Monthly or miscarriage: how to determine


Menstruation is not the most pleasant period for a woman, but most of all her beginning grieves those who passionately dream of becoming pregnant. However, the bleeding is not always caused by the usual procedure of rejection of the endometrium, sometimes it accompanies the interruption of a pregnancy that has just begun. Find out exactly miscarriage or monthly provoked bleeding, you can. There are several methods for this.


Monthly and miscarriage - different physiological processes, but they are accompanied by similar symptoms.

Menstrual bleeding is part of the natural female cycle. Every month the body prepares for the conception of a child; hormones control this process. The internal cavity of the uterus is lined with a special layer of the endometrium, designed to secure the ovum and the subsequent feeding of the embryo. If fertilization of the egg did not occur (or there was no ovulation), the endometrium dies and is removed from the uterus along with the remnants of the small blood vessels formed during the cycle. Outwardly, it looks like a bloody discharge from the vagina, and is often accompanied by pain. This process is called monthly (or menstruation).

Miscarriage - a term denoting spontaneous abortion at an early period (up to 22 weeks). If the conception occurred recently, then the outward rejection of the fetus is almost no different from the usual monthly.

It is also accompanied by pain and bloody discharge. The egg is still too small to be seen among the blood and clots.

Miscarriage occurs for various reasons, for successful conception and carrying them must be identified and eliminated.

Visual differences between early miscarriage and menstruation are practically absent, but there are still methods for recognizing them.

The difference between miscarriage and menstruation

External signs on which it is possible to assume the true cause of bleeding are rather arbitrary:

  1. Delay in menstruation can be caused by a pregnancy that has begun, or hormonal disruption.
  2. Bleeding in case of miscarriage is more prolonged and profuse.
  3. The unusual color or smell of blood, the presence of clots may indicate a miscarriage. With menstruation, these signs are not observed.
  4. Menstruation from miscarriage differ in the nature of pain. In case of spontaneous abortion, the discomfort may resemble labor, give in the lower back. Menstruation is often accompanied by pulling discomfort in the lower abdomen.

Such symptoms do not reliably determine if menstruation or miscarriage caused a bleeding. Other methods will be required for accurate clarification.

How to know that a miscarriage has occurred

According to external symptoms, it is almost impossible to distinguish spontaneous abortion from menstruation, especially if it occurred at a very early period. Ultrasound in this case is also not informative - for the device, these processes look the same. The size of the ovum in this period is still too small and does not allow to see it.

Determining whether miscarriage or menstruation caused bleeding is available due to the development of laboratory diagnosis.

There is a sign that allows you to determine with a high degree of accuracy whether there was a pregnancy. It indicates the presence in the blood and urine of women of a special hormone - human chorionic gonadotropin (hCG).

The effect of all tests is based on its detection - the second strip appears if there is a sufficient concentration of this substance in the urine.

The hormone hCG begins to be produced about a week after implantation of a fertilized egg into the endometrium, its content in the blood rapidly increases up to 11–12 weeks, and then begins to decrease. High concentration of human chorionic gonadotropin in the blood and urine of a woman persists for several days after miscarriage. This is what allows to distinguish it from menstruation.

Therefore, the most affordable way to recognize a miscarriage in the early period is to make a pregnancy test. When bleeding is just menstruation, only one strip will appear. And if it is caused by a spontaneous abortion, the second one will clearly or faintly be seen.

A more reliable method is the determination of hCG using a special blood test. A reliable result can be obtained approximately within a week after the onset of bleeding. After a miscarriage, the hormone level decreases, and after a few days it is already difficult to detect.

If the monthly late, it makes sense to do the test immediately. Modern tools define an “interesting position” on the first day of the delay. If a positive result in the case of onset of bleeding, it will be clear that the reason is not in menstruation. Knowing this, you can promptly seek medical help.

Besides, one of the ways to recognize conception is to determine the basal temperature and maintain a graph of indicators. In the case of fertilization of the egg, the value increases markedly, which also makes it possible to distinguish a terminated pregnancy from menstruation with a certain degree of confidence in case of onset of bleeding.

