Can there be menstruation during early pregnancy - causes and differences from bleeding. Menstruation in the first month of pregnancy: normal or time to sound the alarm? Whether menstruation in the first month of pregnancy

Usually, a delay in menstruation for several days indicates a possible pregnancy. It is on this basis that a woman first makes herself such a diagnosis, after which she either turns to a specialist or conducts a test at home. But sometimes a woman is already pregnant, and menstruation continues to go according to schedule, and the expectant mother does not even think about conception. Despite any arguments, pregnancy during menstruation is possible, this has been proven both at the scientific level and by life examples. What cases of menstruation during pregnancy are considered the norm, and which carry a health hazard?

Expert opinions

If a woman has her period in the first month of pregnancy, as a rule, experts do not see anything wrong with this. This may be due to conception at the end of the cycle. In this case, the fetal egg does not have time to gain a foothold in the uterus, and the body, accordingly, does not respond with any reaction to the presence of a new body, so the next cycle comes on time.

In some cases, menstruation comes early. Pregnancy with this phenomenon proceeds normally, and menstruation should stop on the next cycle. If they continue, then the necessary examination should be carried out.

Summing up all the available facts, as well as analyzing the opinions of specialists and women who have experienced menstruation during pregnancy, we can definitely say that the presence of the first menstruation cannot indicate pathology and any diseases that can cause harm to health. They are considered normal during conception in the second half of the cycle. Also, do not confuse bleeding with menstruation. To do this, it is worth remembering the signs of both phenomena, which are detailed in this article.

But still, in order to prevent possible complications, as well as for your own peace of mind, it is more expedient for every woman who continues menstruation during the alleged pregnancy to visit a specialist who will conduct all the necessary examinations and prescribe, if necessary, the correct treatment or prevention.

Menstruation in the first month of pregnancy is considered by many women to be an absolutely normal, physiological phenomenon, completely without thinking about the causes of this discrepancy and possible consequences ...

To begin with, let's remember why menstruation generally comes to us. In short, according to the "hormonal". If conception does not occur, then at the end of the menstrual cycle there is a drop in the level of hormones, for this reason the endometrium of the uterus exfoliates - bleeding begins. It can be assumed that when menstruation occurs at the beginning of pregnancy, about the same thing happens. But such “falls” are one of the most common causes of miscarriages. So, even the usual "daub" cannot be ignored, and even more so if the bleeding is heavy. Remember that the sooner you see a doctor, start treatment, the more likely you are to save the child. But, it is worth noting that this is not always possible, unfortunately. Sometimes a miscarriage begins suddenly, and the detachment of the fetal egg is too large.

Smearing, meager discharge often occurs during a frozen pregnancy - when the embryo stops developing, it dies. But a miscarriage may not occur immediately. In Russia and the CIS countries, with a non-developing uterus, they clean the uterus, while in Europe and the United States, a wait-and-see tactic is used (they wait until the body itself gets rid of the “dead” contents). It goes without saying that everything happens under the regular supervision of a doctor and ultrasound.

Another formidable complication in which the same symptoms occur is when a fetal egg is implanted outside the uterus. The woman believes that her first menstruation began during pregnancy, but in fact such a pathological process takes place in her body. Perhaps one of its most terrible complications is a rupture of the fallopian tube. Therefore, early diagnosis is very important. Surgery is required in most cases, but not always. In the short term, medical treatment is possible. In addition, sometimes ectopic also become non-developing. And then the operation is not required, only observation.

How to diagnose these pathologies in yourself? With the help of a blood test for hCG. It will be well below normal. And if you look at the dynamics, it will decrease somewhat, but it is unlikely to grow actively. On ultrasound, the fetal egg is not visible in the uterus (if it is ectopic), or it is too small in size, and the fetus has no heartbeat, although it should already be at that time (in the case of a frozen one). But even without these examinations, the gynecologist may suspect something was wrong. During a gynecological examination, the doctor probes the uterus, assesses its size, the tendency to increase. If the uterus does not grow, or is too small for a given gestational age, a deeper examination is prescribed.

