Prices for services
Initial appointment with a gynecologist + ultrasound (assessment of complaints, medical history, examination in a gynecological chair, pelvic ultrasound, consultation)
Primary appointment – visiting a doctor of a specific specialty for the first time. Make an appointment
1800 ₽
Repeated appointment with the gynecologist
With the exception of repeated appointments with doctors: Blatsios N.D., Dzhashiashvili M.D. Make an appointment
1200 ₽
Ultrasound of the pelvis in women (uterine cavity, ovaries)
Make an appointment
1500 ₽
Signs of normality
The secret of a light shade appears as a result of changes in the ratio of sex hormones. When your period ends, vaginal mucus becomes thick and stringy. It allows you to protect the genitals from infection by pathogens. A thick mucus plug also interferes with the normal movement of sperm to the egg.
At the end of the critical days, the appearance of thick, white or beige secretion is allowed. The mucus acquires a yellowish tint due to the content of particles of the endometrium of the uterus and leukocytes. Normally, the secretion has a faint sour odor. Before ovulation, the discharge thins out and becomes more transparent.
During the release of the egg from the follicle, the vaginal environment acquires a slightly alkaline pH. All these conditions create an optimal environment for the movement of sperm to the egg. If conception of a child does not occur, then a few days after ovulation the secretion again acquires a thick consistency.
Symptoms of normal vaginal discharge after menstruation:
- appears in small quantities – 1–4 ml per day;
- light shades - from transparent to yellowish;
- the smell is faint, almost imperceptible.
In each specific case, the color and consistency of the leucorrhoea changes depending on the physiological characteristics of the woman: the level of blood clotting, the composition of the biological fluid, the state of health, and metabolism.
In different women, vaginal discharge may differ not only in color and structure, but also in abundance.
About normal discharge
Normally, a woman's vagina should release fluid. But not all discharge is normal. “Good” discharge includes clear, not abundant (from 50 mg per day), odorless mucus. Normal discharge does not cause discomfort, it does not cause itching, burning or irritation of the vagina. If you take a smear for microflora, it should reveal a normal number of leukocytes with a predominance of lactobacilli. Mucus discharge gradually increases in quantity until the day of ovulation (approximately 14 days after menstruation). During this period, the mucus changes its properties. The feeling of moisture in the external genital area at this time is absolutely normal.
But you need to be very careful about brown discharge! A brown, brownish tint to the liquid clearly indicates bloody or bloody additions to the mucus. And this, in turn, may indicate disorders of the female genital area. Further on such violations and their causes.
Light postmenstrual discharge
Diving into the consideration of cause-and-effect relationships in the context of rejection of brown mucous substances by the vagina, it is impossible not to mention the light brown discharge in women after menstruation, which worries many women. A similar secretion, burdened with additional symptoms, can be released in the diseases listed below.
Salpingitis
This disease is characterized by a strong inflammatory process in the fallopian tubes. Educational materials on gynecology state that in addition to the active secretion of a light secretion, the disease is characterized by a pungent odor. Also in the patient's anamnesis there are mentions of cutting pain in the groin area, weakness and high fever.
Vulvovaginitis
A disease that can equally be caused by both a lack and an excess of hygiene procedures. One of the most effective means of preventing and treating this disease is to avoid personal hygiene products containing artificial fragrances and to daily wash the intimate area with herbal infusions.
Cervical erosion
A pathological condition characterized by damage to the epithelial lining of the vagina. “Visually” erosion manifests itself in the appearance of deep red formations on the outer surface of the cervix. It is impossible to independently identify such a deviation, because diagnosis and subsequent confirmation of the diagnosis is carried out using special gynecological speculums used during the examination. Based on the symptoms, cervical erosion belongs to a number of diseases of the “latent” type, occurring without disturbing manifestations. Many women learn about the presence of this disease during a routine examination by a specialist. Despite the absence of pronounced symptoms, it is worth remembering that bloody discharge that bothers you after the end of your period may indicate the occurrence of neoplasms characteristic of this pathological process.
Briefly about the main thing
Rejection of mucus-like clots that have both brown and white pigmentation can relate equally to both the physiological norm and the symptoms of pathological processes. It is not possible to independently identify the root cause of this. It is possible to create a complete picture reflecting the processes occurring in a woman solely on the basis of test results, ultrasound data and gynecological examination.
A patient who notices brown discharge after menstruation, accompanied by pain or a sharp, unpleasant odor, should immediately consult a specialist. It is possible that in this situation we are talking about an acute inflammatory process or a sexually transmitted infection. The presence of such deviations requires the immediate initiation of a course of antibiotics in conjunction with supportive and strengthening therapy.