Symptoms and causes of miscarriage in the early period

According to statistics, every woman during her life at least once suffers an early miscarriage, taking him for a normal menstruation. The symptoms and signs of these processes are almost identical. The reasons for terminating a barely started pregnancy are different:

  • infectious and inflammatory diseases (gynecological or general),
  • hormonal disorders,
  • rhesus conflict and other immunological factors
  • stresses
  • improper fixation of the embryo in the uterus,
  • high physical activity
  • medication, including herbal medicines,
  • genetic abnormalities in the development of the fetus,
  • bad habits, poor diet, abuse of coffee,
  • sexual contact, trauma,
  • intoxication,
  • overweight or underweight
  • insufficient recovery of the uterus and the body as a whole after a previous birth, abortion or miscarriage.

Fetal rejection in the first weeks after conception usually does not pose a threat to health, but there are exceptions.

No delay

If the monthly period began exactly in time, there is no question of a spontaneous abortion. To understand that bleeding is the beginning of a miscarriage, it is possible for a number of signs:

  • severe cramping pain in the lower back,
  • brown color of blood, an abundance of clots in secretions,
  • positive pregnancy test.

In this case, even if the bleeding started without delay, you should consult a doctor for accurate diagnosis and necessary medical care.

During menstruation

Loss of a fetus can pass, as usual monthly. It is especially difficult to feel the difference if menstruation is copious every time, painful and accompanied by the release of blood clots.

At the slightest suspicion of other causes of bleeding, you should consult a doctor. Miscarriage (even at a very early date) is a danger to the reproductive health of women and requires rehabilitation under the supervision of a specialist.

What to do when symptoms appear

If a woman is confident that she is pregnant, or assumes it is more likely, she needs to be especially attentive to the symptoms. Spontaneous abortion does not occur instantly, this process takes some time. Therefore, if at the first signs (pain, bleeding) to go to a health facility, there is a chance to save the fetus.

In addition, when threatened with fetal loss, it is very important to observe the following recommendations:

  • avoid physical exertion, weight lifting,
  • whenever possible to observe a bed rest,
  • refuse to have sex
  • keep calm, avoid stress.

As a rule, hospitalization is recommended when there is a threat of rejection of the fetus. In a hospital setting, necessary examinations will be carried out promptly and measures will be taken to prevent miscarriage. If the pregnancy cannot be sustained, the doctor will be able to monitor the woman’s condition and clean the uterine cavity from fetal fragments and endometrium.

At home, these particles can remain inside and lead to severe inflammation - this is possible with spontaneous abortion.

Recovery from miscarriage: how to survive

If miscarriage was diagnosed in early pregnancy, it is not a sentence. Most women after a spontaneous abortion are successfully restored, retain the ability to bear and give birth to healthy children. This is possible under the guidance of an experienced doctor.

  1. Careful examination, detection and treatment of diseases that could lead to miscarriage. This applies to diseases of the reproductive system, as well as to general health problems.
  2. Strict control of their own state by a woman. If you have unusual vaginal discharge during treatment and after, as well as other symptoms, you should not postpone the visit to the gynecologist.
  3. Establishing the right lifestyle, work and rest, physical activity.
  4. Proper and balanced nutrition.
  5. Calm and positive attitude. Confidence in success is very important.

Great benefits for the restoration of health and reproductive function will bring spa treatment in special medical institutions.

Miscarriage in the early term is a common phenomenon, but this is not a reason to leave the problem without attention. It is necessary to find out the reason for spontaneous abortion, and eliminate it. An experienced gynecologist can help in this.

How to distinguish miscarriage from menstruation

How to determine the monthly or miscarriage began independently or with the help of medical procedures? Sometimes women consider themselves to be pregnant, but with a slight delay they begin to bleed, but menstrual. Is this not the "remnant" of the endometrium with the ovum?

Fortunately or unfortunately, it is hardly possible to distinguish a miscarriage from menstruation if it occurred in the first days of a menstruation delay. The fetal egg is still quite tiny, visually it can not be distinguished from detached endometrium (uterine mucosa).

