Causes of intermenstrual discharge when taking birth control pills. Janine bleeding

Smirnova Olga (gynecologist, GSMU, 2010)

Oral contraceptives contain hormones that are involved in the regulation of a woman's menstrual cycle. Discharge when taking birth control pills can be normal, signal the need to change the drug, or indicate a health problem.

When discharge should not cause concern

With the intake of contraceptive tablets according to the instructions, menstrual flow does not stop. They still make themselves felt every month, but their frequency becomes clear (28 days exactly), and the intensity is moderate.

A daub may be observed on any day of the cycle at the very beginning of taking contraceptives, indicating a restructuring of the body.

Natural acyclic bleeding should have the following characteristics:

• duration of episodic discharge up to 3 months;
• a small amount (2-3 daily pads per day);
• brown or red color (see photo).

This phenomenon does not require the abolition of the course or the replacement of the contraceptive. It is enough to wait for the stabilization of the reproductive system and getting used to the new conditions.

The protective (contraceptive) function of the drug does not decrease if a woman periodically bleeds. It is important to stick to the pill regimen without missing a day, and then such secretion will not be considered a side effect.

Read in one of our articles what else could be the reasons.

How long can bleeding last?

When taking hormonal pills, obvious bloody issues go the first three months in 40% of women. This secretion is a consequence of the contraceptive effect. This is how long it takes the reproductive system to adapt to changes in hormonal balance. And only 10% of the interviewed patients noted meager blood marks on daily routines for six months.

Significant disorders in the form of spotting after OK were diagnosed only in 5% of women. The secretion with the blood continued to persist even after multiple changes of drugs, so the pills had to be abandoned, and also undergo an examination in the hospital.

The duration of the adaptation period to oral contraceptives increases due to the following factors:

• age;
• instability hormonal background;
• too low a dose of hormones;
• the presence of bad habits (smoking, alcohol);
• skipping pills;
• violation of instructions;
• various diseases of the reproductive system;
• Wrong type OK.

Why does this symptom occur?

In each period of the monthly cycle, the body produces a certain amount of different sex hormones, the doses of which are responsible for various processes (ovulation, menstruation, etc.). Against the background of taking OK, synthetic hormonal components may simply not be enough to block the natural content of estrogens and progestogens. Therefore, the body needs several months to get used to such doses. While the adaptation period lasts, the endometrium is partially rejected, causing the appearance of spotting discharge when taken. hormonal contraceptives.

There are other reasons for the presence of blood in the vaginal fluid, which should be considered depending on:

• cycle phases;
• type of oral contraceptive;
• serial number of the tablet (end, beginning of the package).

Influence of cycle time

When more than three months have passed since the start of the course, and when taking contraceptives, a specific period of the monthly cycle is noted, there is no need to immediately suspect a pathology. Minor bleeding may begin due to the peculiarities of the hormonal background or the tablets themselves.

After menstruation

If a woman took a break after the blister (21 tablets) or ended taking the placebo pills (28 tablets per plate), then the uterus can be cleansed for two to three days. The blood clots remaining inside after menstruation come out and appear.

They also occur due to too low a dose of estrogen, which, unlike progesterone, stops the rejection of the uterine lining. It is necessary to choose another drug, but before that you should consult a doctor, you cannot drink other oral contraceptives of your own choice and desire.

At ovulation

The following factors can provoke when taking contraceptives:

• lack of synthetic estrogens;
• lack of gestagen;
• natural processes.

When taking OCs ("mini-pills"), the egg develops and exits the follicular sac, causing a small amount of blood in the cervical fluid.

After ovulation

The most common cause of discharge with blood before menstruation after taking modern methods of contraception is a lack of progestogen. It is still impossible to exclude pregnancy when the order of the pills was violated or a day was missed (bloody secretion on the 6-12th day after ovulation).

And also there are situations when a woman notes instead of menstruation brown discharge when received OK. Natural progesterone rises after ovulation, preparing the body for expected menstrual bleeding. When the hormone is not enough, the endometrium is not rejected in time, causing a delay. But if you take Jess or other microdosed contraceptives, then instead of menstruation, pseudo-menses may appear. In the most neglected cases, the woman's cycle goes astray, so there is no monthly bleeding. Read about in the article at the link.

Bloody discharge when taking birth control pills can sometimes be observed by girls using contraceptives to prevent unwanted menstruation. A break before a new pack of pills, in this case, is not done, but the next plate starts immediately. In most cases, menstruation does not begin, however, spotting may occur. They are slightly larger in volume, but do not have signs of bleeding. You can understand this by feeling and laying. It can bleed so much that the hygienic product becomes unusable in an hour, weakness, dizziness are felt. This is a direct indication of a pathology or hormonal disorder.

Adaptation never ends

The cause of a prolonged daub against the background of taking OK may be a violation of the rules for using a contraceptive or the fact of an incorrectly selected remedy. This justifies the side effects. Oral contraceptives are considered safe for a woman's health, and a negative reaction in the form of blood secretions is caused by a lack of a dose of one or another hormone.

This situation is well seen on the example of a specific stage of the course:

1. First tablets. At the beginning or half of the package, bleeding may be due to a lack of estrogen in the preparation. If you need to stop using OK, but it is advisable to consult a doctor and drink the plate to the end.
2. Remaining packaging. From the middle of the total number of tablets to the end of the package, spotting may begin due to the too low content of the progestogen component. And also the gestagen itself may not be suitable, therefore, the selection of another oral contraceptive is required, but it is impossible to abruptly stop using the old remedy, otherwise there is a risk of bleeding and other side effects.

Course termination

The appearance of discharge after the abolition of contraceptives is allowed for several months. Everything will depend on the ability of the female body to restore its own hormonal levels. But bleeding should not be systematic, otherwise you can not do without a medical examination.

Read what should be in the article by clicking on the link.

After the end of the course, secretion with blood may appear in one or two days. It resembles a daub and does not cause a woman much discomfort. Sometimes a woman's body reacts more strongly to stopping the use of OK, so more abundant discharge due to a sharp drop in hormone levels is not ruled out.

After how many months after OK, the reproductive system will cease to allocate pseudo-monthly?

In almost half of the women who decide to cancel a course of contraception, the smearing vaginal secret with blood disappears after 10-14 days. The following factors influence the duration of adaptation:

1. Age. The older the woman, the slower the state of the reproductive system stabilizes.
2. Total admission time. The shorter the course, the faster the chance of getting pregnant appears. When contraceptives have been used for many years, there is a risk that the body will be destabilized within six months or even 12 months.

Effect on menstruation

If a woman decides to stop drinking oral contraceptives, then it is necessary to prepare for the fact that there will be no heavy periods in the first few months. Monthly bleeding will become more and more over time, until the situation finally normalizes. The presence of meager pregnancy is considered normal.

After canceling OK, spotting is normal and a slight delay is acceptable. It can be caused by the following processes in the body:

1. Gradual normalization of the menstrual cycle.
2. Stabilization of temporary atrophic changes in the uterine mucosa.
3. Restoring the ability of the endometrium to implant.
4. Changes in the microflora of the vagina.
5. Decrease in the density of cervical mucus (after a mini-pill).

While all these processes continue, menstrual cycle cannot be the same.

It is necessary to sound the alarm if menstruation is absent for several months, and against this background the general condition has worsened.

Danger of abrupt interruption

You can not abruptly stop taking birth control, otherwise serious health consequences cannot be avoided. Most often, there is a longer recovery period with spotting instead of menstruation. But the most dangerous consequence abrupt cessation of the course is uterine bleeding, which requires rapid hospitalization. Therefore, doctors advise taking all the pills from the package. The exception is the diagnosis of the following diseases:

• hypertension;
• diabetes;
• imbalance of lipid metabolism;
• a sharp drop in vision;
• liver problems.

Therefore, if you want to quit oral contraceptives, you should consult with your doctor so that he can choose the optimal dose reduction scheme based on a specific drug (Silhouette and others). This is the only way to avoid withdrawal syndrome with unpleasant side effects.

Causes of heavy bleeding when taking OK

The cause of breakthrough bleeding while taking OCs may be the following:

• taking the dose incorrectly (missing a day);
• two pills in one day;
• digestive problems (reduced absorption of the active substance);
• antibiotic treatment;
• the use of drugs that affect the central nervous system;
• taking phytopreparations with St. John's wort;
• a course of 63 days followed by a week break.

Special preparations (and others) will help stop the bleeding, but it is undesirable to resort to such means without consulting a doctor, the same applies to brewing herbs and other folk recipes.

What color is the secretion?

Most women complain about the appearance of brown discharge when taking birth control pills. Such secretion normally has a smearing character and a darker shade than that of ordinary menstruation. Pink or light red discharge is also allowed when there is more natural mucus than blood due to the influence of the oral contraceptive.

White discharge with a homogeneous consistency, odorless and unpleasant sensations should also not cause concern. Their appearance is especially important after the cancellation of OK, when the body shows that the recovery period is over. Yellow and allowed, but without itching and burning.

