Bloody discharge a week before the month: what to do?
Violations of the ovarian-menstrual cycle havedifferent clinical manifestations, which may include both lengthening of menstruation in duration, and an increase or shortening of the gaps between them. One of the frequent complaints of women are spotting a week before the month. What are the causes of this phenomenon? The appearance of blood of the endometrial origin, as well as the menstruation itself, are under hormonal control. Therefore, a change in the level of hormones is always accompanied by the appearance of any secretions. However, in any case, a detailed examination of the female body is required. This is what gynecology is doing.
Bloody discharge in women isconsequence not only of the altered hormonal background. Another cause of the violation of the ovarian-menstrual cycle may be infectious and inflammatory diseases. In addition, the background, which appears spotting a week before the month, are frequent curettage of the uterine cavity (either for diagnostic purposes or for the production of abortions). This can be explained by the fact that the mucous membrane of the inner layer of the uterus is strongly thinned and bleeds easily at the slightest changes. Also, endometriosis, a disease in which endometrial tissue is located outside the uterine cavity (in the norm of the endometrium only in the uterine cavity), should also be considered as a cause. Therefore, bloody discharge a week before menstruation may appear and in violation of the normal tissue structure of the sexual organs of a woman. These are the issues that gynecology deals with. Discharge from the genital tract should always be alarming.
What to do to a woman if she appearsspotting a week before the month? The answer is simple - you need a doctor's consultation, as they are a symptom of a certain disease that requires diagnosis and treatment. The doctor will appoint the necessary examinations. Usually a woman is recommended to have an ultrasound on a certain day of the cycle (most often this is 5-7th day, and to detect endometriosis - closer to the beginning of menstruation), and also to pass laboratory tests (for sex hormones, a general blood test, for urogenital infections and others ). Only after this, it becomes possible to establish the correct diagnosis and the necessary treatment.
Briefly, we will analyze the main types of treatmentcase, if there are spotting weeks before the month. The diagnosis of "endometriosis" requires evaluation of indications for surgical treatment, if they are not, then prescribe conservative therapy. It consists in the selection of the optimal hormonal drug taking into account the age and possible contraindications. The minimum course of treatment should be 3 months, the optimal course - 6 months, the maximum (without interruption) - 12 months. If the cause of the violation of the cycle are inflammatory processes, then a bacteriological study is required, as well as a diagnosis of urogenital infections. Based on the results of the tests, anti-inflammatory, antibacterial, antiviral and other therapies are prescribed. In the case of the initial hormonal imbalance, its correction is shown.
To treat violations of the ovarian-menstrual cyclemust be differentiated, taking into account a possible cause. After the therapy, it is necessary to evaluate its effectiveness by repeated laboratory and instrumental examination.