What is implantation bleeding
Implantation bleeding during pregnancy is a condition caused by the attachment of a fertilized egg to the inner lining of the uterus. The inner shell is a loose tissue with a developed network of blood vessels. Rich blood circulation is necessary for the successful gestation of the fetus and its life support throughout the 9 months of pregnancy.
The process of implantation after conception is accompanied by tissue destruction and damage to these vessels, that is, it is practically microtrauma. If the damage is minor, the vessels remain intact and implantation bleeding does not occur. When the vessels are damaged, bleeding appears. Within a couple of days it stops, as the coagulation system is activated and the integrity of the blood vessels is restored.
Implantation bleeding during pregnancy is a natural process. But it is important to know its signs in order to distinguish it from pathological discharge, which can lead to complications.
Implantation bleeding on what day after conception?
Implantation (embryonic) bleeding is an accumulation of blood in the vaginal secretion, resulting from the implantation of an embryo into the uterine cavity. It is considered one of the early signs of successful conception. Implantation bleeding is a sign of pregnancy, but it occurs in only 20% of women.
Implantation bleeding with twins
Twins, triplets or one child, it doesn’t matter. If implantation bleeding occurs, it will be the same in all cases.
Is there always implantation bleeding?
No, it is typical only for 20% of women.
Implantation bleeding then period
If you have accurately identified IR, and after it your periods begin, then the body may have rejected the embryo. Possible causes include heavy lifting, stress, and poor nutrition.
Symptoms of implantation bleeding
The condition occurs without pronounced symptoms. The discharge is light pink or cream in color, without an unpleasant odor and in small quantities. Lasts no more than 2 days.
At this moment, a woman may feel pulsation in the lower abdomen, slight soreness, nagging or aching pain. The state of health is usually not affected, but there may be slight malaise, weakness, loss of strength, drowsiness, nausea, which do not affect performance and do not interfere with leading a normal life.
There is another sign - a change in basal temperature. If a patient is planning a pregnancy and measures her temperature daily, then during ovulation she will notice an increase in the values on the graph. When the fertilized egg attaches, the numbers, on the contrary, decrease - this period is called “implantation retraction.” After a short-term decrease, the temperature rises again and remains this way for the entire period due to progesterone.
Of course, when determining pregnancy, one cannot rely only on the values of basal temperature, but its characteristic jumps, coupled with slight bleeding, allows one to suspect an “interesting situation.”
Implantation bleeding with clots
Blood clots interspersed with mucus that appear during menstruation are considered an alarming sign. They are characteristic of a number of gynecological diseases. Their occurrence is a serious reason to contact a female doctor. Possible reasons for such discharge include:
- Hormonal abnormalities;
- Inflammatory processes in the pelvis;
- Mechanical damage to the genital mucosa;
- Risk of early pregnancy termination;
- Sexual infections;
- Bend of the uterus;
- Endometriosis;
- Pathologies of vaginal microflora;
- Ectopic pregnancy.
Ectopic pregnancy
When the uterus bends, pathological discharge is accompanied by cramping pain radiating to the rectum. Their appearance is caused by the accumulation of blood in the uterus due to its atypical location. The likelihood of pregnancy when the uterus is bent is significantly reduced.
Bend of the uterus
With endometriosis, spotting can occur on any day of the menstrual cycle. They have a smearing character and a brown tint. The disease is characterized by the growth of endometrium on the abdominal organs. Normally, the endometrium should line the inner surface of the uterus. The disease is hormonal in origin.
Endometriosis
With genital infections, in addition to atypical discharge, itching and an unpleasant odor from the genitals appear. In advanced cases, the infection spreads to the bladder, which can lead to problems with urination and pain in the lower abdomen.
Blood clots, the appearance of which is provoked by pathological processes, are accompanied by other symptoms. A woman’s cycle may be disrupted, pain and an unpleasant odor from the genitals may occur. With an ectopic pregnancy, abnormal discharge appears both during a delay and immediately after menstruation. A characteristic sign of an abnormal location of the ovum is pain. If measures are not taken in a timely manner, damage to internal organs with profuse hemorrhage may occur. Therefore, if suspicious symptoms appear, you should consult a doctor.
How is it different from menstruation?