Briefly about the main

If you started taking contraceptives, then you should not immediately suspect pathological processes and serious hormonal disruptions. This is a natural reaction of the body in the first three months. The reason for going to the hospital is a protracted adaptation period, severe bleeding and a sharp deterioration in general well-being.

Contraceptives are the best remedy contraception. If they are chosen correctly and taken strictly according to the scheme, then there are no problems in their application. However, there are situations when all the rules seem to be observed, and when taking a contraceptive, unexpected factors appear. For example, bloody or brownish vaginal discharge that is present outside of a period. And most often, women complain about discharge when taking Jeanine. This drug also belongs to oral contraceptives (OC) and is the most popular among women. So why do such discharges form during the use of the drug? And is it worth refusing to use Zhanin when they occur? Let's talk about it.

Jeanine is a low-dose monophasic oral combination drug, the active components of which are synthetic hormones - ethinyl estradiol and dienogest. These substances suppress the functionality of the ovaries and prevent the onset of ovulation, which usually occurs on the 12th-16th day of the cycle, as well as thickening of the cervical mucus, due to which spermatozoa cannot enter the uterine cavity and fertilize the egg if it has left the follicle.

In addition, the active substances of Zhanin contribute to the inhibition of the maturation of the uterine endometrium, as a result of which, even if the egg is fertilized, it cannot attach to the walls of the uterus, dies and comes out naturally. Thus, protection against the onset of unwanted pregnancy is provided.

But, Zhanin's intake occurs not only for contraceptive purposes, but also to regulate the menstruation cycle, if its violation is associated with hormonal disorders, as well as in diseases whose development leads to the growth of the inner layer of the uterus, for example, endometriosis and adenometriosis.

The drug should only be taken as directed by a doctor and a blood test to determine the level of hormones. Also, its use should occur strictly according to the scheme prescribed by the doctor. As a rule, Janine is taken continuously every day for 3 weeks, 1 tablet per day. In this case, it is necessary to take the dragee at the same time. After the end of the 21-day course, a break of 7 days is taken, during which menstruation occurs. Taking pills from a new package begins on the 8th day of the break, even if menstruation has not yet ended by this time.

Why does the discharge appear when using Jeanine?

Jeanine is a hormonal drug, the intake of which leads to a change in the hormonal background. Appearance spottingin the first month of using the drug - this is the reaction of the body to the changes taking place in it. As a rule, such secretions are meager, do not have an unpleasant odor and do not cause discomfort in the perineum. However, if they are present, there may be minor abdominal pain associated with a change in the endometrium of the uterus.

As soon as the body gets used to the new conditions, intermenstrual bleedingmust stop. As a rule, this happens for 2-3 months of taking the drug. If during this time it does not stop smearing, it is necessary to visit a doctor, since such a phenomenon may signal endocrine disorders or the development of a number of pathologies, the formation of which began under the influence of synthetic hormones. Among these diseases are:

• uterine cancer (its hallmark is black discharge);
• polyposis;
• ovarian cyst;
• ovarian dysfunction, etc.

Zhanin's instructions say that if light or dark brown discharge appeared in the middle of the cycle while taking it, it is necessary to accelerate the process of adaptation of the body. To do this, you need to drink the drug in a double dosage. It is necessary to do this for several days, until the discharge stops. In fact, this approach is very dangerous. Since an increased dosage of the drug is a double “hit” on the body, after which heavy bleeding may open. Therefore, doctors do not recommend using the drug in this way.

Moreover, the appearance smearing secretionscan happen due to the fact that the drug is simply not suitable for a woman. In such a situation, the hormones in the composition of Zhanin increase endometrial atrophy. The condition is dangerous and can lead to the development of uterine hypoplasia. And this will lead to infertility. Therefore, after the adaptation period, the daubing does not stop and the menstrual cycle is not restored, it is necessary to urgently visit a doctor. He will either cancel the drug, or select another, more gentle one.

Also, a daub can stand out due to a violation of the schedule for taking the drug. Remember that you need to take the remedy constantly and at the same time. You can't skip appointments! It is also not recommended to abruptly stop drinking Jeanine, as this will lead to a failure of the menstrual cycle and provoke the opening of heavy bleeding.

There are also situations when the adaptation period occurs very quickly, and, after a few months of taking Zhanin, a woman has a daub instead of the white discharge she is used to. The reason for this may be:

• stress;
• lack of sleep;
• alcohol abuse;
• concurrent use of antibacterial drugs;
• drastic climate change.

As a rule, in such situations, the daub is not accompanied by pain in the abdomen and disappears on its own after a few days. However, this phenomenon can also be observed due to the onset of an ectopic pregnancy. It manifests itself with various symptoms - pain in the left or right lower abdomen, daubs, fever, weakness, etc.

Important! Ectopic pregnancy can lead to rupture of the fallopian tube. Therefore, when its primary signs appear, it is necessary to carry out an abortion as soon as possible.

In any case, if brown or bloody vaginal discharge appears for the first time 2-3 months after taking the drug, then there is nothing to worry about. You can continue to take pills. However, if pain appears, general well-being begins to deteriorate, or the daub lasts for a long time, you should immediately visit a doctor. It is necessary to make a complete diagnosis and, if a pathology is detected, undergo an appropriate course of treatment, during which it may be necessary to refuse to take Zhanin.

Jeanine - pills that prevent the development of gestation. This is their main purpose, but the contraceptive is also used in the process of therapy and other pathologies of the female reproductive system.

The true circumstances of the occurrence of endometriosis - a condition characterized by the spread of endometrial cells beyond the boundaries of the uterine body - have not been established by physicians. But the predisposing factor is the deviation of the hormonal background, accompanied by the development of an imbalance of hormones.

The second part of the menstrual cycle (MC) - begins after the release of the female cell ready for fertilization - is accompanied by an active growth of the mucous layer. Against the background of the use of the drug, ovulation does not occur, so changes in its condition are minimal.

Why is it prescribed for endometriosis?

According to the instructions, Jeanine provides the following effects:

• eliminates the pain that accompanies menstruation;
• leads to the normal menstrual cycle;
• reduces the amount of blood released.

It is these symptoms that characterize the course of endometriosis.

Bloody discharge during menstruation is due to physiological processes. The second phase of the menstrual cycle is accompanied by active rejection of the mucous layer - provided that pregnancy does not occur - with damage to local vessels.

The drug helps to suppress the process of ovulation, which reduces the activity of the growth of the endometrial layer and. therefore, reduces the severity of the symptoms of the disease.

How to take Jeanine for endometriosis: instructions for use

Jeanine is used in both genital and estrogenital (uterine endometrial cells are determined in other organs) varieties of endometriosis.

There are several therapeutic regimens. They are selected for each patient.

Reception is possible in accordance with the standard scheme recommended by the manufacturer: one tablet from the first day of menstruation. After passing through several cycles, it is necessary to monitor the current state of endometriosis foci, conduct blood biochemistry and evaluate liver function.

The second option provides for a prolonged scheme. In this case, it is necessary to drink without the intervals recommended by the manufacturer for 63 or 84 days, and only after the expiration of the period, interrupt the treatment for a week. The prolonged absence of menstruation affects the well-being of a woman very positively.

Read also: Signs of endometriosis in women after childbirth

How Jeanine works with endometriosis

Jeanine interferes with ovulatory processes, which is why the change in the composition of the inner uterine layer is minimal. This helps to reduce the symptoms of the disease.

The effectiveness of the drug Jeanine in endometriosis - expert reviews

The responses of doctors about the treatment of endometriosis with the Zhanin contraceptive confirm its high efficiency. The use of the drug helps to obtain positive results in at least 85% of all diagnosed cases of the disease.

There is also a high degree of digestibility of active components -

the bioavailability index reaches 90% - and the minimum number of side effects.

How much to drink Jeanine with endometriosis

The duration of taking the drug in the treatment of foci of endometriosis is determined on an individual basis. The patient can be recommended as a classic (contraceptive) mode - indicated in the instructions - and a prolonged version.

Advantages and disadvantages of Jeanine in endometriosis

Elimination of the disease with the help of Jeanine has positive and negative sides. The positive points include:

• Jeanine is the only oral contraceptive that contains dienogest. It is it that is recognized as the progestogen of the first choice, i.e. priority over others.
• The bioavailability of dienogest when taken orally reaches 90%, which is significantly higher than other progestogen components.
• Dienogest has an antiandrogenic effect. This causes such effects from taking the drug as eliminating acne, improving the condition of hair and skin, etc. Against the background of taking the drug, there is no weight gain, blood pressure indicators remain normal.

• the remedy cannot act as a substitute for the prompt elimination of the disease;
• the therapeutic effect of the contraceptive is quite low when compared with A-GnRH.

Interaction

Simultaneous reception of Jeanine and certain types of medicines can worsen the contraceptive effect. The following compatibility guidelines must be kept in mind.

