What does the appearance of bloody discharge in the middle of the cycle mean?


Spotting in the middle of the cycle should alert the woman, to draw increased attention to the state of the body. The causes of bleeding between menstruation several. Including physiological, that do not carry danger, are not considered as a deviation. In most cases, in the discharge in the middle of the cycle lies the danger of gynecological diseases. Sometimes it is unusual discharge is the first alarming symptom.

Spotting between menstruation as normal

Discharges with a small amount of blood may appear in the middle of the cycle during ovulation. In the body are complex processes. The egg cell leaves the follicle, begins to travel in search of sperm. In addition to transparent viscous secretions, blood may be present. In most cases, the amount is so miserable that the woman simply does not notice it. Discharges acquire a color of varying intensity from pink to brown. The cause of brown secretions is the ability of the blood to quickly clot under the influence of the vaginal environment, oxygen. Since the blood droplets are insignificant - they quickly turn into brown discharge. There is nothing dangerous in the process. Just in one of the monthly cycles the body was more sensitive to the processes of ovulation, the rejection of the egg was somewhat traumatic. In the absence of painful sensations, other unpleasant or disturbing symptoms, you can live peacefully for your pleasure. Some women, in general, are satisfied with the situation - they know exactly when ovulation starts.

Spotting in the middle of the cycle occurs after active sex, if there was not enough moisturizing of the vagina. In other words, the woman was not excited, was against sexual contact. There are brown discharge with mucus for some time after the first sexual experience of a girl with damage to the hymen. The situation is also normal, and brown discharge can appear 3 more times after sex.

Brown discharge between the monthly appear on the background of taking birth control pills. There is nothing strange in this either, if their amount is insignificant, there is no pain. Under the influence of hormonal contraceptives, the balance of hormones changes, a smaller layer of the endometrium forms on the uterus, the body functions differently.

In other circumstances, you should think about the presence of pathologies, diseases of the reproductive system.

Spotting as a symptom of the disease

The occurrence of brown secretions in the middle of the cycle should be paid special attention in the following circumstances:

  • Spotting, brown began to appear without hormonal means.
  • Against the background of brown secretions in the middle of the cycle there is pain in the lower abdomen, lower back, and sacrum.
  • In the presence of brown secretions in the middle of the cycle, the body temperature rises, there is a burning sensation, itching, discomfort in the vagina.
  • Menopause is present, menstruation was absent for a long time.
  • Spotting appears constantly after intercourse.
  • After the brown discharge in the middle of the cycle, the menstruation is disturbed - they are delayed, they arrive earlier, they do not end for a long time, there are abundant secretions.

If there is a brown discharge in the middle of the cycle, you should contact your gynecologist for help.

Diseases provoking the blood composition of the discharge between menstruation

Usually, brown secretions appear as a result of hormonal imbalance, which leads to diseases of the reproductive system, especially the uterus. Violations are observed in the functions of the uterus, ovaries, appendages. In the process of hormonal imbalance, the full development of the endometrium is disrupted, the development of the egg cell is hampered, and its exit from the follicle. Blood discharge between menstruation indicates diseases:

  • endometritis of the uterus,
  • fibroma,
  • uterine fibroids,
  • appendage swelling,
  • uterine cancer,
  • internal adenomyosis,
  • polycystic ovaries,
  • sarcoma,
  • cervical erosion,
  • genital infections
  • inflammation of the uterus, appendages.

All diseases are treatable. Therapy drug, surgical. In uterine cancer, chemotherapy and other methods are prescribed to suppress the growth of cancer cells. Endometriosis of the uterus requires long-term use of hormonal drugs. Erosion of the cervix is ​​eliminated by chemical cauterization, medication.

An unusual situation can cause endocrine disease. The thyroid regulates hormone production. Due to imbalance, the monthly cycle is disrupted. A woman feels chronic fatigue, irritability, gains weight or rapidly loses it, worries a headache, dizziness. Chronic diseases not related to the reproductive system affect menstruation. Taking antibiotics, drugs that affect blood clotting, adversely affects women's health, menstruation.

Causes of bleeding, not related to diseases of the reproductive system

There are situations where bleeding between menstruation in certain cases is considered the norm, but the woman's reaction requires.