On ultrasound in the first days after implantation of the ovum, it is not visible. And other obvious signs of an interesting situation in the study is not detected. Moreover, the gynecological examination will not give the doctor any useful information. That is, all data will be for the usual menstruation.

But only if you do not pass the analysis on human chorionic gonadotropin. This is the "pregnancy hormone." It is determined in the blood only in very severe, mainly oncological diseases, as well as in pregnancy. To find out if there was a pregnancy, you should immediately pass this analysis. The hCG level after a miscarriage decreases over several days, and sometimes even weeks, gradually. If it is positive - there was a pregnancy.

If you do not want to take a blood test, because without a doctor’s referral, in most cases, it is paid, you can simply do a pregnancy test. He also shows the second striped, if chorionic gonadotropin is found. But only in the urine. But the urinary test is considered less reliable way to diagnose than a blood test.

How to understand that menstruation occurred, and not miscarriage in the early period of the test done? If he showed one strip - you can calm down, the percentage of the likelihood that you were in position is very small. If you make out the second strip very weakly traced - you need to repeat the test, just buy another company, better is more sensitive. If the test is positive, and you are bleeding - you need to do an ultrasound and visit a doctor. Perhaps the pregnancy is preserved. Well, if not, the doctor will decide whether to clean the uterus. Or perhaps prescribe antibiotics.

What is a miscarriage in their experience, many women know. After all, every eighth pregnancy ends at an early period. In this case, the shorter the period of pregnancy at which it was interrupted, the lower the risk of complications, for example, in the form of endometritis or adnexitis.

How to detect miscarriage

Externally, to distinguish between menstruation and miscarriage is almost impossible, especially with a few days of delay. Ultrasound on such dates will be uninformative. A fruit egg (or its remnants) is too small for such a device. The gynecologist during the examination also cannot say with certainty whether there was a pregnancy. Both at the onset of menstruation and during successful fertilization, the uterus slightly increases in size, which does not allow one to accurately determine the cause of the bleeding.

To determine the possible pregnancy, you can use two alternative methods: a blood test for the level of a "pregnant" hormone and changes in the basal temperature schedule during the menstrual cycle.

When a fertilized egg is attached to the uterine cavity, a certain hormone, a chronic human gonadotropin, begins to be produced in a woman's body. Tests for the determination of pregnancy operate with an increase in the value of this indicator. In the first weeks, the level of hCG is quite small, and it is almost impossible to determine it by urine analysis. A blood test is used to diagnose pregnancy. Even after a spontaneous miscarriage of hCG in the blood remains elevated for another 10 days. And according to the test results, you can find out whether the conception occurred.

Some women, for successful fertilization, measure the basal temperature during the menstrual cycle for several months in a row. According to the schedule of parameters you can find out whether the conception occurred, and whether a miscarriage happened. The temperature values ​​during fertilization of the egg vary considerably, therefore, comparing the previous graphs, we can conclude whether there was an interruption. During pregnancy, the basal temperature in the last phase of the menstruation cycle increases.

Temperature fluctuations will help to understand whether a miscarriage

Causes of Miscarriage

Not only the presence of diseases and pathologies leads to abortion. There are several risk factors:

  • unavailability of the body for pregnancy,
  • hereditary factor
  • excessive exercise
  • diseases of female organs,
  • previous abortions
  • failure in hormonal background.

The causes of miscarriage can be even greater; no one knows how a particular female body will react to the onset of pregnancy. According to statistics, every woman, once in a lifetime, had a spontaneous abortion. And most of them did not even know about their interesting position.

Every woman should understand what are the differences between regular menstruation and miscarriage. With natural abortion, the particles of the ovum may remain in the endometrium of the uterus. And their untimely removal threatens the development of the inflammatory process and serious complications for the woman. But with careful monitoring by the gynecologist, the risk of developing pathologies is minimal. Most women who have survived a miscarriage, in the future successfully nurture and give birth to healthy children. Having understood the reasons for termination of pregnancy, assessing the general condition of the body, in a few months it will be possible to begin a new baby planning.