The cause of bleeding can be determined by several signs:
- Volume of discharge. During menstruation, the discharge is copious, its duration is from 3 to 5 - 6 days. First there is spotting, then intense bleeding for 4 days, after which there is scanty discharge again. With implantation bleeding, the discharge is immediately scanty and goes away within a couple of days;
- The onset depends on the day of the menstrual cycle - menstruation most often begins on days 28 - 30, implantation bleeding - earlier, a few days after ovulation;
- The color of the discharge is dark red during the menstrual cycle, and during implantation it is pinkish discharge or mucus streaked with blood;
- Menstruation is characterized by PMS - premenstrual syndrome, which is accompanied by increased emotionality, irritability, tearfulness, and malaise. It begins a few days before the cycle, after the appearance of discharge, the symptoms gradually fade away. With implantation bleeding during pregnancy, on the contrary, the intensity of complaints increases every day and is accompanied by symptoms of toxicosis - nausea, dizziness, fluctuations in blood pressure.
Difference from menstruation
There are practically no differences
Due to the similarity in external signs, it is quite difficult to determine how implantation bleeding differs from menstruation. To understand what it is you need to know what happens in the body before and after conception.
For a complete understanding, let us explain what distinguishes ovulation from implantation. This is important when planning a pregnancy. In the middle of the menstrual cycle, an egg is released from the ovary, the maturation of which lasts two weeks (plus or minus 2 days).
After meeting the sperm, the process of fertilization occurs, which forms the embryo. If this happens, some women experience cell implantation.
How to determine implantation bleeding
To find out whether it is implantation bleeding or something else, you need to know the features.
You should pay attention to the following characteristics:
- discharge does not coincide with the cycle and begins on days 22 - 27 - the timing depends on the length of the cycle (for some it is 28 days, for others it is 30), but always before menstruation;
- before the appearance of discharge, there may be pain in the abdomen - mild, pulling or stabbing in nature;
- lasts no more than 2 days;
- discharge is pinkish, not strong, spotting;
- changes occur in the mammary glands - the nipples acquire a dark shade, the glands become painful, increase in size due to the proliferation of glandular tissue;
- changes in hormonal levels are accompanied by emotional instability, tearfulness, and frequent urination.
What does it look like
Since the amount of discharge is small, implantation bleeding during pregnancy may go unnoticed. A woman perceives pain and weakness as a symptom of PMS; she will not notice changes in basal temperature if she does not check it or measures it irregularly.
On underwear, the discharge looks like spotting or patches of pink clots.
Implantation bleeding is possible only after conception, so it is preceded by ovulation. Some women also feel ovulation physically. They describe their sensations as pain on the left or right in the lower abdomen (depending on in which ovary the follicle has matured). After ovulation, sexual intercourse without contraception should take place. Only a combination of all these factors allows one to suspect conception and subsequent implantation bleeding.
What does implantation bleeding look like?
Periods or implantation bleeding? Many women confuse IR with menstrual periods. It is quite easy to distinguish one from the other. Discharge characteristic of implantation begins earlier than menstruation. They do not cause significant problems and do not require frequent changes of hygiene products.
The easiest way to distinguish implantation discharge from menstruation is for women who purposefully planned a pregnancy. In this case, they try to practice sexual intercourse on the day of ovulation, which is determined using ultrasound. As part of pregnancy planning, a few drops of blood on your underwear will become an obvious sign of an accomplished conception. To accurately determine the nature of the origin of the discharge, you should pay attention to the following parameters:
- Color;
- Quantity;
- Structure;
- Duration of release.
Implantation bleeding photo
ICs have a stretchy consistency comparable to chicken protein. They may contain streaks or drops of blood. Such secretions do not have an unpleasant odor. They go no more than a day. But in most cases they appear on linen once in the form of a small spot.
How many days after conception can it be
Implantation bleeding develops 4 to 5 days after conception.
The chronology of events is as follows:
- The release of the egg from the follicle occurs on days 14 - 16 of the cycle, sometimes later if a woman’s cycle is more than 28 days - everything is individual;
- within 3 days the egg is capable of fertilization;
- after conception, the fertilized egg begins to move along the fallopian tube towards the uterus;
- on days 4–5 after pregnancy, the fetus is implanted into the endometrium.