  • Installing the intrauterine device

The first 3 months after the introduction of the body, the uterus adapts to the new conditions of existence. Increased blood excretion during menstruation, there is a blood, brown discharge in the middle. In this way, the body exhibits adaptation. After 3 months, the situation becomes alarming, the uterus does not accept an alien object. There is a question about the extraction of the spiral, since this contraceptive is not suitable, and prolonged bleeding can appear against the background of inflammation. The same applies to taking birth control pills, the use of creams, patches, and other contraceptives.

  • Emergency contraception

Cause a strong hormonal surge. There may be a selection of brown or blood. Stop after 2 - 3 days.

Blood secretions will begin to appear due to injury, surgery, manipulation of the uterus. The doctor is obliged to warn about the occurrence of such a situation. After abortions, hormones and the integrity of the uterus are disturbed. Brown color may be present all cycle. If the blood discharge increases, it is necessary to consult a specialist, because they indicate the onset of inflammation due to infection.

Blood discharge is present periodically in the early stages of pregnancy, when the woman does not know about it yet. The reason - hormonal changes, transformations in the body, the uterus. If there is a delay after the blood discharge in the middle of the cycle, and then the bleeding increases, you should see the doctor. This situation may indicate an ectopic pregnancy or spontaneous miscarriage. If spontaneous miscarriage, the uterus is self-cleaning with a lot of menstrual blood. With ectopic pregnancy there is a serious threat to the life of a woman. Pipe rupture as pregnancy strengthens leads to internal bleeding. Without emergency care, a woman can die.

  • Dysfunction of the nervous system

Shocks, nervous stress, depression, overwork of the nervous system lead to hormonal disorders. As a result, there is a change in the nature of menstruation, functions of the uterus, and unusual discharge appears.

  • Climate change

The situation is similar to the previous cause. The body is under nervous stress, physical, since the time zone has changed, the climate. The monthly cycle is normalized independently after a while. Or directly after returning to normal living conditions.

The reasons are more than enough to puzzle, it is easier to go to the doctor for a consultation, to take measures if necessary. Diseases identified at the initial stage are more amenable to treatment. In each case, it is necessary to analyze all the events of the past month, your own feelings. This should be told at the reception.

Why does blood appear in healthy women?

Discharge in healthy women changes over the course of a month: initially, scarce, odorless, and abundant with a sour tint before menstruation. Abundant discharge in the middle of a cycle occurs for the following reasons:

  • The presence of intrauterine device.
  • Acceptance of oral contraceptives.
  • Diagnostic procedures - biopsy, curettage, probing.
  • The initial period of pregnancy.
  • Rough intercourse.
  • Drug or instrumental abortion.
  • Violation of the integrity of the hymen.

Medical Interventions

The intrauterine device is a contraceptive method in which a special plate with hormones is inserted into the uterine cavity. It is used in women who have given birth after exclusion of inflammatory and infectious diseases. Against the background of chronic infections, perforation of the uterus, damage to blood vessels, loss of the spiral. Because of what, in the middle of the cycle, there may be discharge with an admixture of blood.

Biopsy, sensing and curettage - methods of examination of the uterus and its cervix, which are carried out in a hospital. Before the procedure, a woman is warned about possible consequences: bloody discharge, pain, the need for strict hygiene. With a good condition of the coagulation system and the absence of neoplasms, the bleeding stops after 5-7 days.

Oral contraceptives - drugs with different combinations of female sex hormones. They affect ovulation, endometrial thickness, menstruation cycle. Brown discharge on day 13 of the cycle is normal.

“Getting used to hormonal contraception means lasts 3 months. Further brown secretions should not be.


The initial period of pregnancy is the stage at which the fertilized egg is attached to the wall of the uterus. The formation of new vessels that feed the egg, accompanied by brown discharge. Blood drops in the middle of the cycle - a sign of pregnancy. Such symptoms occur when the level of human chorionic gonadotropin has not yet increased, and the test does not confirm the pregnancy.

Abortion is carried out up to 22 weeks of pregnancy at the request of the woman or for medical reasons. After the intervention, there is a discharge with blood, similar to the menstrual flow. They last from 10 to 14 days and have a rich character. Discharge should not be accompanied by an unpleasant smell. The intensity of blood loss does not exceed one gasket in 2-3 hours.

Sexual intercourse

Sexual intercourse is sometimes accompanied by the release of a small amount of blood. If a woman is examined and somatically healthy, the unshrivel indicates a lack of lubrication or gross sexual intercourse. Gentle mucous membrane is easily injured, microcracks appear on it. To the next coitus, the symptoms should disappear.