Endometritis
Brown discharge may be a sign of chronic endometritis - inflammation of the endometrium, the mucous membrane of the uterine cavity. Brown discharge with endometritis appears before and after menstruation and often has an unpleasant odor. Sometimes brown mucus appears in the middle of the cycle and is combined with aching pain in the lower abdomen. Chronic endometritis is dangerous during pregnancy; it can lead to miscarriages at different stages. This pathology is due to the fact that the process of attachment of the fertilized egg in the uterine cavity and its further development are disrupted.
Chronic endometritis can result from:
- acute postpartum or post-abortion endometritis that has not been completely cured;
- intrauterine interventions;
- imbalance between the body's hormonal and immune systems;
- hidden infections.
The color of the discharge can indicate the cause and appearance. Bacterial infections may appear as a light brown discharge - pay attention to the smell and whether it is itchy. Dark brown discharge indicates the presence of coagulated blood in it, which appears due to damage to the uterus and appendages, erosion, and endometriosis.
When is brown discharge normal?
Brown discharge does not always indicate a disease. Mucusy brown discharge can cause:
- conception and first days of pregnancy
- sexual intercourse
- taking medications
- ovulation
- postpartum period
- starting to take birth control pills
- menopause
- preparing the pelvic organs for menstruation
- endometrial release after menstruation
Normally, this discharge does not cause discomfort, is odorless, low-intensity, and spotting in nature. During the postpartum period, such discharge may be copious.
Brown discharge mid-cycle
During this period, brown discharge may be normal. Mucous leucorrhoea from the vagina may acquire a brown tint due to the ingress of coagulated blood from a ruptured follicle. In this case, the discharge does not have an unpleasant odor, is not accompanied by pain, lasts no more than a couple of days and is spotty in nature. If the discharge is heavy, does not stop between periods, or your health worsens, consult a doctor immediately.
Brown secretion before menstruation
Normally, one or two days before your period, you may experience brown mucus discharge. Their volume is small. This secretion indicates the initial processes of menstruation. If the discharge continues during the week before your period, it is probably caused by the following reasons:
- psycho-emotional stress
- poor nutrition
- excess weight
- bad habits
- lack of sleep
- excessive physical activity
- hormone deficiency
And, nevertheless, if you encounter such a phenomenon, we recommend that you consult a gynecologist. It is important to exclude the possibility of developing pathology.
Discharge after menstruation
Spotting brown discharge after menstruation in the absence of other complaints may be normal. They are due to the fact that the endometrium, which is shed during menstruation, comes out gradually and thus its remains are released. This kind of daub lasts no more than 2-3 days. Longer discharge can indicate the presence of infection, hormone deficiency, inflammation and other pathologies. In any case, it would be a good idea to contact a specialist.
Discharge at conception
When a fertilized egg enters the uterus, a small part of the blood vessels may be damaged. This is what causes scanty brown or pink discharge about a week after ovulation. They can last several hours or several days. However, brown discharge does not always indicate pregnancy. In order to be sure of your health and the causes of discharge, consult a gynecologist.
When brown discharge is a sign of pathology
Typically, in the presence of pathologies, women are concerned about the following symptoms:
- Brown discharge is abundant, thick or, on the contrary, watery
- blood impurities appear in mucus regularly
- pain during intercourse
- elevated body temperature
- unpleasant odor in the intimate area
- discomfort in the perineum
- cycle failure
Even if it seems to you that there are objective reasons for brown discharge (stress, diet, etc.), you should consult a gynecologist to rule out pathologies.
Brown discharge instead of menstruation
Sometimes, instead of the usual menstruation, a woman observes scanty brown spotting. In this case, the discharge is accompanied by pain, nausea, weakness, etc. Among the pathologies that caused this phenomenon:
- hormonal imbalance
- malfunction of the pituitary gland
- endometrial damage
- inflammation
- disruption of the endocrine system
- oncology
Diseases that cause brown discharge
- pelvic inflammation
- genitourinary system infections
- ectopic pregnancy
- endometritis
- endometriosis
- cystitis
- benign formations
- polyps
- oncological diseases
All pathological processes are generally accompanied by not one, but a group of symptoms. Listen to your body. But often diseases remain asymptomatic for a long time. Therefore, we advise you to undergo a preventive examination by a gynecologist at least once a year.
At the medical clinic in Moscow, all conditions have been created for the diagnosis and treatment of gynecological diseases. Make an appointment with any of our specialists.
