Breakthrough bleeding appears in addition to the normal menstrual bleeding. At intervals, blood flows, either weakly or more vigorously, for one, two or more days. These may be spotting or pronounced as extra bleeding. Breakthrough bleeding can occur n different ways, but in most cases it is not anything dangerous.
However, such menstrual disorders are not normal. Therefore, a gynecologist should clarify the cause.
First, he will rule out whether there is a pregnancy or related problems. Then he looks for other possible causes, such as diseases of the genital organs.
Also, hormonal imbalances may be responsible for abnormal blood leakage (dysfunctional bleeding). In addition, breakthrough bleedings occur more frequently when the cycle is naturally more irregular, such as on the one hand at a very young age, after the onset of sexual maturity, on the other hand in the period before menopause.
Menstrual cycle of the woman: what is considered normal?
Once a month, menstruation happens – this “rule” is known by a lot of women. But every woman has her own rhythm. In other words, the distance between two bleeds, their duration and strength are individually different.
Nevertheless, there are a few clues as to what can be considered “normal”. Gynecologists are based on the following experience:
- One cycle lasts 27 to 28 days on average.
- The menstrual period lasts about four to five days
- The average blood loss is 50 milliliters
- Day without ovulation – fertile and non-fertile days
What happens in the normal monthly cycle is mostly clear to all women. To explain it simply: FSH (follicle stimulating hormone) promotes the egg in the first cycle phase, the estrogen level rises. The estrogens also help build the uterine lining.
At the peak of fertility, LH (luteinizing hormone) starts ovulation. Progesterone characterizes the second half of the cycle as corpus luteum hormone. Estrogen, progesterone and other hormones such as hCG then play an important role in pregnancy. These days happen somewhere in the middle period of your menstrual cycle, usually 7 days after the last day of period, if your period cycles are in normal range (29 days).
Bleeding out of cycle can mean these eight things:
Some women are bleeding in the first three months of pregnancy. Blood is then weaker than normal menstruation, so if you had unprotected sex, you might have the baby on the way.
If you drink some of the strongest medicines, it may happen that the cycles are more abundant and longer. If this happens to you, you should contact your doctor.
- The thyroid gland
The thyroid gland may also be related to vaginal bleeding. Inactive thyroid gland may affect the hormones, and in some cases also cause bleeding.
You may have some sexually transmitted disease, but you are not aware of it. In fact, they often occur without any symptoms. If you are bleeding, it may be chlamydia, gonorrhea, and trihomonas and HPV can cause cervical inflammation.
If you have a spiral, especially that with copper, it can lead to bleeding. Cycles with this contraceptive are usually more abundant and longer.
- Rough intercourse
A rough intercourse sex, too, can be a cause of bleeding.
- Ovaries problems
If your ovaries are polycystic, it may mean that you have an excess of male hormones. Testosterone disrupts estrogen to behave properly.
This is the worst reason why bleeding may occur. In any case, you must visit the gynecologist.
Influence of the hormones on breakthrough bleeding
The psyche also plays a role in bleeding disorders. Because there are many interactions between hormones and psyche.
In addition, certain metabolic diseases influence the cycle. Sudden, violent bleeding should be considered as an emergency. For the affected woman, this means that she should immediately go to a gynecologist, an emergency practice or a gynecological clinic or be taken there. If the bleeding is associated with unusually severe pain and/or obvious physical weakness such as a tendency to collapse, call the emergency doctor immediately.
Menstrual disorder, inter-menstrual bleeding: Diagnosis
As a first step, the doctor, if he does not know the patient, will have a detailed conversation with her. It is about the previous development of the cycle and the personal medical history (anamnesis). For example, he must know about past pregnancies, miscarriages, infertility, gynecological and other operations, other diseases and their treatments, especially those of a hormonal nature.
Currently relevant are details of the patient on the course of the last menstrual bleeding and related peculiarities and complaints. If the patient has been to the same doctor’s office several times before and her medical history is therefore well-known to the doctor, the conversation will focus on the current symptoms. Breakthrough bleeding appears in addition to the normal menstrual bleeding. At intervals, blood flows, either weakly or more vigorously, for one, two or more days. These may be spotting or pronounced as extra bleeding. Breakthrough bleeding can occur n different ways, but in most cases it is not anything dangerous.
Ultrasound examination at the gynecologist
After the subsequent gynecological examination, the doctor also performs an ultrasound examination. He may advise the patient to measure the morning body temperature (before getting up) over one or more cycles. The basal temperature curve obtained in this way provides information on whether and when ovulation occurs, which in turn makes it possible to estimate the ovarian function. In a menstrual calendar, the patient should also record the frequency, duration, and amount of menstrual bleeding over a period of time.
