Bleeding during pregnancy

Are periods possible during pregnancy?

Many expectant mothers wonder if it is possible to have periods during pregnancy. This question is often related to the confusion between true periods and the blood loss that can be observed during the first weeks of pregnancy. After conception, a woman's monthly menstrual flow stops. The bleeding from the genital tract during pregnancy is called obstetric hemorrhage. But are these bleedings normal or do they constitute a warning signal?

Causes of bleeding during pregnancy

It is not possible to have complete periods when carrying a baby. The endometrium that lines the uterus is no longer shed, as it serves as a base for the development of the placenta. Therefore, blood loss in pregnant women is not associated with periods.

In early pregnancy, one in four women may experience light bleeding. Most often, this bleeding is related to the implantation of the embryo on the uterine wall. This bleeding usually lasts from a few hours to one or two days and is of low intensity. This bleeding can occur either during a natural conception or after IVF (in vitro fertilization).

However, this bleeding can be a sign of more serious complications for carrying the child to term. According to medical statistics, about 20 to 25% of cases of bleeding in early pregnancy are due to complications such as a threat of miscarriage or an ectopic pregnancy. Possible causes:

1. Hormonal imbalance A lack of progesterone, necessary for maintaining pregnancy, can cause blood flow.
2. Ectopic pregnancy The implantation of an embryo outside the uterus is accompanied by bleeding and requires immediate medical attention.
3. Subchorionic hemorrhage Accumulation of blood between the placenta and the uterine wall, which can lead to complications.
4. Threat of miscarriage Bleeding accompanied by pain, cramping, and requiring urgent intervention.
5. Premature detachment of the placenta This dangerous condition can occur both early and late in pregnancy.
6. Preterm labor Bleeding late in pregnancy may indicate the onset of labor.

When to consult a doctor?

If blood flow appears during pregnancy, it is important to consult a doctor immediately. Even in the case of minor bleeding, it is recommended to see a gynecologist for an examination.

In the case of significant bleeding, especially if accompanied by:

• pain;
• cramping;
• weakness;
• loss of consciousness,

an ambulance should be called.

Bleeding during IVF (in vitro fertilization)

Bleeding can occur during both natural pregnancies and after IVF. However, in women after IVF, it is more often related to hormonal imbalances or the implantation of the embryo, whereas in natural pregnancies, the main causes can be implantation or the threat of miscarriage. Early in pregnancy after IVF, minor bleeding is often associated with the implantation of the embryo. However, any bleeding should be given special attention, as women who have undergone IVF may be at higher risk of complications due to higher levels of hormonal support and possible effects of medical manipulations on the endometrium and uterine vessels.

Recommendations in case of bleeding after IVF:

1. Regular check-ups with the gynecologist Constant monitoring of the pregnant woman's condition allows for timely detection and elimination of potential problems.
2. Monitoring hormone levels Hormonal therapy must be strictly balanced to avoid complications.
3. Consult a doctor immediately In case of blood flow, especially if accompanied by pain or other alarming symptoms, it is necessary to contact a doctor immediately.

In summary

Being attentive to one's condition and consulting a doctor in a timely manner are key factors in preserving the health of both the mother and the child. Whether it is a natural pregnancy or IVF, any bleeding requires special attention and follow-up by a professional.