If a woman's periods come regularly, it is not difficult to find out what caused the discharge. Especially if a couple is planning a pregnancy, is not using protection and is making all the calculations.
There are no difficulties when carrying out IVF or using other types of assisted reproductive technologies. During in vitro fertilization, an embryo is implanted into the uterus; if the procedure is successful, implantation bleeding will begin within a few days.
During artificial insemination, sperm from a partner or donor is injected into the uterine cavity. In this case, the entire further process occurs naturally. That is, sperm must “get” to the egg and fertilize it. After which the fertilized egg begins to move through the cavity of the fallopian tubes towards the uterus. Implantation bleeding during pregnancy begins 4 to 5 days after insemination.
What will an ultrasound show for implantation bleeding?
When implantation bleeding occurs, the fetus is in the uterus. It is impossible to see the embryo on an ultrasound at this stage. The minimum period when an embryo can be detected is 3 weeks. Until this time, the fertilized egg is so small that even with a transvaginal examination it cannot be seen.
Therefore, there is no need to conduct an ultrasound and it is not prescribed. The study can be used as a diagnostic method when a woman has an irregular cycle and the cause of bleeding needs to be identified.
When to test after implantation bleeding, how many days later?
Implantation bleeding is the bleeding that occurs when the embryo attaches (implants) to the walls of the uterus. It is a physiological norm and is not capable of harming a woman and her unborn child. The norm and pathology of bleeding can be seen in the photo, but it is better to know about possible problems in advance.
Causes that do not pose a health hazard
The cause of implantation bleeding is damage to the walls of blood vessels during the implantation process. By the time the embryo moves through the fallopian tube into the uterus, it is a multicellular structure (blastocyst).
It consists of 2 types of cells:
Cell type | Description |
Internal (embryoplast) | These will subsequently form into an embryo. |
External (trophoblast) | They act as a shell and ensure implantation: penetration of the embryo into the mucous membrane lining the inner walls of the uterus and anchoring in it |
If the place for implantation is chosen “unsuccessfully” and a vessel gets in the way of the chorion, its walls melt, and the contents are poured into the uterine cavity and then removed through the vagina. Outwardly, it looks like bleeding, which is the first sign of pregnancy and its normal development.
Implantation bleeding (a photo of it can be seen on the pad) is noticed by only 20% of pregnant women. More often it goes unnoticed. Its absence does not indicate pathology, but means that implantation was not accompanied by vascular damage.
The probable period of such bleeding during natural conception is the 6-7th day from the moment of fertilization. This is how long it takes for the blastocyst to enter the uterus, and for the woman’s body to create a thick layer of mucous membrane.
There are also late (on the 10th day of ovulation) and early (up to 7 days from the moment of fertilization) implantation. With early implantation, the uterine mucosa is not fully prepared and is of insufficient thickness, so the attachment will be fragile, which increases the likelihood of miscarriage. Late implantation is not dangerous.
If a woman becomes pregnant through the IVF procedure, then the likelihood of implantation bleeding is higher, and it occurs later - 8-10 days after ovulation.
This same bleeding can easily be confused with other bloody vaginal discharge that does not pose a health hazard.
Menses
Implantation bleeding (it is better to take photos of it several times, so that in case of complications it can be observed in dynamics) resembles the beginning of ordinary menstruation. In time it is also close to the date of the next menstruation.
However, there are certain differences:
Parameter | Description |
Deadlines | As a rule, the implantation period occurs on the 6-7th day of the expected moment of fertilization. Since the 14th day of the cycle is the most favorable for conception, bleeding due to implantation is observed approximately a week before the date of the next menstruation. In the case of late implantation, bleeding may begin approximately 2 days before the expected start date of menstruation and coincide with it |
Volume of discharge | When implanted, they are usually scanty: from a few drops to a small spot. During menstruation, the amount of blood is much greater |
Duration | Implantation bleeding is characterized by its short duration: from several hours to 2 days. There may be breaks followed by a resumption of discharge, which are associated with a temporary cessation of the implantation process. Menstruation lasts 3-6 days, discharge is present continuously, its intensity first increases and then decreases |
Character | The discharge associated with the implantation of the embryo is pink or brownish in color (during menstruation it is scarlet). They are watery, devoid of the specific “copper” smell characteristic of menstrual blood and do not contain clots, mucus, or lumps |
Also, menstruation is indicated by the absence of other signs of pregnancy and negative test results, which can be performed 2-3 days after the cessation of discharge.