A decrease in effectiveness occurs with a one-time treatment with the following means:

• antibiotics from the group of macrolides, tetracyclines and penicillins;
• Ketaconazole;
• Fluoketin;
• Carbamazerin;
• Daltiazem.

Analogues

Janine has only one structural analogue. This is Silhouette.

As alternative can be used:

• Qlaira;
• Diana 35;
• Bysanne.

Jeanine or Silhouette - which is better

The formula of both means completely coincides, therefore the spectrum of influence on the body is identical. Estrogen and progestogen inhibit the functionality of the ovaries, which excludes ovulation, and pregnancy during their intake develops in exceptional cases.

Which is better: Clayra or Janine

Medicines are very different. Janine is not suitable for people with different types allergic reactions, and since it contains a minimum of estrogen, it is more suitable for nulliparous young women.

Qlaira is widely used in the treatment of endometritis, restores the physiological level of hormones.

Both contraceptives are taken orally and are good at preventing conception.

Which is better: Janine or Diana 35

Diane 35 is characterized by a higher content of estrogen, recommended for women with children over 30 years of age.

Read also: The use of a red brush for women's diseases - what the herb heals

As part of Jeanine, the volume of estrogen is much lower, so the remedy is more often prescribed to young women.

Jeanine or Visanne - which is better

Comparison of funds can be carried out only in the direction of the treatment of endometriosis, since Janine - contraceptive drug, and Byzanne, on the contrary, helps in conception.

Both drugs contain dienogest, which makes them effective against endometriosis. But Jeanine can also be included in the treatment regimen for endometritis, polycystic ovaries, cystic formations in the tissues of the ovaries.

Reviews about Jeanine

Olga, 26 years old

I drank Jeanine for three years after the gynecologist diagnosed me with endometriosis. The state of health has improved significantly - the pains that constantly tormented me with every menstruation have disappeared, the skin on my face has become cleaner. I didn't get any better and didn't suffer from mood swings. Pregnancy occurred two months after the completion of the course.

Elena, 35 years old

Janine was recommended to me by a gynecologist. I had a cycle failure that they could not fix in any way. Once there was no period for two months. On the background of taking the funds, everything was fine. There was a slight side effect in the form of a headache and slight nausea. To avoid discomfort, I began to take pills at night. Helped.

Jeanine price, where to buy

The cost of the drug is variable and depends not only on the region of sale, but also on the number of blisters in the package. The larger their number, the higher the price of the funds.

You can find oral contraceptives in almost any pharmacy.

Terms of dispensing from pharmacies

A prescription is required to purchase the drug.

pharmachologic effect

Contraceptive protection is due to the presence of dienogest and ethinyl estradiol. The tool suppresses the ovulatory process and increases the viscosity of the cervical mucus, preventing the movement of sperm into the uterine cavity.

Indications for use

The leading indication for prescribing the drug is protection against unwanted pregnancy. Additionally, it is approved for use as part of a complex treatment regimen for diseases such as:

• endometriosis;
• ovarian cyst;
• uterine fibroids;
• endometrial hyperplasia;
• polycystic ovaries;
• chronic form of adnexitis;
• acne.

Important! Against the background of the abolition of the contraceptive, the ovaries are activated, so the development of multiple pregnancy as a result of the maturation of several eggs at once.

Contraindications for use

The tool has a lot of contraindications. This:

• blood clots;
• pathologies leading to the formation of blood clots;
• diseases accompanied by vascular complications;
• complex renal pathologies, including neoplasms various types;
• malignant formations of the mammary glands and / or organs of the reproductive system;
• uterine bleeding;
• pregnancy;
• intolerance to the components of the dragee.

Dosage and administration

Dragee should be taken every day. If the scheme recommended by the instruction is violated, the appearance of a “daub” is not excluded. There is also a decrease in protection.

Tablets should be taken every day with the required volume of any liquid. The order of reception is indicated on the blister. A full cycle is 21 days of taking pills followed by a 7-day break. During this period - on the second or third day - quite a meager discharge resembling menstruation begins.

Pathological growth of the lining of the uterus (endometriosis) occurs in 1 out of 10 women aged 25-40 years. Almost 90% of patients develop a genital form of the disease, when endometrial foci form on the genitals: the cervix, inside the fallopian tubes, on the walls of the vagina. The remaining 10% are due to extragenital pathology or growths of the endometrium inside the abdominal cavity. main reason Doctors call the onset of the disease a combination of genetic predisposition with hormonal imbalance. Therefore, hormonal preparations are used for treatment, including contraceptives, such as Janine.

What substances does janine contain?

The drug "Janine", as well as the tablets "Yarina", "Silhouette" is a combined contraceptive consisting of estrogen and gestogen. These hormones are constantly present in the body of a woman. Their level varies depending on the phase of the menstrual cycle.

The hormonal regulation of the female body works according to the feedback method: a lot of hormones in the blood serum - the body stops their production, a little - actively releases them into the blood. During the reception, janine is artificially created elevated level hormones that cause the body to reduce the production of natural gestogen and estrogen. Against this background, the maturation of eggs stops, ovulation does not occur. So zhanin prevents the onset of pregnancy, treats endometriosis.

Why do oral contraceptives help with endometriosis?

To understand why janine is effective for endometriosis, you need to know what changes occur in the uterine mucosa during the menstrual cycle. When ovulation occurs, under the influence of estrogen, the body begins to prepare for a possible pregnancy. The inner epithelial layer of the uterus is actively growing (in pathological foci too), the glandular cells of the cervix accumulate nutrients. While taking contraceptives, an excess of hormones is artificially created. There are not enough of them for ovulation to occur, but enough to reduce the production of their own active substances.

If a woman has endometriosis after 40 years, physiological changes in the body are accompanied by the appearance of unpleasant symptoms: pain, bleeding of varying severity. Jeanine maintains a constant level of hormones, prevents ovulation and the appearance of pain.

Facts about janine treatment

All studies of the effectiveness of the drug are based not only on the subjective feelings of patients, but also on objective data. During the studies, the level of the drug in the blood serum was measured in patients, changes in the foci of endometriosis were monitored using ultrasound, histological studies. For Zhanin, a series of clinical trials have established:

• The drug has a therapeutic effect in 85% of cases. At the same time, the course of treatment is 3 times shorter than that of other hormonal pills.
• The body absorbs 90% of the active substances contained in the tablet. For comparison: the bioavailability of the vast majority of antibiotics is at the level of 70%.
• The drug is effective in small doses, the risk of adverse reactions is minimal.
• Against the background of taking Zhanin, not only the manifestations of the disease disappear, but also improves appearance. Acne disappears, weight normalizes, swelling disappears.

During the course of treatment, strict adherence to the doctor's recommendations, constant monitoring of well-being, and timely laboratory control are necessary.

In janine tablets, instructions for use for endometriosis describe several therapeutic effects. It relieves pain, stops pathological bleeding (it can be bloody discharge, and not full bleeding), fights menstrual irregularities. These are not the only signs of the disease, but they cause a lot of inconvenience to women.

The absence of bleeding is due to the fact that the drug prevents the development of the endometrium with subsequent rejection in the last phase of the cycle. And since the pathological foci of the uterine epithelium do not grow, there is no compression of the nerve endings, swelling of the tissues, pain disappears. The regularity of physiological bleeding is restored due to the use of a hormonal drug.

How to take pills?

Numerous studies have confirmed the effectiveness of Zhanin after 40 years in endometriosis, and it has been established that it is advisable to use both in genital forms of the disease and in extragenital endometriosis, when the foci are located in the abdominal cavity. Synthetic hormones that are part of the drug are more active than natural ones. For the necessary impact on the body of a woman, they are used in ultra small doses.

• contraceptive plan. Taking pills starts from the first day of bleeding, after a three-week intake, a seven-day break is taken. Then the pills are resumed. Every 3 months, the doctor monitors the patient's well-being, the state of the blood coagulation system.
• Extended intake. In this case, it is necessary to take 3 or 4 standards of 21 tablets in a row without taking breaks. Then take a break for three weeks, undergo an examination.

Independent use of janine for endometriosis is excluded! Uncontrolled intake of hormonal drugs can lead to unpredictable consequences!

Who should not take the drug

Jeanine, like any other drug, has contraindications for use:

• Varicose disease.
• Tendency to thrombosis.
• Pregnancy and lactation.
• Arterial hypertension stage 2-3, hypertension of various origins.
• Angina pectoris 2 FC, rest angina.
• Diabetes mellitus type 1 and 2.
• Individual intolerance to the drug.
• Liver failure.
• Malignant neoplasms.

In the presence of these diseases, doctors weigh the risks: endometriosis without treatment or taking pills against the background of concomitant pathology. Only doctors can decide how to take the drug, according to what scheme, with what frequency of monitoring the condition.

