Is it normal to have discharge after my period?
What are the causes of discharge after your period?
A woman’s body produces hormones during her menstrual cycle. These hormones affect many things in the body including her reproductive system. During menstruation, these hormones cause some of the blood vessels in women’s bodies to dilate and become wider than usual. Blood flow through these blood vessels increases. This allows more blood to reach the uterus and ovaries, which produce eggs for fertilization.
The other way in which hormone changes occur during menstruation is when they affect the lining of the womb (womb) itself. For example, estrogen levels increase in the womb during menstruation so that egg cells may mature there and develop into a pregnancy.
When these two processes happen at the same time, it is called endometrial hyperplasia or excess uterine tissue. Endometrial hyperplasia occurs in up to 10% of all pregnancies and is usually harmless. However, if left untreated, it can lead to cancer later in life. If not treated properly with surgery or chemotherapy, however, it can result in death from complications such as ectopic pregnancy or even ovarian cancer.
To prevent this from happening, a woman’s body produces more of the hormone estrogen. This makes the endometrium (lining of the womb) grow excessively, which can lead to overgrowth and buildup of uterine lining. This causes the lining to shed during her period, as it can no longer stay intact as the body tries to shed it like other waste products.
One possible cause for excess uterine tissue is an ovarian cyst. This cyst can affect the ovaries in such a way that excessive amounts of estrogen are produced, which can result in the overgrowth of the womb lining and cause it to shed during a period.
It is possible for a woman’s body to develop benign or cancerous tumors in the parts of the reproductive system. These tumors can be benign or cancerous but will usually cause bleeding as a result of their growth.
What are the causes of excessive bleeding after your period?
Cancers are not the only cause of excessive bleeding during or after a period. Different things can affect a woman’s body in such a way that make her bleed excessively during or after her period. Some of these things include:
Pregnancy is one common reason for bleeding after a period. It is even possible to get pregnant during or after a period. If this happens, you can get an ultrasound scan to confirm whether you are indeed pregnant.
Premenstrual syndrome (PMS) is a condition that affects women in varying ways one to two weeks before their monthly periods begin. Some women experience mood swings and irritability while other women have physical symptoms such as bloating and tender or swollen ovaries.
What should you do if you experience excessive bleeding after your period?
If you bleed excessively during or after a period or have other symptoms, you should contact your doctor immediately. Do not wait until the next day or the next week to see whether the bleeding stops or your symptoms go away. Some of the causes and effects of excessive bleeding are life-threatening and can even be fatal.
If you have any of the following symptoms, you should contact your doctor immediately:
In addition to these symptoms, if you are also experiencing severe cramps or pain during your period or your bleeding is so heavy that you soak through one pad every hour for two hours, you should also contact your doctor immediately.
If you have any of the following symptoms, you should seek emergency medical care or call 911:
What happens at the hospital?
If you experience any of the symptoms in the previous section and require medical attention, first responders will ask whether you are taking any medications or have any known conditions that could be causing your excessive bleeding. You will also be asked about your medication history in general and whether you are allergic to any medicine.
You will then be asked about your symptoms and medical history in more detail. This will be followed by an examination. Your blood pressure and pulse will be taken and you may have skin, urine, and blood tests. You will then need to change into a hospital gown and prepare for examinations of your external genitalia, reproductive organs, and cervix.
You may also need to have an ultrasound scan of your abdomen. Your cervix and uterus may also be gently prodded and examined.
After this, you will likely have a procedure called a dilatation and curettage (D&C). During this procedure, your doctor will examine your uterus by inserting a gloved, slim metal instrument called a curette through your cervix to scrape away the lining of the uterus. The contents of the uterus will then be emptied out through the cervix using suction tubes. You may also have a combination of drugs to help you sleep and reduce any pain.
If you are pregnant, this procedure will likely be followed up with the insertion of gauze into your uterus to absorb excess blood or fluid and further examination of your uterus using ultrasound. You may also receive additional medication to help you pass the placenta.
If you are not pregnant, you may require further treatment if your periods have not returned within four weeks. In addition to taking iron supplements, you may be given a short course of progesterone and hormone replacement therapy to help your body recover from the trauma of an abortion or miscarriage. You may also need treatment for an infection if you pass any blood clots.
In some cases, you may need a D&C procedure immediately without the use of drugs or other methods. Your doctor will likely explain the risks and side effects of this procedure.
Afterwards, you can be sent home once you have received all the necessary medication. If your symptoms persist or you experience new ones, you may require further treatment. Your doctor should give you instructions on when to contact them. You may also be referred to a specialist or have further tests.
Your doctor will be able to tell you whether or not you can take pain killers or other medication for the pain. It is important that you comply with this, especially if you are experiencing cramping or excessive bleeding.
If your abortion has been performed at a hospital, you will need to arrange transportation home. If your abortion has been performed by a doctor in an abortion clinic, the staff will provide you with a taxi voucher so that you can go home.
If you have been taking the abortion pills, you can take the second set after 24 hours if you haven’t already done so. If you are unsure when you took the first dose, you should take the second dose as soon as possible so that you can be sure to end the pregnancy.
You may experience some spotting for several days after your abortion but this should not be painful. You should not experience any heavy bleeding or miscarriage-like symptoms.
It is recommended that you do not have sexual relations for at least a week after your abortion, when you should visit a doctor for a check-up. Your doctor will give you further instructions if there are any concerns.