Bleeding after failed implantation
If within 2 weeks from the moment of fertilization the embryo fails to attach to the walls of the uterus, it dies and is removed from the body. The discharge that occurs during this process is menstruation, but has its own characteristics.
They:
- more abundant, sometimes painful;
- may go with a slight delay;
- include embryonic discharge in the form of large clots that can be seen with the naked eye.
Source: https://atlantstroy116.ru/kogda-delat-test-posle-implantacionnogo-krovotechenija-cherez-skolko-dnej/
After ovulation
On average, implantation bleeding occurs on days 25 - 27, less often on days 29 - 31 of the cycle, a week or 2 - 4 days before menstruation.
Regarding ovulation, the timing is as follows. The fixation of a fertilized egg can occur:
- after 7 - 10 days - average terms, this is the most common option;
- after 6 - 7 days - early implantation, rare;
- later than 10 days - this is late implantation, more often occurs with artificial insemination.
Women expecting pregnancy wonder whether it is always possible to detect implantation bleeding, and whether it is always characterized by additional symptoms. Depending on the individual characteristics, the attachment of the embryo in some cases coincides with the first day of menstruation, especially if the girl has an irregular cycle.
To get answers to your questions, a pelvic ultrasound should be performed no earlier than 3 weeks later. An examination will allow you to make an accurate diagnosis.
How to determine it and not confuse it with menstruation?
For girls who constantly and closely monitor their women's health and cycle, it is easy to distinguish between periods and bleeding during egg implantation. To do this, you need to focus on the following manifestations:
- time of occurrence of bleeding;
- their duration.
Menstrual phenomena are always more abundant and begin on the same days of the month, with the exception of cases of an unsystematic menstrual cycle. During menstrual periods, many girls are bothered by abdominal pain and poor health. At the beginning of the menstrual cycle, bloating or indigestion sometimes occurs. During implantation bleeding there are no such symptoms. Bloody discharge appears for a couple of hours, then stops and may resume briefly. They happen very quickly, and many girls do not even understand what happened.
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Characteristic symptoms and signs
The main signs of implantation bleeding are:
- Intensity and duration. Such discharge is minimal and short-lived; it may be a few drops of blood or spotting that goes away after a few days.
- Discharge color. Over the entire period, their color changes from very light to darker, but differs significantly from the shade of blood during menstruation.
- Pain. On the day the discharge begins during implantation, there may be a slight sensation of pain in the lower abdomen. This is due to spasms of the uterine walls during the implantation of a fertile egg. If the pain is very severe, miscarriage often occurs, so you should immediately consult a doctor.
- Deadlines. Implantation begins 5 to 10 days from the day of conception. Or 3-6 days before the start of critical days. At the same time, most girls may not even know about their pregnancy and do not attach much importance to it. Or they can’t figure out whether it’s implantation discharge or menstruation.
- Consequences. Basically, this phenomenon occurs without any particular symptoms; sometimes some women experience fatigue and weakness throughout the day.
- Basal temperature. The decrease in basal temperature is so insignificant that for every second girl it is unnoticeable. Its decrease is monitored only on day 1, after which it rises again.
Pay attention to other circumstances that indicate implantation discharge, which means pregnancy:
- Nausea. Especially in the morning or when catching various odors (coffee, food, perfume).
- Soreness of the mammary glands. Chest pain can be a symptom of pregnancy. But such pain often warns of the imminent onset of menstruation.
- Fatigue. If you feel exhausted, despite the fact that you have not been exposed to any physical activity, you may be pregnant.
- Regularity of visiting the toilet. Frequent urination indicates a possible pregnancy.
- Mood swings. Conception gives rise to hormonal changes in the body, which are accompanied by mood changes. Although this sign is also typical for the early onset of menstruation.
- Dizziness. If you get up suddenly, you may feel dizzy.
On what day does the cycle occur and how long does it last?