Many are interested in whether there can be menstruation in the first month of pregnancy with cervical erosion. Of course, there may be scant discharge, but this is not menstruation at all. It must also be taken into account that erosion is successfully treated even in expectant mothers. And sometimes no treatment is required, and due to some hormonal changes, the ectopia goes away on its own. To choose the right treatment tactics, you need to pass a smear for oncocytology and do a colposcopy. But if the erosion is actually bloody, then in any case, anti-inflammatory, tissue-healing vaginal suppositories and, possibly, other gynecological procedures will be prescribed.

Very often, expectant mothers are interested in doctors - can menstruation go in the first month of pregnancy, to which they answer that they are not, and that with this it is necessary to go to the gynecological department for treatment. By the way, about the survey. In some cases, light discharge can provoke a gynecological examination, but this is not dangerous. Remember that no examination can provoke a miscarriage. In addition, discharge may appear due to douching (although douching, in principle, is not recommended for expectant mothers) and after a rather rough intercourse, since the walls of the vagina during pregnancy become most susceptible to various mechanical influences.

Well, in the end, I would like to dispel some myths. Many ladies have heard (of course, not firsthand) that some women (and even doctors!) May not notice pregnancy, as menstruation occurs at their usual time of 3 and 5 months! Such stories, of course, could have happened in the last century in some godforsaken village, where medical care is appropriate. But now, when there are all the possibilities for diagnosing an interesting situation, and even an independent one (tests), this simply cannot happen. You can determine pregnancy even before the delay, 10-12 days after conception, if you donate blood for the content of chronic gonadotropin in it. A little later - if you do an ultrasound of the uterus.

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Even the most experienced and health-conscious women can skip a pregnancy and come to an appointment with a specialist already with crumbs. Blame it on menstruation in early pregnancy. They are discharges that look very similar to the usual critical days, but their reasons are completely different.

Early registration of a pregnant woman is very important. Aware of her situation, the woman does not take medicine, trying to eat healthy and healthy and more self-protective. If there are serious developmental defects, then at the very first screening ultrasound diagnosis, many malformations can be seen and a decision can be made to maintain or terminate the pregnancy.

In what cases do menstruation occur during pregnancy?

Very often this is observed in girls with light and irregular menstruation. Pregnancy is not always a planned event, and not everyone runs to the pharmacy for a test if the delay is a day or two.

The reasons for such discharge during pregnancy are:

The cervix during the period of bearing a baby is very vulnerable. This is especially true for cases with ectopia and erosion. Even swabs or sexual contact can cause small amounts of blood to come out during pregnancy.

How long can menstruation go during pregnancy

The delay in menstruation is n most common sign of pregnancy. But there are exceptions to the rule when menstruation does not stop. Most gynecologists do not consider menstruation in the first month after conception a sign of danger or pathology. The reasons lie in the particular fertilization of the egg and the further implantation of the woman's fetal egg.

It also happens that in the early stages they do not stop going throughout the first trimester. Here you can not do without an examination by a specialist. First you need to eliminate the threat of miscarriage and establish the reason why the woman's body does not respond to conception.

Experts identify several reasons for this phenomenon:

Many women are interested in how many months menstruation can go during pregnancy and how long this is considered the norm. Doctors say that this phenomenon can last no more than 4 months. But even if when carrying a baby there are no pathologies, then monthly bleeding should still alert the doctor and the expectant mother.

How can you distinguish between spotting and menstruation?

If there are any doubts about the beginning and normal course of pregnancy, it is worth knowing how menstruation when carrying crumbs, distinguish from ordinary.

Determination of hormones in blood and urine

It is very important to conduct a urine pregnancy test by purchasing it from a pharmacy. This method is the safest and most affordable. It can be carried out at home without any problems. But if the result is negative, it does not mean that you are not pregnant. It is not always informative in the early stages. For a more accurate result, it is worth taking a blood test for the level of chorionic gonadotropin. You can find out the correct result already on the 10th day after conception. If it is positive, then conception has occurred, and if it is negative, then no.

If a girl is watching, then she will also be able to determine whether it is menstruation or discharge during pregnancy. Direct evidence that fertilization has occurred is the temperature in the rectum above 37 degrees.

By well-being

For many women, pregnancy is accompanied by symptoms such as:

These symptoms will persist with abnormal discharge during the period of gestation of the crumbs.

