What should be the allocation after menstruation? How to distinguish the norm from pathology? Almost every woman asks these questions. But without certain knowledge, not everybody is able to suspect that something is wrong in his or her body. Discharge from the vagina (Beli) are one of the main signs of any gynecological pathology, and often the only complaint. Menstruation, as a rule, is a provoking factor for inflammatory diseases of the female genital organs, which is why it is necessary to be able to distinguish between pathological and normal vaginal discharge. Vaginal discharge after menstruation.
The main source of discharge, no doubt, is the vagina. The vagina self-cleans daily, including from pathogenic microorganisms. The secret of vaginal whites consists of desquamated epithelial cells, mucus and microflora, the main representative of which is Doderlein's bacillus (lactic acid bacteria). Normally, after menstruation and up to 7-8 days of the cycle, the volume of discharge is about 0.06–0.08 grams per day. Vaginal leucorrhoea is transparent and mucous in appearance, with no pronounced odor and not causing anxiety. In the event of infection (thrush, trichomoniasis and others), the vaginal discharge changes dramatically in both color and consistency, as well as in quantity.
In addition, large and small glands of the vestibule of the vagina, cervix and uterus play a role in the production of secretions. Detachable also includes continuously updated epithelium, microflora and a small number of white blood cells. If there is inflammation in the fallopian tubes, they speak of so-called "tube" secretions, which also contribute to the composition of the vaginal secretion.
The composition and amount of secretions are influenced by the general condition of the body, psychogenic factors (arousal), the presence of diseases and the use of contraceptive methods.
Pathological discharge after menstruation
Pathological secretions after menstruation are spoken of when they have a non-characteristic color (bloody, yellowish, green), consistency and an unpleasant odor. In parallel with the belts, itching and burning in the external genital organs, pain after intercourse and urination are possible. Possible options:
Constant, clear mucous discharge Mucous discharge - what is the norm for a healthy woman who does not change during the cycle, is characteristic of women suffering from infertility or taking hormonal birth control pills.
Bright red discharge immediately after cessation of menstruation or after intercourse indicate the presence of cervical erosion or endocervicitis.
White cheesy discharge or similar to kefir, in combination with white films or bloom between the large and small labia, the appearance of bread or sour-milk smell is a sign of urogenital candidiasis (thrush).
White and slightly greenish, grayish color of the discharge, which are exfoliated by the films, often in combination with the fishy smell - bacterial vaginosis (vaginal dysbacteriosis).
Sexually transmitted infections (trichomonas colpitis, gonorrhea and others) are accompanied by bubbling secretions of yellow or green color with an unpleasant odor.
Acute inflammation of the appendages, acute bacterial infection in the vagina is characterized by yellowish or greenish secretions.
Cervical erosion, colpitis, chronic adnexitis. Chronic adnexitis: dangerous consequences - scanty greenish or yellowish discharge.
Green, thick and purulent discharge in combination with mucus, which increase after tension, after defecation, are found in purulent cervicitis.
Smearing bloody discharge. Bloody discharge. It is important to exclude a brownish pathology that continues for a long time after menstruation suggests a pathological process in the uterus (endometriosis, polyp or endometrial hyperplasia).
Blood-suckling discharge, pinkish in the form of “meat mud”, accompanied by an unpleasant odor, occurring before and after menstruation indicate chronic endometritis or chronic endocervicitis.
With the appearance of unusual discharge should not postpone the visit to the doctor. He will help determine the cause of the pathology and prescribe the appropriate treatment.
Norm of discharge
Discharge in women after menstruation is associated with changes in the amount of progesterone and estrogen. In the uterus mucus is formed - it is the main component of the discharge. Immediately after the menstrual period, mucous secretions have a thick consistency, due to their density, spermatozoa cannot penetrate inward to the oocytes and fertilize them. These mucus also protect the uterus from bacteria and microorganisms.
Normally they are not abundant, whitish-yellow in color, the smell is slightly sour due to the high content of lactobacilli in the vagina. With the approach of ovulation, the mucus becomes thinner and does not stretch so much, like an egg white.
At the end of ovulation, the content of the vagina increases, and the consistency becomes rarer. It is necessary for the process of fertilization.
Signs of the rate of discharge after menstruation:
- their volume ranges from 1 ml to 4 ml per day,
- the color should be from transparent to white with a barely yellowish tint,
- the smell should hardly be felt, it can be sour,
- must look like jelly.
Leucorrhea after menstruation does not cause itching and discomfort in the genitals. However, each organism is individual, so the nature of vaginal mucus in color and volume may vary slightly.
Among the tolerances possible smearing brown mucus for from two to four days. They may be due to the use of contraceptives or the installation of a spiral. They will manifest over three cycles. With proper selection of drugs daub pass. If not, then you need to contact your gynecologist and change the tool to something else.