Feature of concepts

Monthly and miscarriage are completely different processes in their physiological nature. Despite their similar symptoms.

How to distinguish miscarriage from menstruation? We will understand in more detail.

Menstruation bleeding is a natural occurrence. Every month a woman's body prepares for the conception of a baby. This process is controlled by hormones.

The inner part of the uterus is covered with endometrium. This is a special layer that is designed to secure the ovum and potential nutrition of the embryo. If ovulation (fertilization) did not occur, then the endometrium dies. It is excreted from the uterus in the form of small blood clots that have formed during the whole cycle. Outwardly, this is manifested as follows: bloody particles are discharged from the vagina. Often the phenomenon is accompanied by weak (or severe) pain. This whole process is called menstruation (as usual, monthly).

Miscarriage - a spontaneous abortion at an early period - up to 22 weeks. If the conception was made recently, then the rejection of the fetus outwardly practically does not differ from the monthly. This process is also accompanied by bleeding and characteristic pain sensations. A fetal egg is too small to be seen among blood clots.

Symptoms of miscarriage

Before you figure out how to distinguish miscarriage from menstruation without delay, you need to consider the typical symptoms of a spontaneous abortion. So, the main symptoms in which miscarriage occurs through menstruation at an early gestational age:

  • sharp unexplained weight loss
  • pregnancy symptoms disappear (toxicosis, drowsiness, breast swelling),
  • false contractions
  • contractions, which are accompanied by severe pain and occur periodically,
  • violation of the gastrointestinal tract,
  • highlighting of red, brown and dark brown shades,
  • profuse bleeding with clots, cramps and pain in the lower abdomen and lower back,
  • unusual uncharacteristic discharge from the vagina.

How do I know if a miscarriage has occurred or not? The main signs that will help determine the beginning miscarriage are severe pain and heavy bleeding.

When threatened with pregnancy, the discharge is not red, but brown. Этот факт должен заставить будущую мать обратиться к врачу.

Еще один характерный признак надвигающегося аборта – повышение тонуса матки. Special attention should be paid to it in the event that there is severe pain in the lower abdomen. This pitiable set of circumstances can be avoided if the expectant mother does not lift weights and gets rid of physical exertion.

If the pregnancy is frozen or ectopic, then a complete miscarriage occurs rarely. Seeking a doctor should be prompt.

Early miscarriage: how to distinguish it from menstruation?

Pretty hard. Because the early egg of the egg is so miserable that a miscarriage during menstruation can be almost asymptomatic.

How to distinguish miscarriage from menstruation? Need to look at the time limit. After several weeks of pregnancy, the embryo may stop developing. This is facilitated by the following causal circumstances:

  • improper attachment of the embryo to the wall of the uterus,
  • hormone imbalance
  • mutations in chromosomes,
  • pathology of the uterus,
  • intrauterine infection,
  • mechanical damage to the fetus (on impact),
  • multiple pregnancy,
  • previously performed abortions.

It is possible to unambiguously identify a miscarriage at an early period by the following signs: the formation of seizures, bleeding, blood clots in vaginal discharge. If there is a piece of tissue in the discharge that resembles a bursting bubble, then there is no doubt that a miscarriage has occurred.

During menstruation

Miscarriage during menstruation can occur. It is especially difficult to distinguish menstruation from miscarriage, if your period is painful, abundant, and there is bloody discharge with blood clots.

In this case, at the slightest suspicion should contact your doctor.

Miscarriage, even in the early period is dangerous to the reproductive health of women. You may need hospitalization and long-term rehabilitation under the supervision of a physician.

How does a miscarriage occur?

Usually a miscarriage occurs at an early gestational age - at 2-3 weeks. A woman may not even suspect him.

Early miscarriage is almost impossible to determine on your own. Because the symptoms are similar to normal menstruation.

Less frequently, miscarriage occurs between 3 and 20 weeks of gestation. If a miscarriage occurs after 20 weeks, then this phenomenon is called "stillbirth."