As a rule, discharge appears on days 21-25 of the menstrual cycle or on days 7-9 after ovulation, which ended in conception. However, in exceptional cases, implantation discharge occurs during menstruation. Then you need to pay attention to the amount and color of the blood. The bleeding process during implantation occurs very quickly. For 70% of women, the period of such discharge lasts several hours, for the remaining 30% it can last for a day or two.
What does it look like?
The color of implantation discharge varies from light brown to pinkish, sometimes bright red, but always without dark clots. Dark brown or burgundy coloring often indicates problems with women's health. There are no clots, inclusions or mucus in implantation discharge. If you have any warning signs, you should consult a doctor.
Duration of implantation bleeding
Bleeding usually lasts no more than 2 days. During this time, the integrity of the blood vessels is restored, and the discharge disappears.
How long the bleeding lasts depends on the individual characteristics of the body. With inflammatory processes in the uterine wall, the time frame may be delayed: the tissues are changed, the regenerative capabilities of the tissues are reduced.
Blood counts also matter. If the ability to clot is impaired, blood flows for a long time. This can happen when taking medications that thin the blood, such as acetylsalicylic acid.
In all cases, it is necessary to find the cause of the problem and eliminate it. If this is not done, chronic blood loss can lead to anemia, arterial hypotension, and cause the threat of miscarriage. Even if there is no threat, prolonged blood loss does not have the best effect on the baby’s development: he does not receive enough oxygen and nutrients, which in the future threatens with hypoxic complications and malnutrition.
Does implantation bleeding always happen?
Bleeding does not occur in all cases. Often it is simply not noticed, since the discharge is scanty. The presence or absence of this symptom is not a deviation. This is a feature of the body, just like hair or eye color, height and weight. The likelihood increases with multiple pregnancies.
What to do if there is implantation bleeding during pregnancy?
When you are sure that the cause is an “interesting situation” and you feel good, just lead a normal life. There is no need to run straight to the doctor or do an ultrasound - at this time the examination will be uninformative. There is also no need to take hemostatic agents or drugs to maintain pregnancy. But you can start taking folic acid to prevent abnormalities of the nervous system in your child, if you have not done so before.
Pay attention to lifestyle, nutrition, emotional state - eliminate all factors that could negatively affect the child:
- Give up bad habits - smoking and alcohol, do not forget about passive smoking and do not be in places where there is tobacco smoke;
- Review your diet - eat more fresh vegetables and fruits, herbs, fresh fish. Limit sweets, canned foods, and processed foods. If you are drawn to a certain “harmful” product, this may indicate a deficiency of some vitamin or microelement. In this case, you can replace one product with another. For example, one is drawn to sweets because of a lack of energy. The deficiency can be replaced with so-called “slow” carbohydrates, which are found in dried fruits - they do not cause a sharp jump in blood glucose;
- Establish a daily routine, get enough sleep and rest;
- Do not take any medications without a doctor’s prescription - even vitamins should be taken only when necessary, and an overdose of them is completely dangerous;
- Avoid physical strain, emotional turmoil, stress;
- Try to surround yourself with something that creates a good mood and pleases the eye.
If menstruation begins after some time after bleeding, you should consult a doctor immediately. This can occur when there is a threat of miscarriage. In this case, the symptoms gradually increase. It is necessary to take all measures to stop the bleeding and maintain the pregnancy. In most cases, inpatient treatment is indicated. Women who have already had a miscarriage or an unsuccessful IVF attempt should be especially careful.
There are other situations not related to pregnancy that are accompanied by bleeding. In these cases, specialist consultation, diagnosis and treatment are necessary.