By the nature of the discharge

In most situations, discharge that can be confused with menstruation during pregnancy is unusual. It is for this reason that they cause suspicion and doubt in a woman. But from the reviews it can be judged that if the monthly allocations were normally meager, women don't notice the difference. You need to pay attention to such factors:

If spotting appeared after a delay.
If they are clotted and unusually copious.
If you start ahead of schedule.
Lasts only 1 or 2 days.
Minor.

Algorithm of actions in case of doubt

If a woman does not exclude that she may be in a position, but she has discharge, then she immediately needs to visit a specialist. You should never take any drugs or use folk methods in order to intensify menstruation and cause an abortion, as a continuation of a miscarriage that has begun.

It is better not to try to stop the bleeding with medicines and herbs. This will not stop the discharge, but it can negatively affect the health of the fetus and the future mother. The most correct algorithm for women's actions is:

To the question of interest to all women about whether there can be menstruation during the period of bearing a baby, experts give an unequivocal answer that these two concepts are absolutely opposite to each other. Even minor spotting during the period of bearing a baby is a pathology that needs medical supervision and, possibly, emergency treatment.

It is for this reason that if you are tormented by any doubts about your condition, you should immediately visit a specialist. And this must be done as quickly as possible. After all, if a woman delays visiting a clinic, this can lead to deplorable events.

Women are often concerned about the question: can menstruation go during pregnancy? This is of interest to both those who plan to become a mother, and those who do not want to give birth. Usually, girls begin to worry if spotting has passed after a delay, that is, some time after the expected next menstruation. It is not clear: could this be pregnancy or just a cycle failure?

First, let's define terminology. Physiological female processes are arranged in such a way that menstruation stops if conception occurs. Therefore, doctors give an unambiguously negative answer to the question of whether menstruation can go during pregnancy.

But not everything is so simple. After conception, especially in the early stages, blood can really bleed, and this condition can be easily confused with menstruation. Sometimes it is abnormal bleeding that requires urgent medical attention.

Quite often, women find themselves in an incomprehensible position. It happens that a woman is sure of her pregnancy, but she starts spotting. It happens that conception is unlikely, but menstruation came after a delay, it is unusual in nature (for example, too weak or started earlier than usual). In this case, you need to do a pregnancy test during menstruation, which is in doubt.

Now the main thing is to establish the fact of the presence (or absence) of pregnancy as quickly and accurately as possible. For this, an express test is carried out to determine the concentration of hCG in the morning portion of urine. This is the same test that is sold in any pharmacy. Since it is spotting that causes a flurry of questions, many take a pregnancy test during menstruation, while worrying about how reliable the results will be.

How to use the test

With a monthly test, it can show the same as in their absence. In order to get a real result, follow the rules for its implementation:

on the eve of drinking less liquid, especially in the evening - to increase the concentration of morning urine. This is especially important in the very early stages;
before the first morning urination, thoroughly wash yourself and insert a tampon into the vagina;
collect the first portion of urine in a sterile container;
make sure that the test has not expired, and it has a complete package;
lower the test strip only to the level indicated in the instructions, not deeper;
observe the time of evaluation of the result.

As a rule, a pregnancy test during menstruation is negative. Often premenstrual syndrome in its symptoms is similar to the first signs of conception. And a woman is mistaken, taking PMS for pregnancy.

Rarely, but another option is possible: conception did occur. But on the first day of menstruation, the test has not yet shown it, because the period is too short. You can re-test a little later, which can show pregnancy after menstruation, since with an increase in the period in the urine, the concentration of hCG increases. But, we repeat, then this is no longer menstruation, but a completely different bleeding (more on that below).

A positive test result is the best answer to the question of how to distinguish between menstruation and pregnancy for those who dream of a baby.

Since the test can be wrong, especially if it is done on the first day of menstruation, you can donate blood for the presence of hCG. This analysis is able to determine conception - already in the first month of pregnancy, approximately 10-15 days after fertilization.

Types of spotting

Girls who do not have hormonal disorders usually know when their period should begin, how many days it can go, and what is the total length of the cycle and the normal type of discharge. Therefore, it is easier for them to suspect signs of pregnancy during false periods. The rest have to focus on general knowledge.