How to know if there was a miscarriage?

In order not to fall into a stupor with spontaneous miscarriage and not to provoke complications, you need to know a few rules:

  • Miscarriage does not happen instantly, it can last from several hours to several days.
  • During the threat of miscarriage, if a woman feels severe pain in the lower abdomen and observes abundant bleeding, you should immediately consult a doctor. In this case, you can not hesitate. Since the pregnancy can still be saved.

Miscarriage and menstruation: how to determine the difference? If a woman does not know about her pregnancy and is waiting for menstruation, then the first wake-up call is a delay.

If menstruation has shifted for several days, there are abundant blood clots in the discharge, then this is a miscarriage. An urgent need to consult a doctor. Otherwise, ignoring this condition can lead to the development of gynecological problems.

Accurately determine the miscarriage can only doctor. To do this, he conducts ultrasound diagnostics, listening to the heart rate of the fetus. Also, the woman will need to pass the analysis to determine the level of hCG in the blood.

If a woman noticed pieces of tissue in blood clots, then they should be put in a sterile container and taken to a doctor. This will help identify a possible miscarriage and prevent a number of complications.

If a woman has an incomplete miscarriage, then she will need a mechanical or medical cleaning of the uterus.

If the threat of involuntary termination of pregnancy is associated with poor closure of the cervix, then install special rings on it. Shortly before the birth of the child, the doctor must remove them.

First menstruation after miscarriage

If after a miscarriage, menstruation went, then their character definitely changed compared to menstruation before conception:

  • Often, the new cycle coincides with the previous one, but it may shift by several days.
  • The volume of blood secreted from the vagina is impaired. Approximately 90 to 150 ml. On average, 4 shifts gaskets per day.
  • Regarding the composition of the selection: no unpleasant odor and no blood clots more than 1.5 cm. Usually have a dark red or reddish-brownish tint.

The cycle will fully recover three months after the miscarriage.

Depending on the condition of the woman after spontaneous spontaneous abortion, menstruation occurs in different ways. If the doctor's prognosis is favorable, then the first menstrual periods after miscarriage occur after 25-35 days. If menstruation is absent, then this is a clear sign of pathology and functional impairment.


In order to avoid the risk of miscarriage, it is necessary to follow the advice of gynecologists. So, the basic rules:

  • give up bad habits during pregnancy and three months before conception,
  • lead a healthy lifestyle
  • eat right
  • exercise regularly,
  • Every six months you go to the gynecologist,
  • for the period of pregnancy is to forget about sports achievements and to postpone physical exertion.

Proper attitude to your health practically increases the chance of having a healthy baby. A threat of miscarriage can only be determined by pronounced symptoms. However, you should not rely on your own feelings. It is better to visit a doctor as soon as you notice disturbing symptoms.

Monthly or miscarriage: how to determine?

Not a single woman will be able to determine for herself whether her period has begun or the fetus has nevertheless occurred. Most often, for accurate determination, it is necessary to make ultrasound diagnostics or to pass the analysis for hCG.

  • Ultrasound diagnosis. If there is a pregnancy, the monitor will accurately reflect the presence of the ovum in the uterus. You can listen and hear the child's heart beating. Learn how its development proceeds, whether there are any pathologies in a baby. What are the risks and prognosis for further gestation.
  • HCG analysis. With this analysis it is possible to accurately diagnose in the position of a woman or not. This hormone appears only after conception occurs. If a miscarriage occurs even a week after a spontaneous abortion, hCG will be in the pregnant woman’s body.

The gynecologist can distinguish the beginning of menstruation from miscarriage. At the reception, he will see the opening of the cervix. With a closed neck and in the presence of bleeding, the child can be saved. In this case, there is simply the possibility of a threat. If the doctor sees that the neck is open, then alas, the child can no longer be saved.

Discharge at risk of miscarriage

If you are already convinced that you are pregnant, you must carefully monitor any discharge. When a woman is in position, they should not be in principle. Any bleeding can lead to dire consequences for the future mom. Most often, everything ends in miscarriage. There are exceptions, but they are very rare when a woman, despite unplanned bleeding, can bear and give birth to a healthy baby.

