Before answering a question, whether there are monthly during pregnancy, it is necessary to understand, that occurs in a uterus at fertilization of an ootid and without it. At the usual menstrual cycle of the endometrium (the inner layer of the uterus), first the first half of the cycle grows until the moment of ovulation, after it ceases to grow and produces nutrients in the second phase of the cycle, which are necessary for the normal development of a fertilized egg.
But, if fertilization does not occur, the endometrium exfoliates to the basal layer and, together with bloody discharge from the vessels feeding it, and through the cervix, flows into the vagina and outward - the monthly starts.
And after the onset of pregnancy, the endometrium continues to grow and secrete nutrients, in which a fertilized egg is fixed. So, its detachment does not come and there is one of the likely signs of pregnancy: a delay in menstruation.
And therefore, during pregnancy can not go monthly - these are two mutually exclusive processes. And only in one case they are possible on very early terms: if the fertilized egg was delayed in the fallopian tubes and did not have time to gain a foothold in the uterine cavity, and the body had not yet had time to reconstruct the hormonal background for pregnancy and the monthly ones had come. If in the next cycle the egg continues its way and becomes entrenched in the uterus, then the usual pregnancy will occur, although often with its delay in the tube, an ectopic pregnancy is also possible.
There are monthly and there is a pregnancy at the same time: to others this happens?
Sometimes a woman has all the signs of pregnancy: both the delay of menstrual and the subjective symptoms of pregnancy (nausea, poor health in the morning). The woman starts to think that she is pregnant, and in a few days the monthly starts suddenly. In such cases, there was often no pregnancy at all, and the delay in menstruation is caused by hormonal failures in the body (inflammatory processes in the ovaries, ovarian cyst).
Monthly during pregnancy - reasons
But sometimes the pregnancy is confirmed by a test, and even by ultrasound, and then starts on a monthly, often a few weeks from the beginning of their delay. This is not at all monthly: bleeding during pregnancy is possible with a beginning, complete and incomplete miscarriage. At the same time, the uterus contracts and the fetal egg in which the embryo is located flakes off from its wall. Between the wall and the egg, blood accumulates, which can flow out through the cervix . If the detachment is small or miscarriage took place at a very early period, the discharge of blood is similar to that of a month and the woman seems to have a period of pregnancy during pregnancy. If the detachment is large, and the miscarriage occurs late, the discharge is more like bleeding.
Monthly during pregnancy - symptoms
Symptoms of exfoliation of the fetal egg resemble the symptoms of the usual menses. Often there are aching blunt pains in the lower abdomen, rarely - cramping. Allocations can be both from fresh blood (with progressive fresh detachment), and smearing, brown, for several days (with the release of blood from an old detachment without its progression). In both cases, due to a change in the hormonal background, they often coincide with the days of possible menstrual periods and are mistaken for women by menstruation.
Monthly during pregnancy - what to do?
If a woman has a period during pregnancy, then this is always a problem. Since she has no real month's and can not be, then there is a threat of miscarriage and you need to see a doctor. It is impossible to engage in self-medication, as well as hoping that everything will go well:
And if the embryo on ultrasound is alive and the woman is very interested in maintaining the pregnancy, despite the risk that the fruits with possible developmental defects are usually discarded, then timely treatment with a slight detachment often gives an opportunity to keep the pregnancy. During treatment, the uterus relaxes, the fetal egg is attached again, and pregnancy can continue to develop without complications.