fact is diagnosed in time, then unpleasant consequences can be avoided.

In the second trimester, in addition to discharge, a woman may visually note that the size of her abdomen does not correspond to the week of pregnancy. Also at a later date, you can determine if the pregnancy has frozen - it is worth checking if the fetus is moving. It is believed that by the 24th week, the expectant mother should clearly distinguish between the periods of activity of the child. If she does not feel anything, and her stomach has stopped growing, there are spotting discharges, most likely, it is worth contacting an unscheduled ultrasound examination. According to the results of the ultrasound, it will be clear what caused it, is there any reason for concern.

Remedy

It is impossible to eliminate some alarming factors, for example, low attachment of the fetal egg, a sexually transmitted virus, hormonal imbalance. A woman can only give a signal to the doctor in time that she is experiencing discomfort, pain, or she is afraid of abundant yellow-brown discharge in the early stages, perhaps even with an unpleasant odor. Since a normal pregnancy is not supposed to cause trouble, these symptoms are a clear signal for concern.

Presence of yellow-brown discharge in the early stagespregnancy without a pungent odor, pulling pains in the lower abdomen and lower back, dizziness may indicate the presence of an infection. When registering, an analysis is taken for infections that are sexually transmitted. If a virus is detected as a result, the doctor selects the regimen and duration of treatment, depending on the duration of pregnancy. The absence of pathogenic microflora and discharge of this kind should alert. As a rule, an unscheduled ultrasound examination is performed, which will show if there are any threats to the fetus. Also, according to the results of ultrasound, the location of the fetal egg becomes obvious, the number of embryos, the presence of a hematoma can be confirmed.

In some cases, it is possible to save the embryo by prescribing additional hormonal preparations. These may be injections or tablets of progesterone-based drugs. Treatment, as a rule, continues after the onset of a positive result. Usually, the reception ends in the second trimester, when the placenta is fully formed, there is no threat for its detachment, and it produces the hormone, progesterone, necessary to maintain pregnancy.

Brown discharge in the second month of pregnancy

When the first month is over and the pregnant woman feels satisfactory, the appearance of brown discharge at an early date can seriously excite her. Doctors say that if there are no other symptoms that bother or cause discomfort, then it is likely that this is normal.

During the first trimester, a woman can also bleed, evenif the embryo is already securely attached in the body of the uterus. For two to three months or more, the female body can menstruate as if there was no pregnancy. At the same time, there is no danger to the growing embryo, as well as the need to take additional medications.

It is also worth bearing in mind that there are malfunctions in the hormonal system, which also often lead to the appearance of dark brown discharge in early pregnancy. So, insufficient production of progesterone can serve as a threat to miscarriage or miscarriage in the first trimester. The most critical period just falls on the second month of pregnancy, when improper hormone secretion can aggravate the picture. The first alarming symptom is brown discharge in the early stages. It is important to respond in time to such a signal from the body and call an ambulance.

Timely hospitalization and adequate treatment can make up for the deficiency of progesterone, which is responsible for the safety of pregnancy. As a rule, intramuscular injections and tablet dosage forms are prescribed. For example, "Progesterone", "Duphaston" or "Utrogestan".