Vaginal spotting is evaluated according to several criteria.

In count:

smearing,
scarce,
normal,
plentiful.

By color:

brown;
dark ("black periods");
red;
bright scarlet.

By consistency:

liquid;
with particles of the inner lining of the uterus;
thick - when a significant blood clot can be detected.

By duration: every woman knows her usual cycle - for some, menstruation is short and ends in three days, for others it lasts more than seven days.

Menstrual-like bleeding may differ from normal periods. A change in the nature of the usual discharge may indicate pregnancy during menstruation (more precisely, during bleeding). Pay special attention if:

menstruation started prematurely;
went meager menstruation;
ended faster than always: it happens that menstruation goes one day;
the discharge had an unusual color, the so-called black periods, brown or pink;
the consistency of the secretions has changed. There were signs of menstruation with clots or discharge, on the contrary, the discharge became too liquid;

Scanty or spotting discharge is observed with:

hormonal disorders,
inflammatory processes,
taking hormonal contraceptives,
use of intrauterine contraception,
traumatization of the mucous membrane of the neck and vagina during aggressive sexual intercourse, medical or hygienic manipulations.

In addition, if after a delay there is a brown spotting discharge, accompanied by pain in the abdomen, a deterioration in the general condition, they may be a manifestation of an ectopic pregnancy.

Abundant discharge that appeared suddenly is difficult to confuse with menstruation, they should alert the woman, since heavy bleeding is a direct threat to life.

Discharge during uterine pregnancy

When a fertilized egg implants in the wall of the uterus, a small amount of blood is released. This is implantation bleeding, it is often confused with scanty menstruation and it is believed that menstruation has come ahead of schedule. There is very little blood, usually just a few drops of pink or brown. Implantation bleeding is normal and does not threaten pregnancy.

Bloody discharge, which is similar to menstruation during early pregnancy, is a sign of hormonal imbalance. With a lack of progesterone, the hormone that maintains pregnancy, the body may decide that it is necessary to normalize the menstrual cycle and start it. Then there may be menstrual bleeding. A strong contraction of the walls of the uterus at this moment can prevent the full attachment of the embryo, and then the woman may not even know about her conception, considering her periods to be normal.

Is pregnancy possible after menstruation, how to find out, a gynecologist will tell you. Most likely, the doctor will send the patient for a blood test and ultrasound. For your part, listen carefully to your body in a doubtful period. A woman herself can determine the signs of pregnancy if menstruation occurs:

bursting pain in the mammary glands, their increase and the release of colostrum when pressing on the areola;
frequent urination;
taste and olfactory changes, craving for unusual food, inedible substances;
drowsiness, fatigue, irritability;
the appearance of acne and pigmentation on the skin.

Yes, it could be pregnancy. This condition usually encourages those who really want to get pregnant. But in reality, it often turns out to be a sign of PMS during normal menstruation. If menstruation has not gone, you should not guess for a long time how to distinguish PMS symptoms from pregnancy, it is better to do a home express test and contact a specialist at the clinic.

The probability of fertilization depending on the day of the cycle

The menstrual cycle of women is a very variable process. There are girls whose periods go “like clockwork”, but this is rare, many factors influence the timing - climate, stress, illness. Under such conditions, the egg can mature for conception at almost any time. This is unlikely on the first day of menstruation, but in the last days it is quite possible. Therefore, the situation when fertilization can occur in the early stages after menstruation is not so rare.

It is important to understand that pregnancy that began during menstruation is a variant of the norm. And bleeding that occurs after conception, the so-called pregnancy through menstruation, is a sign of a pathology, possibly serious, which can threaten the health and life of mother and baby.

Therefore, all doubts and questions about how to distinguish pregnancy from hormonal dysfunctions, whether there can be periods during pregnancy and how to distinguish them from ordinary ones, should be asked to the gynecologist at an in-person consultation. The doctor will indicate what other tests, analyzes and examinations should be taken in order to sort out the ambiguous situation.

You should not engage in self-diagnosis and, moreover, prescribe treatment, it is dangerous for both a pregnant woman and one who does not plan to have a baby. If the bleeding is severe, if there is pain, you should call an ambulance or immediately consult a doctor on the first day of menstruation.