Especially many women with a long-cherished desire to have children have ever wondered – when is the exact time to make a baby? However, as the nidation bleeding can always be confused with a normal menstrual bleeding, we clarify the most important questions about the bleeding in a brief summary. When is the implantation of the egg possible? How does an implantation bleeding develop at all?
Nuptial bleeding: When do you talk about such a bleeding and what happens?
If bleeding is clearly a nuptial bleeding, then alcohol-free sparkling wine can be used to trigger pregnancy! For many women, however, it is not easy to differentiate the bleeding from a normal menstruation or bleeding with other causes.
Do you notice the implantation at all? Does the implant bleeding cause pain? And what does the perfusion bleeding look like? These questions cannot be answered flat rate, because many women do not even know when it takes place.
The perfusion bleeding is also known under the terms implantation bleeding. The word Nidation goes back to the Latin word ‘nidus’ for Nest, the word implantation also has Latin origins – ‘implantatus’ means implanted. And when is the implantation? Quite simply: Around 24 hours after the sperm and egg are fused together, the first cell division takes place.
After fertilization, the fertilized egg makes its way to the uterus via the fallopian tube. Once there, the so-called Nidation occurs – the fertilized egg nests in the mucous membrane of the uterus. During this process, however, it can lead to the injury of some blood vessels. The resulting bleeding is completely harmless and is referred to as nidation bleeding.
Postoperative bleeding: When does it happen after fertilization?
A Frequently Asked Question about the Bleeding-in Period: When Does It Start After Fertilization? The answer: The bleeding occurs only a few days after ovulation. When an ovum has been fertilized successfully, it sets off towards the uterus. If everything goes well, the implantation takes place there five to ten days later.
Postoperative bleeding: When is it a normal period or a bleeding? And how strong is the difference?
The difference in length is the most important factor by which a nidation bleeding and a period can be distinguished from one another. Because a period lasts on average four to seven days, whereas the nidation bleeding usually turns out to be significantly shorter and lasting only one to two days. The perfusion bleeding and color may vary. In the case of a nursing hemorrhage, the color may vary in color depending on the woman. Menstrual bleeding often changes from dark red to brownish color over the period. Spotting also often has a brownish hue. On the other hand, a period of one-ninth bleeding usually has a light red hue.
Do you notice the implantation of the fact that you get a nidation bleeding?
As already mentioned, implantation can cause minor injuries to the blood vessels of the uterus or uterine lining – in some cases; this can result in severe bleeding in the uterus. These bleeding can vary greatly; the course is completely different from woman to woman. In most women, however, the bleeding is usually so weak that it is not felt.
In many cases, a Nidation bleeding runs very weak and exclusively inside the body, so that the affected women do not feel it at all. Only in some cases does a strong bleeding result in the appearance of bright red blood – which is often thought to be a brief bleeding episode.
Implantation: What symptoms indicate that it is a nidation bleeding?
In the case of implantation, the following symptoms are particularly frequent:
- Frequent urination: If you suddenly need to go to the bathroom more often, the reason for this could be the beginning of a pregnancy.
- Also, increased appetite and hunger attacks are among the typical symptoms that can occur during pregnancy – well, therefore, that an implantation bleeding is the cause.
- Cramping, pulling or minor pain in the abdominal area: Similar to a normal period, similar symptoms occur during implantation. If the abdominal cramps do not subside in the further course, this could also point to other health causes. For example, an inflamed cecum or a bladder infection can lead to symptoms that can manifest themselves in a similar way to the symptoms that occur during implantation.
- Fatigue: If you are suddenly tired all the time, you should think about the causes – occupational stress, diminishing light in the cold season or possibly a bleeding from the nasal congestion.
- Tension in the breasts or discoloration of the nipples can also be an indication that there is a nidation bleeding.
- In many women, a nidation bleeding leads to a disruption of digestion, which may show as constipation. But the exact opposite, so diarrhea, can be an indication of pregnancy.
- Odor sensitivity, nausea and vomiting may also speak for implantation and its symptoms.
When is the implantation? And what does the perfusion bleeding look like?
To find out if it is indeed an implantation and its symptoms, one hundred percent of the safety can only give you a pregnancy test.
In any case, pain that does not resemble those of a normal period and disappears after a few days should be expertly reviewed by a physician. Even unceasing pain or symptoms such as heavy bleeding should definitely be clarified by a doctor.