Small blood impurities for 10–14 days after critical days are also not considered a deviation.. Ovulatory impurities are not dangerous, they enter the vagina from the follicle, which exploded during the cycle.
In adolescents, juvenile bleeding is considered the norm. Since only a couple of years, the cycle will be restored and will go on schedule.
Causes of pathologies
In the case when the weak bleeding has developed into bleeding, the help of a doctor is required. Otherwise, the process will develop into anemia.
Signs of the presence of pathology are:
- If after the end of critical days there appeared frothy, curd or liquid leucorrhoea.
- The amount of regular volume has increased significantly.
- There is a very unpleasant smell.
- The color of the daub is green, brown, scarlet or gray.
- The appearance of severe itching, irritation or burning sensation in the perineum.
Such signs bother the whole cycle. Causes can be disorders related to hormonal, reproductive and endocrine diseases. As well as stress, feelings and injuries. Hormonal failures occur during the treatment of infertility, complications caused by severe menopause, as well as menstrual problems, a diseased thyroid gland and the pituitary gland.
Inflammatory diseases can provoke genital trauma and infection during abortion or childbirth. Foci of inflammation are possible with sexually transmitted diseases.
Beli and their signs
Leucorrhea occurs in such pathologies:
- Candidiasis. During thrush, the fungus changes the normal discharge. They become a liquid consistency and resemble curd mass. This causes severe itching and sour odor.
- As a result of dysbacteriosis, there is a failure in the composition of the microflora due to poor douching, poor hygiene and antibiotic intake. The whites get a rotten smell, a gray look, they foam.
- Diabetes, problems with the pancreas and thyroid. When metabolic processes are disturbed, sticky white-colored secretions appear that irritate the reproductive organs.
- If there are adhesions in the uterus or a cervix bend is diagnosed, then the mucus begins to collect, while bacteria multiply in them, and the level of white blood cells rises. Because of this, after menstruation, there is a strong discharge of a cloudy and white color with a very unpleasant odor.
- The cause of purulent discharge after menstruation may be inflammation of the ovaries, endometritis and vulvitis.
For any non-standard discharge, it is worth consulting a doctor and determining the reason for their appearance. It is especially important to pay attention to the appearance of foam, clots or pus. Since these are signs of pathology. And the sooner you begin treatment, the greater the chances of a speedy recovery.
Normal vaginal discharge
1. before ovulation (in the middle of the cycle) - mucous, stretching, transparent, similar to egg white, can be abundant,
2. in the second half of the cycle - scanty, jelly-like or creamy,
3. before menstruation - creamy or jelly-like discharge, becoming intense as the critical days approach,
4. in the first few hours after full sexual intercourse, when semen enters the vagina, it is transparent, white or slightly yellowish, having a consistency of clots,
5. the morning after unprotected sex - liquid, rich, white in color,
6. after sex without ejaculation in the vagina or using a condom - creamy, white, not rich (the so-called vaginal lubricant),
7. during the onset of menstruation - scarlet red, with increasing character,
8. during ovulation (in the middle of the cycle) - mucous membranes with bloody veins,
9. during pregnancy - liquid, light, similar to milk, without unpleasant smell and irritation of the genitals. As a rule, the intensity of such secretions increases with increasing gestational age,
10. after childbirth - a pinkish velor, resembling diluted blood,
11. when taking hormonal contraceptives - brownish discharge during the first months.
And now let's talk in more detail about the secretions on different days of the cycle.
Discharge before menstruation
Brown smears that appear a few days before menstruation are considered normal. If spotting precedes the onset of menstruation for more than two days, this indicates a female genital disease.
They can be a symptom of hormonal disorders, infections, hematological diseases, adiomyosis. Very often, this phenomenon occurs with endometrial hyperplasia, endometrial polyps. Endometriosis is indicated by the presence of pre-menstrual brown discharge in conjunction with painful and prolonged (more than a week) menstruation, with the presence of blood clots.
The presence of brown secretions in the middle of the cycle can signal progesterone deficiency or polycystic ovary syndrome. It threatens with infertility and needs to be treated.
If during the period of menstruation bleeding is abundant, then it is necessary to undergo an ultrasound procedure, which will help to assess the condition of the internal genital organs. Such bleeding may indicate the presence of uterine fibroids, endometriosis.
If the uterus mucosa is of normal thickness, then the curettage procedure is not required. If the bleeding was caused by hypertrophy (increase in thickness) of the endometrium, endometrial polyps or cervix polyps, then most likely you will have to undergo a curettage procedure.
In the future, it will be necessary to undergo a histological study to exclude the possibility of the occurrence of pathologies of a more serious nature.