When to go to the doctor
The first situation is that the discharge is profuse and does not stop for a long time. This may indicate various disorders: ectopic pregnancy, inflammatory diseases, cycle disorders, fibroids, endometriosis, cancer, endocrine diseases (thyroid). There will also be other symptoms:
- An ectopic pregnancy is accompanied by pain that gets worse every day. Complaints appear after a delay - after about 7 - 8 days. The period coincides with the implantation of the fertilized egg into the wall of the fallopian tube, and the pain is caused by stretching of the tube. If a woman takes the test, it will show a positive result, but the second line may be faint due to the low level of human chorionic gonadotropin compared to intrauterine pregnancy. The only possible treatment tactic is surgery;
- The inflammatory process is characterized by pain, which intensifies as the disease progresses. There may be a high temperature and purulent discharge. Gradually my health worsens. Medical care consists of bacteriological examination, isolation of the pathogen, and subsequent antibacterial treatment;
- Cycle disorders in young women, depending on the time of development of hormonal imbalance, manifest themselves in various symptoms. Characterized by weight fluctuations, headaches, surges in blood pressure, fatigue, weakness, sleep disturbances, deterioration in the condition of hair, nails, and skin. The condition requires consultation with a gynecologist, endocrinologist, and testing for sex hormones and thyroid hormones. Treatment consists of correcting hormonal levels;
- In premenopausal women, pregnancy can occur against the background of a cycle disorder, and therefore often goes unnoticed. Bleeding at the time of attachment of the egg to the wall of the uterus can also be confused with hormonal changes. A consultation with an obstetrician-gynecologist is necessary to assess the woman’s condition and determine the possibility of prolonging pregnancy;
- Endometriosis is characterized by the growth of endometrioid tissue (which normally lines the inside of the uterus) in unusual places. Unlike implantation bleeding, discharge occurs spontaneously, as well as after intimacy or physical activity. Treatment consists of hormonal therapy; if it is ineffective, surgery is indicated;
- The oncological process is accompanied by weakness, increased body temperature of unknown etiology, and pain. Blood appears after physical overexertion and a doctor’s examination. A thorough examination by an oncologist-gynecologist is required to determine the location and stage of the tumor. After this, treatment is prescribed - surgery, chemotherapy, radiation therapy, modern methods (immunotherapy, targeted therapy) or a combination thereof;
- With fibroids, the patient is bothered by pain in the lower abdomen, cycle disorders, and discharge with bloody clots. Conservative or surgical treatment is indicated based on the examination results.
Advice for patients
Not all women experience implantation bleeding. It does not require any intervention from doctors, as it is a natural process. A woman should change her lifestyle, diet, and eliminate all factors that could harm her and her child. When the period is sufficient, you need to go to the gynecologist for an appointment and register.
You need to know about threatening conditions and their manifestations in order to recognize them and consult a doctor in a timely manner.
If you have any concerns, it is better to immediately consult a specialist. Remember, the sooner you eliminate the cause of the problems, if any, the better.
How to recognize implantation bleeding
A missed period is not the only early sign of pregnancy. There is another indicator - implantation bleeding. The mechanism of its occurrence is associated with the physiological processes accompanying the fertilization period.
Despite the fact that this symptom is similar to menstruation, it has a number of differences. It is equally important to distinguish the bleeding during implantation from the pathology that accompanies the initial stages of pregnancy and requires urgent help.
Similar discharge from the genital tract may also indicate the presence of diseases of the genital area.
Causes
After the egg meets the sperm in the lumen of the fallopian tube, fertilization occurs. Then the embryo (blastocyst) descends into the uterine cavity, where it should attach to the wall of this organ. The duration of this process is about 5 days, and the introduction of the blastocyst into the mucous membrane (endometrium) takes up to 2 days.
When the embryo connects to the endometrium, the capillaries are damaged, and this is sometimes accompanied by bloody discharge. Experts call the latter bleeding during implantation.
When does it appear and how long does it last?
If implantation bleeding occurs, what day should I expect it? When the menstrual cycle lasts 28-30 days, the ovulation period occurs in its middle - on the 14th or 15th day. It is at this time that the likelihood of conception is highest. The fertilized egg travels down the fallopian tube into the uterine cavity in 5 to 8 days.
Typically, minor implantation bleeding occurs 7-9 days after the ovulation phase, i.e. on days 22-26 of the cycle or a week before menstruation.
It is also important to know how many days implantation bleeding lasts. The separation of a small amount of blood normally lasts from several hours to 1 or 2 days.
Signs and differences from menstruation
How to recognize implantation bleeding? In most situations, its manifestations are not pronounced, and only 3 out of 10 women may notice its symptoms. Therefore, the answer to the question “Does implantation bleeding always happen?” will be negative.
Reddish streaks are visible in the discharge from the genital tract. Less commonly, minor traces of blood are found on underwear.