A little about the unpleasant

Despite the proven effectiveness of janine, its similarity to natural hormones, the drug has side effect. While taking the tablets, spotting may appear, disappearing without any medical intervention. Other side effects can be divided into 3 groups:

1. Occurring with a frequency of 1 to 10%. These include headaches, discomfort, soreness of the chest.
2. In 1-0.1% there are sharp fluctuations in blood pressure, digestive disorders, migraines, weight gain.
3. In 0.1-0.01% of women taking the drug, it can cause cerebrovascular accidents, the development of thromboembolism, thrombosis.

If you experience discomfort, side effects, you should immediately consult a doctor.

What should never be done?

Given the abundance of various Internet resources, which describe in detail the symptoms of diseases, ways to treat them, there is a temptation not to go to the doctor, but to start treating yourself. This can't be done! The harm from self-medication can be irreparable. Harmless, at first glance, hormonal contraceptives cause blood clotting, the formation of blood clots. Uncontrolled intake of them can result in a heart attack, stroke, even death. Do not joke with health.

During the course of treatment, it is necessary to exclude alcohol intake, reduce the number of cigarettes, correctly dose physical activity. Tablets will definitely help, just listen to the doctor.

Uterine bleeding a formidable symptom of various diseases of the female body. Failure to provide proper assistance can lead to tragic consequences. Stopping uterine bleeding is not an easy task due to the many causes. So what are the causes of bleeding and how to properly help?

Anatomy of the uterus

The uterus consists of 3 main layers:

1) perimetry- a layer that covers the outside of the uterus, and passes into the wall of the abdominal cavity;

2)myometrium- the most massive layer of the uterus, consisting of muscle fibers, containing a large number of vessels feeding the uterus;

3)endometrium- a membrane that lines the inside of the uterine cavity. It is the endometrium that thickens during the menstrual cycle and prepares for the introduction of the fetal egg.

The endometrium is divided into 2 layers: the main (basal) and functional, which is rejected monthly if the fertilization of the egg has not occurred. The rejection of the functional layer of the endometrium is what we call menstruation. However, if there is a malfunction in the hormonal system, the rejection of the functional layer may not be effective. As a result, part of the endometrium remains, and with it many dilated glands and vessels that begin to bleed. This is how dysfunctional uterine bleeding.

Types and causes of uterine bleeding

There are many reasons that can lead to uterine bleeding. Therefore, for ease of understanding and simplification of the diagnosis of bleeding, the causes are divided into certain categories. And so the first two big categories are:

1) bleeding as a result of disorders in various organs and systems, 2) bleeding associated with disorders in the genital area.

Non-genital causes of bleeding (extragenital)

• Infectious diseases (flu, measles, typhoid fever, sepsis);
• Blood diseases (hemorrhagic vasculitis, hemophilia, lack of vitamin K and C, etc.;
• Liver disease (cirrhosis);
• Diseases of the cardiovascular system (high blood pressure, atherosclerosis, etc.);
• Decreased thyroid function.

1. Uterine bleeding as a result of disorders in the genital area (genital).

genital causes bleeding may or may not be related to pregnancy.

Genital causes associated with pregnancy (early)

1. Disrupted pregnancy (uterine, ectopic)
2. Disease of the fetal egg (hydatidiform mole, chorionepithelioma - a malignant tumor)

genital reasons, associated with pregnancy (late terms, childbirth, half-term period):

• Reasons for later dates pregnancy
  • placenta previa
  • Scar on the uterus
  • The processes of tissue destruction on the cervix
  • Other obstetric causes
• Causes during childbirth
  • Premature placental abruption
  • placenta previa
  • low-lying placenta
  • Rupture of the uterus
  • Vaginal and vulvar injuries
  • Delayed discharge of the separated placenta
  • Infringement of the placenta
  • Violation of the attachment of the placenta
  • Injuries of the soft birth canal
• Causes after childbirth
  • Decreased tone of the uterus
  • Injuries of the soft genital tract
  • Delay parts of placenta
  • chorionepithelioma

Genital causes not related to pregnancy

1. Discirculatory uterine bleeding

• Juvenile (during puberty 12-18 years);
• Reproductive (during puberty 18-45 years);
• Climacteric (menopausal period);

1. Tumors

• Uterus
• ovaries

1. ovarian rupture, ovarian cyst rupture
2. Injuries of the uterus
3. Infectious and inflammatory diseases

Dysfunctional uterine bleeding (DUB)

Bleeding that occurs during normal menstruation is a consequence of the rejection of the functional layer of the endometrium, as a result of a decrease in the level of female sex hormones (estrogens, gestagens).

Normally, the amount of blood loss is 30-40 ml, the upper limit of the norm is 80 ml. With DMC, heavy bleeding occurs more than 100 ml, which may or may not coincide with the time of menstruation.

Allocate bleeding that coincides in time with menstruation - menorrhagia, plentiful and long. As well as bleeding that occurs between periods - metrorrhagia, they have different intensities and are irregular.

Dysfunctional uterine bleeding widespread among women, especially those in their 30s and 40s. The main cause of DMC is a violation of the ovulation process.

The impossibility of the ovulation process is caused by a malfunction in the hormonal system of a woman (a change in the level and rhythm of the secretion of luteinizing and follicle-stimulating hormone). As a result, the growth of the mucous membrane of the uterus (endometrium) occurs with insufficient development of glands and blood vessels, accumulation and stagnation of blood occurs, blood circulation is disturbed, and the permeability of blood vessels changes. Thus, favorable conditions are created for the occurrence of bleeding. And when the endometrium is rejected, it is not rejected evenly, which results in the occurrence of bleeding of various severity and duration.

In addition, during such hormonal disorders at the level of the uterus, the function of platelets (the main cells of the coagulation system) decreases and blood thinning processes increase, which further increases bleeding.

Factors that cause disruption of the hormonal system

At puberty (12-18 years):

• Chronic and acute infectious diseases
• Reduced amount of vitamins (hypovitaminosis)
• Physical overload
• mental trauma

At reproductive age:

• Emotional and mental stress
• Complicated abortions and childbirth
• Diseases of the endocrine glands (thyroid gland, etc.)
• Inflammatory diseases of the genital organs

During menopause:

• Acute and chronic infectious diseases
• Neuropsychic trauma

Symptoms of uterine bleeding

General symptoms:

• Weakness, dizziness
• Paleness of the skin
• Possibly nausea, vomiting
• fainting
• Fast and weak pulse
• Lowering blood pressure

Local symptoms:

• Discharge of blood from the vagina
• During menstruation, the release of a large number of blood clots. The pad or tampon gets wet quickly and abundantly. Frequent replacement of pads at night (every 1-2 hours).
• Increased bleeding time (more than 7-8 days). Normally, menstrual bleeding lasts 3-8 days.
• Possible bleeding after intercourse
• Dysfunctional uterine bleeding is virtually painless
• Bleeding often does not coincide with the period of menstruation

The main symptoms of uterine bleeding during puberty: prolonged, bloody discharge from the vagina (more than 7-8 days); bleeding, the interval between which is less than 21 days; blood loss more than 100-120 ml per day.

Uterine bleeding that appears after a delay in menstruation, as a rule, speaks of their functional character.

cyclical, profuse bleeding often occurs with fibroids, adenomyosis and blood diseases.

First aid for uterine bleeding

Should I call ambulance?
Yes, and as soon as possible! Especially if the bleeding occurred for the first time, the woman is pregnant and the condition is deteriorating rapidly. Do not put off calling an ambulance, every minute can be decisive.

Uterine bleeding a formidable signal of a violation in the body of a woman. And accordingly, it should be taken very seriously. First of all, you need to call an ambulance or see a doctor. Only a doctor is able to adequately assess the situation, since there are many reasons that can cause uterine bleeding, and only medical experience allows you to take a holistic view of the problem.

Walkthrough:

What not to do

• Apply a warm heating pad
• douching
• Take a warm bath
• Take medications that reduce the uterus, without consulting a doctor.