Endometriosis
Brown or bloody discharge are also the main symptoms of endometriosis of the cervix or uterine body. This does not necessarily cause pain. Endometriosis of the cervix is nodular, small cystic formations or growths in the form of red or purplish-blue stripes. Dark bloody and brown discharge may appear from individual lesions. Endometriosis of the uterine body is the growth of endometrial cells in the myometrium (the muscular layer of the uterus). Pathological discharge decreases in size after menstruation, and its color becomes lighter.
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Green vaginal discharge – bacterial infection
Vaginal discharge with a characteristic greenish color often indicates a bacterial infection (vaginosis), which can be caused, for example, by pathogenic microorganisms of the species Gardnerella vaginalis.
Gardnerellosis is most often accompanied by burning and itching of the perineum, swelling of the labia, pain when urinating, as well as a characteristic fishy odor from the vagina. If these symptoms appear, consult a gynecologist, as ignoring them can lead to serious health problems - bacteria can enter the cervical canal.
Burning and itching of the perineum
Green vaginal discharge may also indicate atrophic vaginosis, which affects women during menopause and when estrogen levels in the blood are low.
Endometrial hyperplasia
Spotting, bloody, brown discharge at the end of the cycle before menstruation or for a long time after menstruation may indicate endometrial hyperplasia. The causes of hyperplasia can be of different nature. Most often, this pathology develops due to hormonal imbalances, as well as carbohydrate, lipid and other types of metabolism. An important role may be played by hereditary predisposition, the presence of uterine fibroids, cancer of the genital organs and breast, hypertension and other diseases, manifestations of damaging effects during the prenatal period of development, diseases during puberty and the disorders of menstrual and subsequently reproductive function caused by them. The appearance of hyperplasia in adulthood is often preceded by previous gynecological diseases, abortions, and genital surgeries.
Causes of dark discharge
If the woman is completely healthy, then after two days the dark discharge turns into full menstruation. You should think about why there is dark discharge for a whole week before menstruation. There are a number of reasons why dark discharge appears in the middle of the cycle:
- Surgical intervention.
- Diseases of the female reproductive system.
- Incorrect use of oral contraceptives.
- Changes in hormonal levels.
- Inflammatory processes occurring in the genitourinary system.
- Taking medications that contain estrogen.
When using an intrauterine device, some women experience slight dark discharge between periods. This method of preventing an unwanted pregnancy provokes changes not only in the cycle, but also in the color of the mucus.
Such periods a week before the expected start of menstruation are influenced by the emotional state of the young lady. If a girl has constantly experienced exciting situations and stress for a month, this means that the discharge may change color.
In some cases, the process may mean that the woman is experiencing an inflammatory process. The following points are highlighted, why scanty periods of a dark shade can appear quite often:
- Sexually transmitted diseases (chlamydia, gonorrhea) - additional symptoms of non-standard dark periods are itching, burning sensation and pain when urinating.
- Endometritis – provokes weakness throughout the body, loss of ability to work, unpleasant odor from the vagina, frequent dizziness. If these signs are detected, one can suspect the presence of an inflammatory process on the uterine mucosa, provoked by an infection.
- Neoplasms of various types are the most dangerous changes in the structure of the female genital organs. In addition to the dark shade of the discharge, cramping-type pain, menstrual irregularities, and the occurrence of spotting at any time between menstruation are recorded.
To identify the causes and prescribe treatment, if required, it is recommended to first undergo a full examination by your attending physician and take the necessary tests. After this, effective therapy is prescribed to eliminate the abnormal process.
Is it possible to prevent brown discharge?
The symptom is caused mainly by two reasons - inflammatory processes in the genitals and hormonal imbalance. It is quite easy to prevent inflammatory processes if you follow the rules of intimate hygiene:
- When taking a shower, wash yourself from front to back to prevent the transfer of intestinal microflora into the vagina.
- Take a shower at least once or twice a day, and also use special hygiene products for the intimate area.
- Do not overuse douching, as it disrupts the balance of microflora in the vagina.
- An increase in the amount of daily discharge is allowed in some cases, but if the process is accompanied by an unpleasant odor, then a doctor’s consultation and a more detailed examination are required.
- During your menstrual periods, try to use pads instead of tampons.
- Do not neglect preventive examinations by a gynecologist, which should be carried out once or twice a year. This will help to identify pathological changes in time and eliminate them at the initial stage.
Preventing hormonal imbalance is a little more difficult, since it is often caused by reasons that a woman cannot influence on her own. However, with careful attention to your health, it is often possible to identify the problem at an early stage. As a rule, it is manifested by psycho-emotional instability and menstrual irregularities. Treatment of such conditions is not complicated and often involves taking hormonal medications or special contraceptive pills.
