Dr Jaime Answers: Different Menstruation and Its Causes

From today we will have the illustrious partnership with Dr Jaime Filho! I met Dr Jaime and his passion for his profession that is so important for us women. Clarifying doubts about the mysterious world of obstetric gynecology is the mission of this generous professional who spent his time helping readers of the Changing Diapers. Welcome Dr Jaime! So come on! The first agenda was about different menstruation.

 

Menstruation with Different Color

Changing Diapers: Some women complain of menstruation of different colors such as pink, watery red and even rust color, what are the possible causes of these changes?

Dr Jaime: Actually the difference in the color of the menstruation is related to the concentration of the menstrual content, as well as the vaginal secretion that the woman has at that moment.

The most common is bright red bleeding in the most intense phase of menstruation, and many patients who have increased flow refer to the output of gelatin-like pieces of blood , which is nothing more than coagulated blood in the vagina that when it comes out presents this form.

At the beginning and end of menstruation, bleeding like ” coffee grounds ” may occur , which is darker in color, since bleeding decreases, mixes with vaginal secretion and through blood clotting reactions acquire this color.

Coffee Bean Menstruation

Changing Diapers: Mensesing coffee grounds is a frequent complaint and question here on the blog, what factors lead to this grounds appearing?

Dr Jaime: Menstruation coffee grounds can appear at the ends of menstruation days (beginning and end) and this is normal. However, this coffee grounds can occur in the middle of the cycle, the so-called mid-cycle bleeding, which is caused by hormonal changes in the menstrual cycle and usually occurs in small amounts.

Another possible situation is the appearance during the use of contraceptives. In this case, 2 situations can occur: if the patient uses a continuous contraceptive pill , without taking a break, she may have coffee grounds after a few months of this continuous use, which we call spottings or menstrual escape .

In this case, a pause of a few days in the continuous use of contraceptives can be the solution for the patient to menstruate and start a new cycle of continuous use (but remembering that in this case it is important to use a condom and always talk to your doctor about it! ).

The other situation is the permanence of the escape in the middle of the contraceptive pack with pause. In this case, this may be due to the estrogen dosage slightly below what would be ideal for that patient (which depends on factors such as the patient’s weight and metabolism), and a reasonable option would be to report this to your doctor, who will evaluate the change or not of this dosage.

Coffee Bean During Pregnancy

Changing Diapers: Menstruation Blurring in pregnancy can be dangerous? what to do if it appears?

Dr Jaime: During pregnancy, it is not uncommon, especially in the beginning, in the first weeks, for the patient to seek the emergency room with coffee grounds bleeding, in small amounts.

This can occur due to desquamation of a small area of ​​the endometrium, which is naturally thickened during pregnancy, but it can also happen due to changes in the pregnancy itself, such as areas of retrovular hematoma (small hematoma that forms between the uterus and the embryo) or it can still mean a threatened abortion . For this reason, bleeding at any stage of pregnancy, whether discreet, like coffee grounds or in greater quantities, should be investigated and the patient should seek her doctor or the emergency room.

Long Cycle and Coffee Bean Escape

Changing Diapers: Can long cycles with the presence of sludge just 1 day be symptoms of illness?

Dr Jaime: Cycles with long intervals and little menstruation, what we call oligomenorrhea, can be signs of chronic anovulation. In a brief summary, the menstrual cycle begins on the first day of the previous menstruation, when the thickness of the endometrium (phase of endometrial proliferation) begins to increase, stimulated mainly by the hormone called estrogen (first phase of the cycle).

In the middle of the cycle, ovulation occurs due to changes in hormonal levels, and after ovulation the production of progesterone begins, which makes the endometrium secretory, preparing it for a possible pregnancy (second phase of the cycle). If pregnancy does not occur, hormone levels drop abruptly and the endometrium begins to flake, that is, menstruation occurs.

In long cycles, there may be changes in the first or second phase. The most common in our country is a change in the second phase of the cycle, caused by anovulation, or lack of ovulation. This is what happens, for example, in Polycystic Ovary Syndrome (PCOS), a situation in which the patient remains long periods without ovulating and therefore is unable to complete the second phase of the menstrual cycle .

Many factors are involved in PCOS , such as increased abdominal waist, peripheral insulin resistance, metabolic syndrome (hypertension, diabetes, cholesterol increase, obesity). Therefore, if your cycle is like this, the ideal is to seek your gynecologist for an adequate investigation of what is happening, so that the best treatment can be carried out.

If you want to monitor or confirm your ovulation quickly and clearly, you can use ovulation tests. For greater effectiveness, it is necessary to know the cycle or at least follow it to have an estimate of when to carry it out. You can follow it through mobile APP’s that offer monitoring of the cycle through the information provided by yourself. With this, you will know the right day to start carrying out the ovulation tests, which will indicate if ovulation is close to happening, if it is happening or is already over. You can purchase your Famivita brand ovulation tests here at the Changing Diapers store.

Variation of Menstrual Quantity and Duration

Changing Diapers: A different period in terms of volume or days (duration) can mean what? Could it be pregnancy?

Dr Jaime: The difference in the number of menstruation days or the volume of the flow (too little or too much menstruation), what we call menstrual irregularity, can occur due to many factors. In general, we divided these causes into 2 fronts: anatomical or hormonal cause.

Among the anatomical causes are uterine fibroids , endometrial or endocervical polyps, changes in the cervix, etc. Excluding anatomical changes, there are hormonal changes, which we call dysfunctional or abnormal uterine bleeding, which is the most common cause of little menstruation or excess that results in menstrual irregularity.

In relation to pregnancy, this hypothesis is raised initially when there is a menstrual delay , and not in every case of menstrual irregularity, however the pregnancy survey will be part of the outpatient investigation of causes of abnormal bleeding, which must be done so that better treatment.

Special Bonus Tentantes

Changing Diapers: When can the test be done? What is the minimum amount of time to wait before taking the pregnancy test?

Dr Jaime: In case of suspected pregnancy, the test can be done as soon as the patient notices the menstrual delay . Pharmacy tests can show false positive or false negative results, so the best thing to do is blood Beta-hCG , which is the hormone produced in early pregnancy and is already positive in less than 1 week of pregnancy .

My name is Jaime Euclides de Santana Filho, I am 32 years old, I graduated in medicine in 2008 and completed my medical residency in Gynecology and Obstetrics in January / 2012 at the Faculty of Medicine of São José do Rio Preto – SP.

Specialist in Gynecology and Obstetrics in 2012 by Febrasgo (Brazilian Federation of Gynecology and Obstetrics Associations). I am a fan of all sports, especially football, formula 1 and tennis, and I value healthy and quality life, as well as respect and affection for others, especially in the practice of medicine.

You can find Dr Jaime Currently in the city of Santos, his homeland, in the office located at Avenida Ana Costa, 222 Conjunto 59 – Vila Mathias – Telephone: (13) 38777900 , and also in the hospitals Ana Costa, Santos Health House , and in other hospitals in the Baixada Santista region (Hospitals São José in São Vicente, Irmã Dulce in Praia Grande and Municipal de Bertioga).

Questions from Readers:

My Period Is Different, What Can It Be?

TF: Each woman menstruates in her own way both in the amount of flow and the color of menstrual blood and the days. When there is a difference in menstruation, it can be recurrent to several causes such as hormonal uncontrolled, therefore tests are needed to diagnose the cause.

Tip: Patricia Amorim, in partnership with the company Famivita, developed a complete line of products that enhance female and male fertility . If you are tempting and want extra help to get pregnant, pay a visit to the online store of Changing Diapers .

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My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.

Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

Dr. Alexis Hart

My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother. Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

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