What to do

Help steps, what to do?	How to do it?	What for?
What can you do yourself at home?
Bed rest	Lay on the bed (lying on your back), raise your legs, put a roller, pillow under your legs.	That will let the blood wash over the vital important organs(brain, liver, kidneys) and significant blood loss reduces the risk of loss of consciousness and severe complications.
Cold in the lower abdomen	You can use an ice pack only after wrapping it in a cloth in order to avoid frostbite. Or you can put a heating pad, a bottle filled with cold water etc. Put ice on for 10-15 minutes, then take a 5-minute break, repeat for 1-2 hours.	Cold constricts blood vessels, thereby reducing bleeding.
Replenish fluid loss from the body	With blood loss, it is necessary to replenish the lost volume of fluid from the bloodstream. Not being able to put a dropper, drink plenty of water. Water, sweet tea, rosehip tea, etc.	Water will reduce the amount of fluid lost along with the blood. Glucose will nourish the tissues and mainly the nerve cells of the brain. Rosehip tea (which contains a large amount of vitamin C), the walls of blood vessels, which also reduces bleeding.
Medicines(hemostatic drugs) Medical treatment should be used only after consultation with a specialist doctor or in emergency situations.	Dicynon inside 0.25 gr. 4 times a day Calcium gluconate 3-4 times a day, 1 tab. inside. Aminocaproic acid- inside 30 ml 3-5 times a day; Vitamin C up to 1 gr. per day. Vikasol - inside 0.015 g 3 times a day Nettle, water pepper in the form of tinctures inside, 100 ml 3 times a day. Means increase the tone and activity of the muscles of the uterus.	The use of hemostatic drugs requires consultation with a specialist doctor, especially if the woman is pregnant. In addition to the hemostatic effect, drugs can cause various side effects.
Medical care used in the hospital:
Stopping bleeding with hormones(with DMK)	Monophasic combined oral contraceptives (COCs) are used as hormonal agents: Regulon, Janine, Non-ovlon, etc. Mode of application: On the first day, 3-6 tablets are used until bleeding stops. Then, every subsequent day, the dose is reduced by 1 tablet from the original amount. So if 5 tablets were used on the first day, then 4 tablets are taken the next day. And so they reduce it to 1 tablet per day, it should be taken for 21 days. Also, gestogens (norethistirone 5 mg, linestrenol 10 mg, dydrogesterone 10 mg) can also be used as a hormonal stop of bleeding. But this type of bleeding arrest is slower and is not used in women with severe anemia. Mode of application: 3-5 tablets per day until bleeding stops. Then every 2-3 days the dose is reduced by 1 tablet. The total period of use is not more than 10 tablets, 2 tablets per day.	To whom, and under what conditions, it is possible to stop uterine bleeding with the help of hormonal drugs: Young women who have not given birth and are not at risk for the development of tumor processes in the endometrium. If curettage for the purpose of diagnosis was carried out no more than 3 months ago, and at the same time, pathological processes in the endometrium were not revealed.
Hemostatic drugs	Aminocaproic acid: Application: inside 30 ml 3-5 times a day or intravenously drip 100 ml 5% solution. Dicynon(etamsylate sodium) intramuscularly 2 ml 1-4 times a day for 7 days or inside 0.25 g. 4 times a day; Tranexam: with profuse bleeding 1000-1500 mg, 3-4 times a day, 3-4 days. Vikasol i / m 1% -1 ml or inside 0.015 g 3 times a day, for 3 days; Askorutin inside 0.25 g 3 times a day, for 7 days, strengthens the vascular wall; Preparations that increase the tone of the uterus: Oxytocin(pituitrin) - 5ED - 1ml, i / m; IV drip 1 ml in 500 ml of 5% glucose solution per day, up to 7 days; Ergotal- 0.05% -1 ml / m It is impossible with uterine myoma!	Aminocaproic acid: It has a hemostatic effect mainly due to the inhibition of processes that provide blood thinning. The drug can dramatically increase blood clotting due to the massive release of substances from the tissues that activate the coagulation system. Therefore, the drug is contraindicated in DIC. Dicynon (etamsylate): has a fast hemostatic effect. Increases the activity and number of platelets. Does not cause increased blood clotting, can be used for a long time. It is effective both when administered intravenously and when taken orally. Oxytocin: a hormonal preparation derived from the gland of the brain (pituitary gland) of cattle. It has a direct stimulating effect on the muscle tone of the uterus, causing it to contract. It also constricts blood vessels and reduces diuresis. In obstetric practice, it is usually used to reduce the tone of the uterus, bleeding in the early postpartum period and to stimulate labor. The drug is contraindicated in myocarditis, high blood pressure, improperly located fetus, thrombophlebitis, kidney pathology in pregnant women, etc. Tranexam- a drug that has a pronounced hemostatic effect, and also has an anti-inflammatory, anti-allergic, anti-infectious and antitumor effect. With simultaneous use with other hemostatic drugs, the risk of blood clots increases.
Surgical methods to stop bleeding	- scraping uterine cavity and cervical canal. -Cold treatment (cryolysis), use special devices with liquid nitrogen to destroy the upper altered layer of the uterus. - Endometrial ablation, removal of the endometrium using a laser, loop or ball electrode, as well as using electromagnetic energy. When exposed to various types of energy, the endometrium "evaporates".	Scraping is the most effective and main method of stopping bleeding in women of the reproductive and menopausal period. Cryodestruction- The procedure has no contraindications. Gives a lasting healing effect. Ablation of the endometrium performed in patients who are not interested in the birth of offspring.
Folk recipes to stop bleeding Important! Traditional medicine recipes should be used as an addition to the main treatment and be discussed with a specialist doctor.
Composition:	Method of preparation and use	the effect
Nettle	1 tbsp dried leaves pour 200 ml of boiling water, leave for 30 minutes. Take half a glass 3 times a day.	Contains large doses of vitamin C, which helps strengthen blood vessels. Increases blood clotting, increases the tone of the uterus.
Viburnum bark	1 tbsp crushed bark pour 200 ml of boiling water, heat for 10 minutes. on fire, strain. Take 3-4 times a day for 2 tbsp.	It has a vasoconstrictive, analgesic and antiseptic effect.
Horsetail	Prepare an infusion: 2 tsp. for 200 ml. boiling water. 1 table. spoonful every 2 hours.	It has a hemostatic, anti-inflammatory, wound healing, diuretic effect.
water pepper	1 tbsp cut grass pour 200 ml of boiling water. Insist 60 min. 1 tbsp. take 3 times a day.	Accelerates the processes of blood coagulation, reduces the permeability and fragility of blood vessels, has an analgesic and wound-healing effect. Good antiseptic.
Highlander	3-4 tsp herbs pour 200 ml of boiling water. Insist 60 min. 1 tbsp. take 3 times a day half an hour before meals.	It has a strong hemostatic effect.
Shepherd's bag	10 gr. herbs pour 200 ml of boiling water. Take 3 times a day for 1 tbsp.	It is used for reducing the tone of the uterus and bleeding. It increases the tone of the muscles of the uterus, helps to reduce the uterine muscles.
yarrow	1 des.l. herbs pour 200 ml of boiling water, leave for 60 minutes. Take 3-4 times a day for 1/3 cup half an hour before meals.	Drink tea after bleeding stops, for prevention.

Prevention of dyscirculatory uterine bleeding

1. General strengthening measures: the correct mode of work and rest, healthy eating avoiding stressful situations and negative emotions.
2. Taking for the first time 1-2 monthly anti-inflammatory drugs (mefenamic acid 50 mg, 3 times a day; nimesulide 100 mg 2 times a day).
3. For the first time 1-2 months, taking hemostatic drugs (aminocaproic acid and its derivatives).
4. Treatment with hormones (estrogen-progestin preparations, progestogen preparations). The average duration of treatment is 3-6 months. The ineffectiveness of hormone therapy may indicate an incorrectly identified cause of bleeding or an incorrect selection of the drug or its dose, individual sensitivity, premature termination of the course.
5. Vitamins: vitamin C 1 gr. per day from the 16th day of the cycle, for 10 days; folic acid 1 tab. in knocks from the 5th day of the cycle for 10 days; tocopherol acetate for 2 months, multivitamin and mineral preparations containing iron and zinc.
6. Calming and stabilizing drugs nervous system(tincture, valerian, novopassitis, etc.).
7. Physical education, fitness, swimming, jogging, yoga, dancing, etc. are useful.

Jeanine with endometriosis helps to relieve the symptoms of the disease and normalize the state of the uterine layer of the endometrium.

It is necessary to take the drug only with the permission of a doctor!

Despite the complete safety of the contraceptive, dosage adjustment is required for the treatment of endometriosis.

For the treatment of endometriosis, the doctor prescribes the contraceptive Janine to the woman. Its main components are dienogest and ethinyl estradiol. Thanks to them, a therapeutic effect is exerted on the inner uterine layer, the work of the organs of the reproductive system is normalized, and the hormonal system is being adjusted.

With endometriosis, regular intake of Jeanine contributes to:

• inhibition of the ovulation process, due to which the concentration of the female hormone estrogen decreases;
• reduction in the size of lesions of the damaged shell;
• stopping the formation of new vessels that feed the affected areas of the endometrium, which affects their growth;
• reduce the likelihood of further growth of the endometrium;
• blocking the production of substances that contribute to the development of the inflammatory process;
• restoration of the immune system so that the body itself fights against the foci of the disease.

The drug not only effectively treats endometriosis, but also generally has a beneficial effect on the female reproductive system.

Indications for appointment

Treatment of endometriosis with Janine is prescribed in the following cases:

• mild to moderate endometriosis;
• the presence of dysmenorrhea;
• pain in the pelvic bones;
• fertility disorder.

Contraindications

The instructions for the use of Zhanin for endometriosis contain a list of contraindications, in the presence of which it is strictly forbidden to take it.

