Why Am I Having a Little Brown Discharge During Early Pregnancy?
The early stage of pregnancy is a crucial period, and any abnormalities in a woman's body must be taken seriously, especially abnormalities in secretions. There may be various reasons for brown secretions during the early stage of pregnancy, with biochemical pregnancy being the most severe. We can roughly understand the main causes, assess our own situation, and promptly visit the hospital for relevant examinations. So, what could be the cause of a small amount of brown secretions during the early stage of pregnancy?
Biochemical pregnancy refers to the combination of sperm and egg, but failure to implant in the uterine cavity or unsuccessful implantation after implantation. It is also known as "silent miscarriage." Miscarriage within 5 weeks of pregnancy can be detected by elevated HCG levels in the blood or positive urine pregnancy tests, but no gestational sac can be seen on ultrasound, also known as "subclinical miscarriage." Patients usually have no other symptoms, similar to menstruation, so it is often overlooked.
If the fetus develops abnormally, it may lead to spontaneous abortion, most of which are due to chromosomal abnormalities. Data shows that 50-60% of early pregnancy miscarriages or fetal stoppages are caused by chromosomal abnormalities. Experts recommend that if brown secretions are observed, it is necessary to exclude abnormalities or lesions in the cervix and other reproductive organs and let nature take its course without arbitrarily preserving the pregnancy, as this may lead to larger problems later on.
The most common cervical abnormality is cervical erosion. Brown secretions appearing the day after sexual intercourse should be considered as cervical erosion. Cervical polyps can also cause bleeding, which may be continuous. It is important to note that decidua polyps, which are unique to pregnancy, are more prone to bleeding and prolonged bleeding until the second trimester. These polyps cannot be surgically removed as it may lead to miscarriage or uncontrollable bleeding. Therefore, if brown secretions are observed during early pregnancy, it is advisable to consult a gynecologist for cervical examination. Abnormalities such as double uterus or rudimentary horn of the uterus may also lead to a small amount of bleeding due to thickening of the abnormal endometrium after normal uterine pregnancy. Therefore, ultrasound examination is essential for bleeding during early pregnancy.
Due to individual differences, some women may have lower levels of sex hormones, especially progesterone, secreted by the ovaries after pregnancy, leading to continued shedding of a small portion of the endometrium. Therefore, these women may still experience menstruation after pregnancy, although the menstrual flow is much lighter than during normal periods. Until the placenta is formed after three months of pregnancy, the levels of estrogen and progesterone in women's bodies maintain a relatively high level, and the endometrium no longer sheds, resulting in the cessation of menstruation.