As long as you have taken the abortion pills correctly and haven’t done anything to jeopardize the procedure, there should be no risk to your health and you will likely not experience any long-term effects. You should make a full recovery within a few weeks.
If you feel light-headed or dizzy at any time, lie down immediately and raise your feet above your head. Contact a doctor if this feeling persists or is prolonged.
You can prevent this by getting plenty of rest before and after your procedure and by consuming plenty of water before, during, and after the abortion.
Fortunately, there are no long-term physical effects associated with chemical abortion methods. Your body should make a full recovery within a few weeks. However, as with all medical procedures, there are some risks involved.
You will need to visit a hospital or a doctor’s office to have an ultrasound and blood work done. Your doctor will determine whether you are pregnant and how far along you are. You will then be given the abortion pill if appropriate.
You can have a medical abortion if you:
In order to have a chemical abortion, you will need to visit an abortion clinic and ask for the abortion pill. You may also be referred to as “medical,” “abortion,” or even simply “pill” or “the appointment.”
Most women who have an unwanted pregnancy feel that abortion is the best decision in their circumstances. While there are many different ways of ending a pregnancy, abortion pills are one of the most popular and effective methods available.
When you’ve taken the second set of pills, you should leave them in place for a full 48 hours without removing or replacing them.
You can repeat this process if needed by taking another set of pills. After two sets, wait two days to give your body time to adjust before you take the third and final set for the termination.
You will be given a prescription for 4 sets of pills. Take the first set as soon as you are able to. You take the second set 12 hours later, the third 24 hours after that, and the fourth set 36 hours after that.
You should expect to be at the clinic for at least a few hours during your visit. The exact time will depend on how many questions the doctor needs to ask and whether or not you have preexisting medical conditions.
Most of the time, you can get an appointment within a week of your first visit. The sooner you get the abortion pill process underway, the quicker you can get back to your normal life.
Most clinics offer same-day services whenever possible, especially when it comes to abortion. Your doctor will explain all the risks and procedures to you before beginning the process.
You will be given a medical abortion if you are less than nine weeks from the first day of your last period. If this is the case and you are sure that you want to continue, you can get started right away.
You may also need to have a follow-up visit in order to check that the abortion was completed successfully. Your doctor can help you with this when you leave.
You will be given the abortion pill(s) after the doctor has determined that you are pregnant and how far along you are. The sooner you get started with the process, the quicker you can get back to your normal life.
Teen abortion is available if you are a teenager and meet at least one of the following criteria:
How do teen abortions work?
If you’re a teenager and think you might be pregnant, there are a few things you should remember.
The first is that there is no need to panic. It may be scary when you learn that you’re pregnant, but panicking or freaking out will not help the situation.
Second of all, if you’re worried about how your parents are going to react to finding out you’re pregnant, don’t be. Your primary concern when you’re looking into teen abortions is your health and the health of your baby, not how your parents will react if or when they find out you’re pregnant.
Finally, you don’t have to be old enough to drive in order to get a abortion. In fact, you can qualify for a teen abortion and have the process started before you even reach the legal driving age in most states.
If you are worried about your parents finding out, know that 25% of women keep their abortion a secret.
The first thing you should do is contact your doctor. Tell them you think you’re pregnant and they will be able to give you a prescription for a pregnancy test if you aren’t already certain that you are.
If you’re still not sure, take the prescription and head to the pharmacy that’s closest to you. Once there, you’ll be able to purchase the test or tests that you need in order to get an accurate reading on your pregnancy. Most pharmacy chains will be able to provide this service, or you can look for the small pink and blue signs that say “Pregnancy Tests” on them displayed in the window.
Once you have the test in hand, you’ll need to follow the instructions. Usually this means peeing on a stick and waiting for the results. The tests are extremely accurate so there’s no real need to call your doctor unless the results are positive or inconclusive.
Sources & references used in this article:
Patients’ perceptions of their education needs in the first six weeks following discharge after cardiac surgery by H Goodman – Journal of advanced nursing, 1997 – Wiley Online Library
Pain as a factor complicating recovery and discharge after ambulatory surgery by DJ Pavlin, C Chen, DA Penaloza… – Anesthesia & …, 2002 – cdn.journals.lww.com
Pain management following discharge after ambulatory same‐day surgery by J Watt‐Watson, F Chung, VWS Chan… – Journal of Nursing …, 2004 – Wiley Online Library
Parents’ experiences of caring for their child at the time of discharge after cardiac surgery and during the postdischarge period: Qualitative study using an … by J Wray, K Brown, J Tregay, S Crowe, R Knowles… – Journal of medical …, 2018 – jmir.org
Discharge criteria and complications after ambulatory surgery by SI Marshall, F Chung – Anesthesia & Analgesia, 1999 – journals.lww.com
An investigation of patient satisfaction following discharge after total hip replacement surgery by JM Fielden, S Scott, JG Horne – Orthopaedic Nursing, 2003 – journals.lww.com
Using frailty to predict who will fail early discharge after laparoscopic colorectal surgery with an established recovery pathway by DS Keller, B Bankwitz, T Nobel… – Diseases of the colon & …, 2014 – journals.lww.com
… discharge after transradial coronary intervention: Preliminary US single-center experience (Same-day TransRadial Intervention and Discharge Evaluation, the STRIDE … by R Jabara, R Gadesam, L Pendyala, N Chronos… – American heart …, 2008 – Elsevier