These include:

• migraines occurring in a severe stage;
• thrombosis;
• pathology of the heart of an uncompensated form;
• psychopathic conditions;
• pregnancy;

• liver disease;
• severe form of diabetes;
• the presence of oncological neoplasms of a malignant and benign nature.

There are also relative contraindications, in the presence of which you can take the medicine, but with extreme caution, strictly observing the dosage prescribed by the doctor:

• hypertension;
• Crohn's disease;
• obesity;
• sickle cell anemia;
• a woman with multiple sclerosis.

Before you start taking Janine, you need to undergo a series of medical tests, based on the results of which the attending physician will make a conclusion about the possibility of taking the drug and prescribe the course and dosage.

Possible Complications

Treatment of endometriosis with Janine long-term use the drug requires regular examination by a gynecologist. The medicine must be drunk with certain pauses.

Constant reception can provoke the development of oncology of the uterus, breast, cirrhosis of the liver.

Among the most common side effects, the following symptoms are observed:

• nausea and vomiting;
• abdominal pain;
• violation of the chair, diarrhea;
• skin allergic rashes;
• skin itching;
• swelling of soft tissues.

If a woman feels worse during the treatment of endometriosis with this drug, the medication should be discontinued and consult a doctor. When the drug provokes the development of side symptoms, the doctor selects.

Application rules

The dosage and duration of taking Jeanine is selected individually, depending on the stage of development of the pathology and the general state of health. The generally accepted regimen for taking the medicine is 21 by 7, which means 21 days of taking Janine, and then a 7-day pause. This method of treatment for endometriosis is suitable for women who are planning a pregnancy soon.

How to take the medicine according to this scheme is indicated in the instructions - 1 tablet 1 time per day. The duration of the course is 3 months. If a woman has side symptoms, it is possible to replace Jeanine with Visanne or other drugs of a similar spectrum of action only with the permission of a doctor!

Another regimen is 42, 63, 84 by 7. This method of taking the medicine is suitable for those women whose pregnancy is not included in the immediate plans, or they have undergone surgical removal of endometriotic lesions. The essence of this medication regimen is to continuously take the drug 1 tablet daily for 6, 9, 12 weeks, after which it is necessary to stop taking the drug for 7 days.

Other medicines, the same Bysanne, have other methods of application, therefore, before replacing Jeanine with analogues, you need to study the instructions and the dosage regimen.

Special precautions

If a woman forgets to take the medicine during the day, the tablet should be taken in the morning of the next day. The second tablet, taken according to the schedule, is drunk in the evening.

Drinking a double dose of medicine at a time is strictly prohibited.

It is not recommended to take alcoholic and alcohol-containing drinks during the treatment of endometriosis with this medicine. Alcohol will inhibit the action of the drug, as a result of which it will be more difficult and longer to cure the disease.

As the instructions for the use of Zhanin for endometriosis and numerous reviews of patients who have undergone a treatment course show, discharge similar to menstruation may appear in the middle of the cycle. This phenomenon is not dangerous, but often such a symptom indicates the need to adjust the duration of the drug. If the discharge is heavy and does not stop for a long time, you should immediately consult a doctor. Bleeding indicates that the drug is not suitable and should be replaced with an analogue (for example, Bysanne or).

It is not recommended to take it together with antiviral and antiepileptic drugs, penicillin and tetracycline antibiotics, sedatives, which contain St. John's wort. Jeanine inhibits the effect of these drugs, in addition, this combination can provoke the development of bleeding.

During the entire treatment, a woman must regularly take laboratory tests and be examined by a gynecologist. If the tests show that the condition of the endometrium has improved significantly, the doctor decides whether to cancel the drug, or it is replaced by a milder analogue in order to smoothly complete the course of treatment. At the middle stage of the development of the pathological process, a second course is often required.

It should be remembered that it is strictly forbidden to take Jeanine constantly for 1-2 years. Medicine with a long course of its use, it has a toxic effect on the liver.

In cases where, after the end of therapy, there is no positive dynamics in the state of the endometrium, they resort to cardinal methods of treatment - a surgical operation to remove foci of endometriosis.

Pregnancy after treatment

If you take a course with the drug Jeanine, and cure endometriosis, then often after therapy, conception occurs very quickly. But doctors recommend taking a break for several months after treatment, as the risk of a missed pregnancy increases.

You can plan the birth of a child only after the menstrual cycle normalizes, and this takes an average of 1-3 months. If after a few months the woman still does not become pregnant, it is necessary to consult a doctor, as this indicates other pathologies of the reproductive system that are not associated with taking Zhanin.

Analogues

Which is better, Jeanine or Silhouette - a question that is difficult to answer. It all depends on the form in which endometriosis proceeds, and on the individual characteristics of the body. Good feedback about Jeanine are often accompanied by negative comments from women who are faced with the manifestation of side symptoms.

But this does not mean that the drug is ineffective. It's all about the wrong use of the drug or individual intolerance. Only a doctor can prescribe analogues; self-replacement of the medicine is strictly prohibited.

Bleeding after intimacy is a pathological condition that most often indicates health problems. Bleeding can be understood as both spotting and profuse, breakthrough bleeding from the genitals of a woman or a man. In most cases, blood after sexual contact appears in women. There can be many reasons: from problems in the sexual sphere to oncological processes in the organs of the genitourinary and reproductive systems.

If the desire for intimacy was not mutual, drops of blood may appear due to insufficient secretion of vaginal lubrication and damage to the walls of the vagina. When bleeding is accompanied by pulling pain, painful urination, and other pathological signs, the reasons may be more serious. In women, this may be a manifestation endometriosis, erosive lesions of the cervix,inflammation of the appendages. In men, blood after intercourse often indicates frenulum injury, inflammation of the urethra and/or malignant lesions of the spermatic cord or seminal vesicles. Even if there are no other symptoms, but blood began to flow after sex, it is necessary to appear gynecologist(men - urologist or andrologist).

If a woman is healthy, but after intimacy she notices drops of blood on her underwear, there may be several reasons. The most common of these is vaginal dysbacteriosis, in which the acidity of the vaginal environment is disturbed and the number of beneficial lactobacilli decreases. Lactic bacteria (Lactobacillaceae) maintain an optimal level of moisture in the vagina, ensure the production of vaginal lubrication when a woman is aroused, and prevent the growth of pathogenic bacteria.

If the number of lactic acid bacteria decreases, the woman experiences discomfort, burning sensation during intimacy. Blood in vaginal dysbacteriosis can appear as a result of intense friction of the penis against the walls of the vagina, on which microcracks and abrasions appear. The partner at this time also experiences discomfort. After intimacy is complete, a few drops of blood may also appear on the man's genitals.

Note! Not always the reason for the lack of lubrication is a violation of the vaginal microflora. A woman may not be sufficiently excited, emotionally constrained. Little lubrication is also released if a woman does not trust her partner, so do not rush into sexual relations if there is no complete understanding and trust.

What to do?

In order to maintain an optimal balance of microorganisms in the vagina, it is necessary to follow the rules of intimate hygiene, change underwear daily, and refuse to purchase panties and bras made of synthetic fabrics. Great importance also has food. The diet should contain a lot of fruits, greens, vegetable salads, fresh berries. Must be consumed daily dairy products: cottage cheese, ryazhenka, kefir, bifidok.

To restore the balance of beneficial bacteria and prevent dysbiosis, you can use preparations containing lacto- and bifidobacteria. It can be capsules, vaginal suppositories, tablets, cream for application to the external genitalia. The funds in this group include:

• "Bifidumbacterin" (candles and capsules);
• "Normobact" (powder);
• "Vagisil" (napkins, cream and gel for intimate hygiene);
• "Acipol" (capsules);
• "Acilact" (vaginal suppositories).

To improve the sensations during sex and reduce discomfort, it is recommended to use condoms and lubricants, which can be bought at any pharmacy.

The influence of alcohol

A small amount of blood after sex can also appear if a person has consumed alcoholic beverages shortly before intimacy, especially if their strength exceeded 12%. Any strong alcohol dilates the blood vessels, including the vessels of the genital organs. If the man's actions were too active or rigid, small capillaries are easily injured and break. Bleeding in this case is mild, not accompanied by fever, pain and other pathological symptoms.

To avoid such a problem, it is better to give up alcohol if sexual contact is planned in the next day. If a feast cannot be avoided, it is necessary to know the permissible measures of alcohol that have a minimal harmful effect on the body.

Drink	Maximum daily rate for women (ml)	Maximum Daily Value for Men (ml)
White wine	150	180
Red wine	180	220
Vodka	40	70
Cognac	30	50
Liquor	80	100

Important! Never drink alcohol before sex unless the partners are using condoms or other methods of contraception. In the event of pregnancy, when one of the partners was in a state of intoxication, the likelihood of birth defects in the fetus will be several times higher.

Video - Why is there blood after sex?

