Pregnancy is a time of joy and anticipation, but it can also raise questions about the return of menstruation and bleeding. During this delicate period, it is essential to differentiate the various types of bleeding that may occur. Understanding these phenomena allows for better management of concerns and ensures the health of both the mother and the baby. This article addresses the reasons why menstruation stops during pregnancy, the different types of bleeding that may appear, and the importance of medical consultation in case of worry.
Menstruation stops during pregnancy
When a woman becomes pregnant, her menstruation generally ceases. This occurs because the endometrium, which is the lining of the uterus, thickens to accommodate the fertilized egg. In the absence of fertilization, this lining is shed, causing menstruation. In contrast, when a pregnancy is established, the fertilized egg attaches to this lining, preventing its elimination. This absence of menstruation is medical and is referred to as amenorrhea.
Bleeding during the first trimester
During the first weeks of pregnancy, metrorrhagia may occur, affecting 20 to 30% of women. This bleeding is often benign and results from the implantation of the embryo into the uterine lining, causing slight vessel bursts. It is often pinkish in color and not abundant. However, it is crucial to consult a doctor when bleeding appears, as it may indicate complications, such as a miscarriage.
So-called anniversary periods
Suddenly, women may experience bleeding on the date when they would have had their period. Referred to as anniversary periods, this bleeding is of low intensity and generally pink or brown, and it is not menstruation in the traditional sense. It may be due to a hormonal reflux phenomenon, and although it tends to be harmless, medical oversight is recommended.
Traumatic bleeding
Incidents such as a shock or a fall can lead to bleeding during pregnancy, especially if the placenta detaches slightly, causing a hematoma. Often, this bleeding resolves on its own. Nevertheless, in the case of traumatic incidents, it is wise to consult a healthcare professional to assess fetal well-being.
The phenomenon of pregnancy denial
In particular cases, some women may not realize they are pregnant, a condition known as pregnancy denial. During this time, they may continue their menstruation in an apparently normal way. This phenomenon is a psychological mechanism where the body acts as if there is no ongoing pregnancy. In such cases, the bleeding may resemble classic menstruation.
Consulting a professional in case of bleeding
The majority of bleeding during pregnancy is not alarming, but it is essential to remain vigilant. In early pregnancy, any bleeding can transcend simple concerns and must be addressed. There are situations where bleeding may indicate serious problems, such as fetal distress before delivery. Medical consultation, including an ultrasound and possibly blood tests, is often necessary.
The return of menstruation postpartum
The return of menstruation after childbirth, often referred to as postpartum menstruation, usually occurs between 6 to 8 weeks after birth. This phenomenon also marks the renewal of fertility. New mothers should pay attention to their reproductive health, whether that involves consultations or the use of protection.
The topic of bleeding and menstruation during pregnancy is a sensitive and delicate subject. Each of my friends has experienced different things during this pivotal time in life, but one of the stories that struck me most is that of my best friend. She began to bleed early in her pregnancy, which caused considerable stress. After a quick visit to the doctor, she discovered that it was implantation bleeding, which is not related to menstruation. This experience was a mix of fear and relief. Every pregnancy is unique, and the best gift one can give to a future mother is support and a listening ear. Bleeding can sometimes be concerning, but it does not necessarily mean bad news. Understanding what is happening and knowing when to consult a professional can truly help better navigate this period of waiting and hope.