During the first sexual intercourse, a small amount of blood is also released. She appears on underwear or sanitary pads for another day. The next day, there should not be detachable. With the following two contacts may also be bleeding. It is due to the fact that the mucous membrane did not have time to recover.

All of these conditions do not require medical intervention. With personal hygiene and normal activity of the immune system, they proceed without complications. It is necessary to undergo the diagnostics if the dark discharge is accompanied by discomfort, temperature, marked malaise.

At what pathology in women appears blood?

Discharge with blood in women of climacteric age, pregnant women, adolescents, should be alerted. Symptom occurs with the defeat of such structures:

  • External genitals.
  • Vagina, urethra.
  • Anus and rectum.
  • Cervix.
  • Uterus and appendages (fallopian tubes).
  • Circulatory system

The localization of the lesion is determined after inspection in the mirrors, a bimanual study, taking smears.

Diseases of the external genital organs

Due to viral, bacterial, fungal or parasitic invasions, vulvitis, bartholinitis, abscesses, ulcerations develop. When these pathologies form a small amount of dark secretion. This symptom is especially pronounced in vulvar abscess and ulceration.

When vulvitis and vulvovaginitis purulent deposits and sores are formed, which bleed upon contact. Diphtheria vulvitis is accompanied by swelling of the skin, the presence of solid films, when removed, bleeding occurs. Be sure to increase the inguinal lymph nodes. With trichomonas vulvitis, the bloodharing is less common. Typical symptoms are itching and burning, frothy discharge.

Dark discharge occurs in cancer of the genital lips. Malignant cells originate from the mucous membrane. At the initial stage, the affected area is compacted and reddened. At night, itching and burning. Discharge resembles leucorrhoea with the inclusion of blood. With a long course of the disease, body weight decreases (by 10 kg or more). Most affected large labia.

Diseases of the vagina and urethra

Specific and non-specific vaginitis leads to a decrease in the quality of life and changes in discharge. Women are concerned about poor bleeding, odor, pain and discomfort in the vaginal area. Bloody discharge occurs with chlamydial, ureaplasmic, trichomonas vaginitis. Bacteria cause cervical erosion and affect the endometrium.

A separate group includes atrophic vaginitis, which are more common in women from 45-50 years. The disease is caused by a sharp decrease in estrogen levels. They are accompanied by the release of blood at any contact, dryness, and burning. Dark discharge occurs both on the 14th day of the cycle, and on other days.

Urethritis is an acute or chronic inflammatory process in the urethra. If it is caused by gonococcus or trichomonas, which damage the mucous membrane, there is a brown discharge. Blood droplets can be detected in polyps, urethral angiomas. They mimic daub from the vagina.

Diseases of the rectum

Anus fissure - pathology, accompanied by a violation of the integrity of the mucous membrane and underlying tissues. Blood excretion is greater during bowel movements, but may be during physical exertion. Drops or streaks of scarlet blood can be seen on toilet paper.

Hemorrhoids - a disease in which the hemorrhoidal veins increase. In addition to the discomfort in the anus, there is a dark discharge. In hemorrhoidal thrombosis, a dark clot is released, followed by scarlet blood. Discharge from the genital tract mimics the internal hemorrhoids, as it has no other symptoms. The disease often occurs in women who have given birth due to increased intra-abdominal pressure during pregnancy.

“In self-diagnosis, a woman may take the discharge from the rectum, for blood from the genital tract. This is due to the fact that diseases of this location do not always have vivid clinical signs. ”

Why at tumors there are spotting? Blood in cancer is due to damage to the blood vessels. This symptom occurs in cancer, rectal polyp. Polyp is a benign tumor. It is single and multiple. The polyp on the stalk may fall out and be infringed, causing bleeding. In case of multiple polyps, mucus with blood is observed. Cancer manifests itself at stage 3-4, when the uterus and bladder are involved in the process. In addition to brown discharge, worried about the violation of the menstrual cycle, weight loss, anemia.

Cervical disease

Erosion is a defect of the mucous membrane located on the vaginal part of the cervix. In the early stages of the disease does not occur. Further, the duration of menstruation increases and aching pain occurs during intercourse. In this disease, blood appears on day 10 of the cycle and after coitus. The appearance of discharge with clots is an unfavorable symptom. He talks about the formation of deep erosion.

If erosion is not removed, it can turn into a malignant pathology. Cervical cancer is a disease that is accompanied by bleeding in the middle of the cycle. They appear after examination by a doctor or coitus. At destruction of lymphatic capillaries, plentiful transparent allocations disturb. Its symptoms are similar to erosion. Therefore, if a malignant process is suspected, a biopsy is performed.