Blood after intercourse is an early sign of pregnancy

If a woman began to notice a bloody spot on the underwear, accompanied by tingling over the pubic bone and pulling pain in the lumbar region and lower abdomen, pregnancy may be the cause. This situation is especially typical for women with irregular periods who cannot notice the delay in time. Drops of blood, if a woman is pregnant, may appear during the attachment of a fertilized egg to the body of the uterus or with the threat of interruption. In rare cases, a miscarriage can occur in the very early stages of pregnancy (up to 2-4 weeks), outwardly this can be manifested by profuse bleeding with the discharge of blood clots.

Important! Women with irregular periods are advised to periodically take a pregnancy test so as not to miss a possible conception. If the test result is positive, you should immediately contact a gynecologist to rule out an ectopic pregnancy.

Possible diseases

If pregnancy is excluded, and bleeding after intimacy periodically appears, you should consult a doctor. There are many gynecological diseases that can be accompanied by a similar symptom, and the sooner the cause is identified, the more likely it is to avoid serious consequences and complications.

Pathology of the endometrium

The endometrium is the inner mucous layer of the uterus that covers the walls of the organ. The endometrium contains a large number of blood vessels, so any disturbance in its functioning is almost always accompanied by bleeding. They may be:

• very scarce (daub or a few drops);
• moderate (no more than 1-2 tablespoons);
• abundant breakthrough ( blood is coming endless).

The most common pathology of the endometrium is its hyperplasia- growth. Hyperplasia can be the result of untreated uterine diseases or hormonal disorders. Bleeding with hyperplasia is breakthrough, the blood may come out in jolts and contain blood clots different size. The intensity of bleeding increases after physical activity and sexual contacts.

Against the background of hyperplasia in women is often diagnosed endometriosis- inflammation of the endometrium, in which the mucous tissue extends beyond the body of the uterus and can accumulate in the ovaries, fallopian tubes and other organs of the small pelvis.

Treatment of endometrial hyperplasia and endometriosis includes the use of hormonal oral contraceptives ( Janine, Diane-35, Yarina). In most cases, breakthrough bleeding can be stopped only with the help of surgical curettage or vacuum aspiration. After the procedure, the woman is prescribed antibiotics ( "Metronidazole") to prevent infection of the uterus.

Important! Oral contraceptives can cause severe side effects, but despite this, treatment should not be stopped until the end of the course. Self-interruption of therapy may cause "withdrawal bleeding". The provoking factor is usually active sex and weight lifting.

Other diseases

Constant light bleeding after sexual intercourse in women can be triggered by benign tumors of the uterus - fibroids, especially if they have a diffuse form.

These symptoms can also be caused by:

• erosive damage to the cervix;
• inflammation of the appendages;
• polyposis and cystic formations in the ovaries;
• adhesive process in the small pelvis.

Sometimes blood can bleed after sex. sexually transmitted diseases. In this case, other symptoms are usually present, for example, itching of the perineum, discharge with a rotten smell, redness of the mucous membranes of the genital organs. For treatment, broad-spectrum antibacterial agents are used in the form of vaginal suppositories and tablets, systemic antibiotics and bifidus preparations.

Important! In severe cases, blood after intercourse can be a sign of oncological processes in the uterus, ovaries, or cervix. If a similar symptom appears against the background of a constant increase in temperature, pulling or sharp pains of low intensity in the lower abdomen, you should immediately consult a doctor.

Possible causes in men

In almost half of the cases, blood after sex in men indicates sluggish urethritis - bacterial or viral. urethral injury. The disease can occur against the background of a slight increase in temperature and other symptoms, which include:

• burning and pain during emptying of the bladder;
• purulent discharge of yellow, milky or green color and the penis;
• pain and discomfort during intimacy;
• weakness and deterioration of well-being.

Another possible reason is frenulum injury when using various sex toys (for example, penis rings). If the size of the toy is chosen incorrectly, and it strongly rubs the skin of the penis or frenulum, microcracks and abrasions may occur that bleed during and after sex. If measures are not taken in time, the wounds can become infected, which will lead to an inflammatory process.

How to stop bleeding after sex?

To stop the blood after intimacy, you can use hemostatic drugs, but you can take them only after reading the instructions and if you are sure that there are no contraindications for treatment. One of the most popular medicines for stopping bleeding is " Dicynon". A single dose of "Dicinon" in case of abundant bleeding from the genital tract after sex is 1-2 tablets. If there is no effect after 20 minutes, you need to take another tablet and continue taking it for 5 days at the same daily dosage.

Another effective hemostatic agent is “ Vikasol". It should be taken in the same dosage. You can supplement the treatment with a decoction of the leaves. nettle. Nettle is a well-known remedy for stopping bleeding, which is used even in traditional medicine. To prepare a decoction, you need to pour 2 tablespoons of nettle with a glass of boiling water and boil for 5 minutes. Drink half a glass 4-5 times a day until the bleeding stops.

If nettle does not help, you can use tincture water pepper, which is sold in a pharmacy. It helps to cope even with heavy bleeding. You need to take the tincture 2 times a day, 30 drops diluted in 80 ml of liquid.

Important! Tincture of water pepper is contraindicated in pregnancy, arterial hypertension, diseases of the gastrointestinal tract.

After the attack is stopped, you need to go to the hospital to find out the cause. If you can’t stop the blood at home, you need to call an ambulance, as heavy blood loss can lead to serious consequences. Before the arrival of doctors, it is better to be in a supine position, on the lower abdomen, you can put a bottle of ice crumbs wrapped in a towel, or a heating pad filled with cold water.

To prevent bleeding after sex, you must give up alcohol before intimacy and avoid hard and rough movements during intercourse. If there are signs of any diseases, it is necessary to treat them so as not to infect the partner and prevent possible complications.

The market for hormonal contraceptives is now large. One of these drugs is Janine. Jeanine refers to monophasic drugs taken orally and has a contraceptive effect.

Bleeding from Janine. The impact of the drug

It acts on three mechanisms at once:

Ovulation is suppressed at the level of the hypothalamic-pituitary system.

The cervical secret changes its composition so that it becomes impassable for spermatozoa.

The endometrium changes in such a way that implantation into it becomes impossible.

Of course, it should be understood that there are a lot of other effects on other organs and systems. Jeanine either does not work at all, or has effects where it is expected and where it is not expected. There are currently no medications without side effects. In addition, an old saying comes to mind - the lower the doctor's qualification, the more hormones he prescribes. The human body is an open system, under such conditions, the constancy of the internal environment can be maintained only by continuously rebuilding the metabolism, adequate to what is happening in environment. All this is regulated in the human body by the homeostasis regulation system. It has three executive mechanisms at its disposal: nervous, endocrine and immune system. Their work is completely synchronous. One process in the human body is controlled by many mechanisms. It is now clear that bleeding from janine is a perfectly normal side effect that is simply the most noticeable.

Bleeding from Janine - Features

Hormones are very necessary in some cases - the lack of insulin and insulin administered from the outside will inevitably lead to the death of the patient diabetes. Glucocorticoids are used together with catecholamines (adrenaline, norepinephrine) in intensive care to save lives. However, with the introduction of hormonal contraceptives, the situation literally turned inside out. Now hormones are prescribed not for extremely seriously ill patients, but, on the contrary, for those who are “too” healthy, who do not want to become pregnant. Hormonal contraceptives are very necessary in oncology. There they help treat some diseases. But again, it's about life and death. And when a healthy woman, without thinking, takes a hormone, the consequences will be the most unexpected.

Side effects- bleeding from Janine

The instructions clearly state that when taking Janine, both bleeding from the uterus and thromboembolism are possible. Other side effects include nausea, breast tenderness, migraine, vomiting, cholestatic jaundice, and others. Occasionally, recipients develop chloasma (yellow-brown spots on the face). It is significant that with an overdose of Janine, uterine bleeding begins. That is, the changes that this drug is supposed to cause in the uterus and can cause bleeding from janine.

All of the above shows that the use of hormonal contraceptives to prevent pregnancy is an unreasonable risk to one's health. Such medicines (hormone-containing) should be used only when it comes to saving the patient's life.

The site is a medical portal for online consultations of pediatric and adult doctors of all specialties. You can ask a question about "when taking janine brown discharge" and get a free online consultation with a doctor.

Ask your question

Questions and Answers on: brown discharge when taking janine

2014-11-20 19:26:53

Eugene asks:

Hello. Let's start with the fact that on May 23, 2014, a fibrous node measuring five cm was excised. Pain syndrome and malnutrition of the fibroids. In September, for a period of 6 weeks, I had the first abortion (before that there were three births). On the third day after the abortion, the temperature rose to 38, which itself subsided. But brown discharge appeared. They prescribed Doxycycline, metronidazole, iodoxine. The course of treatment was completed. 3.5 mm. The doctor prescribed Janine from the first day of menstruation. There were no menses for 47 days, on the 48th day brown, slightly bloody discharge appeared, I thought it was menstruation, I started taking Janine. The brown discharge lasted 5-7 days, then scarlet spotting began, like diluted blood and a little mucus. It was like that for three days, and then the discharge began, as during menstruation. And the stomach pulls from the side of the cyst. The discharge has already been 5 days, tiny hard transparent joints, similar to gelatin and even small bones, either meat (sorry) or clotted blood. I repeat the clots are small, small. What is it? And what to do? Where to go? What tests to take?