If implantation bleeding occurs, it may be accompanied by the following symptoms:
- Mild pulling, pressing pain or feeling of heaviness in the lower third of the abdomen. They are associated with spasms of the muscular layer of the uterus, which appear when the embryo implants into the uterine mucosa.
- Implantation scanty discharge is light brown, pinkish or cream in color.
- Slight decrease in basal temperature.
- Weakness, lethargy, and a feeling of fatigue that occur after implantation bleeding.
Implantation bleeding and its symptoms may be similar to the onset of menstruation (regulus). Before distinguishing it from menstruation, it is important to remember the features of the latter. The duration of the regulation is from three to seven days, and the amount of blood released per day is from 20 to 50 milliliters. The latter has a bright scarlet color, and darker clots may be found in it.
Another difference between the separation of blood after conception and menstruation is the absence of temporary weight gain, headaches, mood swings, and irritability. But it should be borne in mind that not everyone experiences the listed symptoms.
Is a pregnancy test necessary?
Initial signs of pregnancy will appear only after implantation bleeding has ended. During this period, a test at home will not yet show that conception has occurred.
Women often wonder whether such testing can detect two lines. Sometimes the result is positive, but not always reliable. Therefore, it is recommended to repeat the test a few days after the delay in regulation. It is advisable to do this twice, with an interval of at least two days.
The most accurate way to determine the presence of pregnancy is a blood test for the concentration of the hormone hCG (human chorionic gonadotropin).
Regardless of what day after conception this test is performed, if implantation has already occurred, the result will be positive.
To get the most accurate result, you should undergo such a study several days after implantation bleeding (7-10 days after conception).
Bleeding during implantation and IVF
It is important to understand what happens if an egg is fertilized in vitro. After the embryo is transferred into the uterine cavity by a reproductologist, the latter must necessarily attach to the wall of the organ. This means that normally after IVF there may be implantation bleeding, and its characteristics do not differ from those with the natural method of embryo formation.
Bleeding during pregnancy
You definitely need to know what pathological conditions that require help look like at the beginning of pregnancy. Bleeding during pregnancy can be a manifestation of:
- Development of the fetus outside the uterus (ectopic pregnancy). The blastocyst is attached to the wall of the fallopian tube, and less often remains in the ovaries and abdominal cavity. This condition is considered urgent, because as it develops, it ends with profuse internal bleeding. In the early stages after fertilization, with the development of the fetus outside the uterus, the signs of pregnancy are no different from those during normal attachment of the embryo. The test will also be positive. There is an aching, cramping or severe cutting pain in the lower abdomen. In addition to internal bleeding, uterine bleeding sometimes occurs, but it is rarely pronounced. In severe cases, the woman loses consciousness, the skin becomes pale, and blood pressure decreases.
- Threats of termination of pregnancy, sometimes resulting in miscarriage. At the initial stage, a woman may notice droplets of blood from the genital tract. If medical assistance is not provided, the bleeding intensifies and often ends in the death of the embryo.
- Frozen pregnancy is an abnormal cessation of fetal development at a certain period due to any disturbances. Most often, this condition occurs before the third month of pregnancy. An hCG test shows that the level of this hormone does not increase or decreases. An ultrasound does not reveal fetal growth; sometimes the study determines that the entire embryo is missing. If the fertilized egg separates on its own, pain and bleeding appear. The latter may be brown in color and viscous in consistency.
When similar discharge occurs
Pinkish or brownish discharge does not always indicate that implantation bleeding is occurring. In cases where bleeding appears after a delay in menstruation, this symptom is usually not associated with implantation of the fertilized egg. It may be a manifestation of:
- endometriosis;
- oncological processes in the genital area;
- fibroids;
- disturbances in the functioning of the blood coagulation system;
- damage after sexual intercourse;
- hormonal imbalance;
- sexually transmitted infections.
Bleeding during implantation is not always noticeable, but it is a reliable manifestation of pregnancy.
It is imperative to know its differences from the regula and especially from the pathological processes occurring in the genital area.
In cases where severe pain appears in the lower abdomen, blood begins to drip from the vagina, weakness and dizziness occur, it is necessary to urgently seek medical help.
Source: https://DrLady.ru/disease/kak-raspoznat-implantacionnoe-krovotechenie.html