Pathology of the uterus

Endometritis is a pathological process localized in the inner lining of the uterus. In the acute process, in addition to bleeding, there is hyperthermia, pain in the lower abdomen. The chronic form of the disease proceeds with minor bleeding on day 14 of the cycle and smoothed out common symptoms.

Endometrial hyperplasia is a disease accompanied by excessive growth of the endometrium. It is manifested by the following symptoms: thinning in the middle of the cycle, dyspareunia, irregular menstruation or lack thereof, pain syndrome. Adenomyosis is a type of hyperplasia. It is manifested by scarlet or dark secretions on the 11-15 day of the cycle. The color of the discharge depends on the form of adenomyosis.

В матке могут образовываться доброкачественные опухоли – миома, полип, фиброма. Polyp can be detected by chance, when conducting ultrasound. When it reaches a large size, there are brown discharge and pain in the projection of the uterus. Menstruation becomes profuse and irregular. Uterine fibroids also grow asymptomatically. With large knots, there are bloody discharge on the 16th day of the cycle. Menstruation occur with severe pain.

"When large fibroids, urination becomes more frequent, there is a delay in stool."

Fibroma - a neoplasm of connective tissue. She has symptoms in only 20% of women. When fibroma uterine bleeding occurs, the menstrual cycle is broken. Sexual intercourse is often painful and may be accompanied by brown discharge. The tumor causes severe pain in the pelvic region due to compression of the nerve endings. On day 13 of the cycle clots may come out. This process is accompanied by severe spasm.

Cause of hemorrhage can be uterine cancer. The disease is almost not accompanied by pain. A characteristic symptom is uterine bleeding that occurs between the 10th and 16th day of the cycle. In young girls, cancer is manifested by heavy menstruation. Weakness and malaise appear only in advanced stages. Overall health remains good for a long time.

Pathology of appendages

Blood discharge in the middle of the cycle may be due to salpingitis. Inflammation of the fallopian tubes is one-and two-way. If salpingitis is caused by trichomonas or gonococcus, and it has not been treated for a long time, a brown discharge appears. In the acute form of the disease, the temperature rises, nausea, vomiting, chills, palpitations, and pain occur in the corresponding half of the abdomen. Chronic salpingitis occurs with subfebrile temperature and is not always accompanied by hemorrhage.

Polycystic ovary leads to intermenstrual discharge. With this pathology, menstruation may be completely absent or begin several times within a month. "The polycystic ovary syndrome is manifested by unusual menstruation - not abundant, lasting 2 days."

Symptoms of the disease resemble the bleeding and bother on the 12th day of the cycle. Also there are abdominal pains, body weight increases, it is difficult to get pregnant.

Separately, it should be said about operations on the vagina, uterus and her neck. Attaching the infection, improper care of the seam, can lead to its divergence. Pathology is accompanied by pain, discomfort, bloody discharge. If injection painkillers are administered in the postoperative period, there may be no pain.

Blood in the discharge in pregnant women

Bloodshed occurs with spontaneous abortion. Detachment of the ovum or placenta proceeds with metrorrhagia - from several tens of milliliters to profuse bleeding. Also worried about cramping abdominal pain, general weakness. In the later periods, amniotic fluid is excreted.

A life-threatening condition is an ectopic pregnancy. Fetal egg can be in the fallopian tube (in the ampullary, isthmic department, interstitium, fimbriae), the cervix. Abortion is accompanied by severe pain, the appearance of dark discharge from the genital tract, and sometimes loss of consciousness. Symptoms occur against the background of complete well-being on any day of the cycle.

Diseases of the blood coagulation system also change the nature of the discharge. In hereditary diseases (hemophilia, thrombocythemia), liver damage (protein deficiency, vitamin K) or taking anticoagulants, uterine bleeding may develop. Less commonly, the cause of metrorrhagia is caused by diseases of the vascular wall, atherosclerosis, and increased blood pressure.

What symptoms should alert the girls?

In the absence of complaints, you need to visit a gynecologist once a year. Urgent need to see a specialist if the following symptoms:

  • High temperature (39-40 ° C) and chills.
  • Severe pain in the lower abdomen, which does not disappear after taking antispasmodics.
  • Bleeding that requires more than 1 pads per hour.
  • Bleeding in confirmed pregnancy.
  • Profuse bleeding.
  • Abdominal pain after injury.
  • Bleeding after sexual intercourse.
  • Metrorrhagia, which appeared after the menopause.