Responsible Serpeninova Irina Viktorovna:

Evgenia, good afternoon! After removal of the myomatous node, hormone therapy is always prescribed to prevent the appearance of a new one. The IUD is shown to you only with levonorgestrel-Mirena. You need to go for an examination, remove the IUD and start hormonal therapy. Be healthy!

2013-06-10 08:53:55

Julia asks:

Good afternoon!
I was diagnosed with endometriosis (adenomyosis), the uterus is located behind. Soreness of the uterus during intercourse, heavy menstruation .. The gynecologist decided to start taking hormonal pills. First I drank Jeanine, while taking 10-12 days of menstruation, then a break of 15 days and again the same number of days of menstruation and so 2 months. They changed Jeanine to Jess, the blood loss during menstruation was reduced, but it smears with dark brown secretions all the time, without stopping. I don’t know what to do, maybe hormonal pills suit me? And how then to treat adenomyosis? Thanks in advance for your reply.

Responsible Purpura Roksolana Yosipovna:

First of all, do you have endometriosis or adenomyosis? These are different diagnoses. It is most rational to send the last ultrasound report. Chocolate-colored discharge is characteristic just for endometriosis. Please clarify.

2011-12-26 14:19:39

Albina asks:

Hello! In April of this year, three days after the end of my menstruation, the doctor said that I had inflammation, but I could not go to the hospital and after a few days my blood became redder, another doctor prescribed me the drug regulon according to the scheme: 1d-5pcs 2d-4 3d-3 2 and subsequent 21 days, 2 tab. but the result did not change after lying in the hospital for five days, I was scraped, but after 3 pains and blood started again, while I continued to drink regulon, after four days I was already treated with hemostatic systems, but to no avail, and again they did scraping, the blood was another 14 days, then a month later they came menstruation and I began to take janine, after the first pack, my periods did not come, but after 8 days I started a new pack, my periods came in the interval between taking a new pack, after the third pack, my periods did not come again and the doctor canceled the drug for me, menstruation came in a month last month, a delay of 6 days this month for 7 days 5 days have passed and after 3 days first brown discharge and then dark-burgundy blood smearing began -2 and further 18 days, one by one yesterday I took 5 pcs, but so far the smear hasn’t smeared the brown color, how to be I'm very tired to be operated on yet I can't

Responsible Wild Nadezhda Ivanovna:

Hello! Take a blood test with a formula, i.e. expanded. If there is a submucosal node, then surgical treatment is necessary if you do not want to get on the operating table as an urgent patient. If you started norkolut, then continue to take, you can add tranexam, present. water pepper is a hemostatic.

2011-12-25 13:46:58

Victoria asks:

Hello. Six months ago, I underwent surgery to remove the endometrioid cyst of the right ovary. I was discharged with a diagnosis of endometriosis and was told to drink Janine continuously for 6 months. At the same time, the doctor emphasized that with continuous use of this drug, menstruation should not be. So it was the first 3 months of admission. Now I have been drinking Jeanine for the fourth month and spotting brown discharge has begun (it has been going on for a week). Tell me, please, is this normal or is it a symptom that the cyst has reappeared? I have a terrible panic and I am terribly afraid to go for ultrasound, I don’t want to go back to the operating table. I will be very grateful to you for your feedback.

Responsible Klochko Elvira Dmitrievna:

Hello. The cyst on the zhanina should not grow. It's just that you still need to take a 7-day break for menstruation and then drink again for 3 months without a break.

2010-03-01 18:39:05

Irina asks:

Hello! Dear doctors, I really need expert advice on this issue:
I was born in 1984 (full 25 years old) I have a very desirable third pregnancy: the first ended with the birth of a son in 2004, the second with a vacuum for a period of 3 weeks in June 2007 (at that time I had 3 b dysplasia and doctors did not recommend developing a pregnancy, as "bad" cells also actively developed. There was also papilloma type 16. Dysplasia was cured - long-term use of various drugs and a laser as a result. After a six-month intake of hormones, "Janine" which she finished at the end of October 2009. The doctor said that I was absolutely healthy and ready to conceive a child.All tests are excellent.) The last menstruation was on January 3, 2010. The cycle is not stable yet - jumped from 27 to 33 days - the last 33 days. Penultimate 31 days. It is difficult to accurately determine the date of ovulation. Presumably in the 20th-25th of January. Sexual intercourse was on January 20 and also somewhere on February 1-3 - I don’t remember exactly. Unfortunately. Frau-test showed a weak, barely visible second strip on February 7th. At the same time, for a week there was severe fatigue, frequent urination, an acute sense of smell. On February 8, the result of transvaginal ultrasound - cervix 40mm, dimensions 55x46x44 mm, endometrium 12mm secretory. the uterine cavity is not deformed, the right ovary is 25x17 mm, the structure is follicular, the left one is 40x28, the structure is follicular, it contains the corpus luteum in the form of a 2x0 (-) formation 18x20 mm - it’s hard to make out here, but it seems that everything was written correctly. The result - a repeat after a while - the ultrasound diagnostician said that this is a pregnancy up to 2 weeks if the test is positive. Ultrasound 24.02.2010 - the number of fetuses 1 diameter of the fetal egg 14x12 mm, the condition of the uterine appendages - the corpus luteum in the left ovary in the form of 2x0 (-) images. x20mm (or 220mm?), features of the elements of the fetal egg are not determined. conclusion - 3 weeks, anembryony? and still can't make out the word. but the diagnostician said that another formation of the cyst type seems to be developing on the left ovary. and this anembryony is almost 100% nowhere to pull - for cleaning. maximum - repeat ultrasound in a week. The gynecologist did not even look at the results of the ultrasound, at the word anembryony - the cleaning said right away - do not wait until the bleeding opens - at your own peril and risk, wait for the repetition of the ultrasound in a week. but then definitely cleaning. I also had spotting discharge of a brownish-brown color (not bloody, but just such a dirty brown color) the first time on February 20, the second and third on February 21 - but a little of the consistency of ordinary discharge (a little - this is literally a spot 2x1cm smearing) - never for everything time did not bother any pain, nothing ached - neither the stomach nor the back. there were also blood staining of the discharge after intercourse in early February - I mistakenly took them for the onset of menstruation - but they were also few and disposable, of a homogeneous consistency (painted over less than half of the daily pad.) The child is very desirable, I am very afraid of abortion, and more - his possible consequences. I don’t know whether to do the third ultrasound at such an early date - maybe this will provoke problems ?? But it’s also scary to wear a frozen burden - so as not to cause consequences and then not be able to get pregnant and give birth at all. or again year after year to be treated. What tests can I still take - how long can I wait, because I'm only worried about the usual "pregnant signs" and the discharge is normal. Only the stomach is growing very fast for some reason, as if not for a short period, but for the 4th month already. And it still doesn't bother me at all. 3 more tests showed confident 2 strips. I look forward to your opinions and advice. My doctor said "no one will save this, if the pregnancy begins with such problems, it must be eliminated - and then get pregnant again for health, this is not such a terrible problem." And for us, this is our desired baby with my husband .... And also, if possible, tell me what sedatives you can drink in this situation - the fifth day is all in tears. Sorry for being so detailed and Thank you so much in advance for your advice.

Responsible Strelko Galina Vladimirovna:

Dear Irina! To determine how well the pregnancy develops, it is necessary to do a blood test for chorionic gonadotropin (CG). In the early stages (up to 7 weeks from the last menstruation), the level of this hormone doubles every day - two. Thus, with a normally developing pregnancy, in 2-3 days it is possible to determine with a high degree of probability whether the level of hCG is increasing correctly, and, accordingly, whether the pregnancy is developing correctly. Visualization of the fetal egg on ultrasound becomes possible with hCG values ​​of 1000 or more (usually after 4 weeks from the moment of fertilization). Without accurate data on the date of ovulation and the level of hCG at the time of the examination, it is difficult to interpret the ultrasound data. It makes sense to keep the pregnancy in its normal development (with the correct growth of hCG). If pregnancy does not develop, spontaneous abortion will begin sooner or later. Sometimes it can be accompanied by heavy bleeding, soreness. Parts of the fetal egg can remain in the uterine cavity, causing prolonged bleeding and inflammatory complications. If the diagnosis of "non-developing pregnancy" is established, curettage of the uterine cavity is really recommended, including in order to examine the resulting material for the presence of genetic abnormalities (to determine at least one of possible causes stops in the development of pregnancy).
Regarding sedatives - you can use herbal preparations (Valerian, Persen, etc.).