Dangerous bleeding, indicating a miscarriage, are not necessarily abundant when the entire gasket is soaked through. Sometimes you can find only a couple of drops on your underwear, and this is a reason to immediately contact a gynecologist. Any delay can be fraught with any woman and her child. In such cases, the specialist will necessarily appoint additional examinations to establish their character and understand how to proceed further in the situation. Sometimes it may require urgent hospitalization. In no case do not need to abandon it. Native walls will not help. It is unique. Being under the close supervision of medical personnel, you may be able to save your unborn child and give birth to a healthy heir. Isn't that what you dreamed of for so long?

In most cases, the harbingers of miscarriage are pain. This is usually the lower abdomen. This pain in nature is significantly different from the usual, when a couple of days begins to pull the stomach. As a rule, the sensations are cramping in nature. Such sensations a woman experiences on the eve of childbirth. Contractions are very short. Their interval is just a couple of minutes. This is normal, but not at the initial gestational age. The pain gives back, shortness of breath may appear. These symptoms are characteristic of the rejection of the fetus. You should not drink a handful of painkillers and hope for a miracle that everything will pass by itself. Be sure to call an ambulance. Linger in such cases is not worth it.

How to save yourself when threatened with miscarriage in the initial period

You can prevent the loss of the child, if you try to adhere to some rules, namely:

  • Avoid stress
  • Postpone sex life for later
  • No physical exertion
  • Less public transport
  • Observe bed rest until the threat of miscarriage disappears.

How does a miscarriage happen in early pregnancy?

Miscarriage takes place in four stages:

  1. Threat. Almost every woman can have a miscarriage threat, but this does not necessarily mean the loss of a child. Pregnancy in such cases can be saved. It is enough to comply with all the recommendations of the doctor. Symptoms include slightly tingling pain extending to the lumbar region, increased uterine tone, bloody, spotting.
  2. Start. Peeling of the ovum occurs at this stage. This stage is already considered quite dangerous for the life of the infant. The above symptoms are pronounced. The pain becomes much stronger. Sometimes just unbearable. Bleeding from smearing becomes quite abundant.
  3. Miscarriage. The fruit egg dies. Pregnancy does not save. Bloody blots are mixed with secretions. An egg can come out immediately, or in parts. Only a doctor in this situation is able to assess the situation.
  4. The final stage. After the fertilized egg is completely out of the uterus, it begins to shrink. Most likely, the woman will have a fever. The fever will begin. High likelihood of the inflammatory process.

Now you know how to distinguish miscarriage from menstruation. And finally, I would like to wish each mom, who is in a position, to endure and give birth to a healthy baby. Be sure to listen to your body. Any alarm bell should not be ignored. Pain, difficulty breathing, discharge, unlike normal, like menstruation - this is a reason to consult a doctor, and the sooner you do this, the better. Be sure to visit your gynecologist with whom you are under observation. Strictly follow all the recommendations of the doctor. Get tested, do an ultrasound and then your pregnancy will end safely, without incident and a sad outcome.

The difference between menstruation and miscarriage

On the external manifestations of miscarriage is almost no different from menstruation, which begin after some delay. From the moment of fertilization of a ripe egg for the first time in the female body, no significant changes are observed. The only nuance may relate to the delay of menstruation for several days. At the same time, early miscarriage is caused by more intense bleeding and uncharacteristic painful sensations in the abdomen. If the discharge lasts the usual number of days for menstruation, the patient may not suspect anything and ignore the need to visit the doctor.

The main signs of miscarriage or spontaneous abortion relate to the increased profusion of discharge, their occurrence with a certain delay (only a few days), as well as painful sensations in the lower abdomen, which are not characteristic of usual menstruation.

As a rule, early rejection of the fetus signals the unreadiness of the reproductive system to fully bear the fetus and the birth of a healthy baby. On the other hand, the situation may be due to the fact that the female body is trying to get rid of the improperly developing or sick fetus.