When bleeding, severe pain and hyperthermia, you must call an ambulance. For other symptoms, refer to a gynecologist in a planned manner.

"It is not recommended to take painkillers on their own, as this may complicate the diagnosis."

Is it possible to prevent the appearance of bloody discharge? Most gynecological diseases develop over months or years. For their prevention, you need to undergo a timely examination.

The exceptions are the following states:

  • Spontaneous abortion.
  • Injuries to the genitals.
  • Loss or displacement of the intrauterine device.

With this pathology, bleeding occurs suddenly. The onset of symptoms does not always depend on the underlying diseases and medical examinations performed. Spontaneous abortion can occur against the background of stress, physical overstrain. Injuries and displacement of the intrauterine device occur in healthy women for various reasons.

Bloodshed occurs in healthy girls and in diseases of the external and internal genital organs. Sometimes these symptoms are accompanied by diseases of the urethra, rectum. Therefore, an examination by a gynecologist, a surgeon, laboratory and instrumental examinations is required to clarify the cause.

Hormonal fluctuations associated with the onset of ovulation

Most often non-abundant bleeding from the vagina, appearing in the middle of the monthly cycle, is associated with hormonal fluctuations that occur at the beginning of ovulation. In gynecological practice, this condition occurs in 30% of women of reproductive age. At this time, a large amount of estrogen is produced in the female body (a sex hormone that affects the uterine wall mucosa), which can cause the appearance of insignificant secretions with blood.

Normally, ovulatory bleeding is smearing and lasts no more than 72 hours. They are characterized by pinkish or brownish staining. It should be noted that in this state a woman does not need to use special hygiene products. Most often, such intermenstrual bleeding occurs at 10-15 days from the beginning of the cycle. In that case, if they become abundant and last more than three days, then the woman needs a gynecologist's consultation, since this condition can signal the presence of hidden pathology.

Early pregnancy

In the female body in the early stages of pregnancy there are extensive changes in the hormonal background, sometimes leading to the appearance of bleeding. They occur during the implantation of a fertilized egg into the uterus (the period at which loosening of the uterine mucosa occurs and the development of new blood vessels in it). In the event that such secretions are not accompanied by pain, they do not pose any danger.


Spotting in the middle of the menstrual cycle is the norm for women who take oral contraceptives for less than three months. As a rule, such secretions are rather scanty, do not cause discomfort and pass very quickly.

However, bleeding can occur after the use of emergency contraceptive drugs, as well as in those women who are protected from unwanted pregnancy with the help of the intrauterine device.

Endometrial polyps

Endometrial polyps - this is a benign neoplasm on the pedicle, penetrated by blood vessels. According to most experts, they are one of the manifestations of hyperplasia (proliferation of the inner layer of the uterus). Polyps occur on the background of hormonal and non-hormonal disorders, and can also cause intermenstrual bleeding and bleeding.

Tumors of the uterus and cervical canal

In some cases, bleeding in the middle of the cycle are satellites of uterine fibroids. As a rule, they develop in patients with submucosal myoma at birth of myoma node.

At the same time, malignant tumors that occur in the body of the uterus and in the area of ​​the cervical canal can provoke such a condition. That is why experts call, in order to prevent this or that pathology, to regularly undergo gynecological examinations.

STDs (sexually transmitted diseases)

Another cause of brownish discharge in the middle of the menstrual cycle are sexually transmitted infections. This condition may be accompanied by fever and severe pain in the lower abdomen. After the diagnosis and appropriate treatment, eliminating the root cause of this condition, discharge stops.

Mid-cycle spotting: what to do?

In the event that the bleeding occurring in the middle of the menstrual cycle is a consequence of the development of the pathological process, then most often this condition is eliminated through conservative treatment, but in rare cases surgical intervention may be required.

When the cause of bleeding are hormonal imbalances, the doctor must correct the hormonal balance and establish the correct work of the female genitalia. However, if such a situation arises against the background of metabolic disorders, as well as in the presence of overweight, the woman necessarily needs the help of an endocrinologist and correction of nutrition.

When a patient is diagnosed with a genital infection (as well as her sexual partner), antibacterial therapy, immunostimulants and anti-inflammatory drugs are prescribed.

If any neoplasms are found in the uterus that provoke the occurrence of bleeding in the middle of the cycle, the woman should be under the constant supervision of a physician, who, if necessary, will make a decision about the surgical operation.