Disorders in the Cycle

The cyclical nature of menstruation, which occurs regularly every month, is based on hormonal balance. If this balance is disrupted, it automatically leads to menstrual disorders. Estrogen and progesterone are the main "female" hormones. Disruptions in these hormones cause corresponding disruptions in the period. At least 20% of women experience cycle disruptions.

Most often, these abnormalities occur in women under the age of 20 and over the age of 40. The period usually lasts 4–6 days. Periods lasting less than 2 days or more than 7 days are considered abnormal. The amount of blood is approximately 30 ml, while it is considered abnormal when the amount of blood exceeds 80 ml.

Although a 28-day cycle (with slight variations up or down) is considered normal, it should be noted that only a small percentage of women have a cycle of exactly this length. When we see blood or brown discharge between periods, after sexual intercourse, or after menopause, it means that there is a disruption in the cycle. When vaginal fluids are light to dark brown in color, it means that they contain a small amount of blood which, because it has taken a long time to be expelled, has oxidized and is no longer red.

In contrast, blood that comes out immediately is bright red. So it is perfectly normal for your period to start and end with brown discharge, since at the beginning and end there is little blood and it flows slowly. It is also normal to sometimes see brown discharge on the days of your ovulation. This is almost certainly due to the hormonal changes that occur during this phase, which result in ovulation and the loss of a small amount of blood from the endometrium of the uterus. However, it would be a good idea to have your gynecologist examine you to rule out any of the following causes.

It is also necessary to see a gynecologist if you continue to have brown vaginal discharge on days that are not related to your period or ovulation. In general, the solution can and should be provided by a gynecologist, who will examine the woman. First, your doctor will ask you some questions about any illnesses you have had or medical problems you currently have, any medications you may be taking, your family history, and your quality of life, stress, diet, weight fluctuations, and exercise. When asked about the exact nature of your menstrual irregularities, it would be helpful to bring a calendar with you on which you have noted the dates you saw blood, the amount, and how long it lasted. This will be very helpful to him. He will examine you gynecologically and perform an ultrasound, and may ask you to have some blood tests done. In rare cases, you may need to undergo other tests such as an endometrial biopsy, endometrial scraping, hysteroscopy, or laparoscopy.