Watercolor illustration of towels and herbal tea for managing brown discharge in the middle of the cycle

Brown Discharge & Periods: Meaning According to the Menstrual Cycle

You find brown stains in your panties and you freak out. What is this stuff? Old period lingering? A weird start to your period? An infection? Is your ovulation acting up? Brown discharge is almost always oxidized blood that took a long time to come out. Nothing serious in 90% of cases. But the line between "it's normal" and "you need to consult a doctor" can be blurry when no one has ever explained to you what's really going on in your cycle.

This article breaks down ALL the reasons why you might have brown discharge depending on the time of your cycle. Before your period, during, after, mid-month, after sex. We'll also talk about the rare cases where it's not just old blood and you need to dig a little deeper.

⚡ What you will learn

90% of the time it is oxidized blood: he got old before he came out, nothing abnormal
Before your period = premenstrual spotting: your endometrium begins to shed
Brown/Black Rules: slow flow at the beginning or end of your period, completely normal
After your period: your uterus finishes cleaning, can last 2-3 days
In the middle of the cycle: ovulation spotting in 3% of women
After a report: sensitive cervix or friction
Instead of rules? Could be pregnancy, stress, or hormonal issues
With severe pain + fever: there, we don't hang around, we consult

Brown Discharge: What Exactly Is It?

Brown discharge is simply blood that has taken its time. When blood leaves your uterus quickly (during a normal period, for example), it is bright red. But when it stagnates a little before flowing, it oxidizes upon contact with air and vaginal secretions. The iron in hemoglobin changes color, just like a cut apple turning brown.

Hand holding a sanitary napkin with brown bleeding stain

This oxidation transforms the red into brown, dark brown, and sometimes almost black. The longer the blood has stagnated, the darker the color becomes, or even black. This is similar to how a wound scab dries.

💡 In summary: Brown discharge = old, oxidized blood. The color doesn't say anything about the severity, only how long it spent in your uterus or vagina before coming out.

🔍 Complete Guide to Vaginal Discharge (All Colors) →

The Different Shades of Brown

Not all brown discharge is the same. The shade can vary depending on several factors.

Light brown / Pinkish beige

Recent blood mixed with cervical mucus or white discharge. Often at the end of a period or light spotting.

Medium brown

The most common type. Blood that has been stagnant for 1-2 days. Classic premenstrual or postmenstrual spotting.

Dark brown / Almost black

Very old blood that has stagnated for several days. Common at the very beginning or end of a period. Can also occur after forgetting to use a tampon.

Normal vs. Abnormal: The Table to Sort It Out

Before you dietailleFor each situation, a table to know in 10 seconds if you can relax or if you need to dig deeper.

Situation Associated Symptoms Verdict
Brown discharge 1-3 days before period None / Usual mild cramps Normal ✅
Brown/black periods at the beginning or end No Normal ✅
Brown discharge 1-3 days after period No Normal ✅
Brown spotting in the middle of the cycle (Day 14) None / Mild ovulation pain Normal ✅
Brown discharge after intercourse Slight discomfort / None Normal ✅
Brown discharge instead of period Variable To watch ⚠️
Brown discharge + pill/IUD No Frequent ⚠️
Brown discharge + intense pain Severe cramps, fever, fatigue Consult 🚨
Brown discharge + foul odor Itching, burning Consult 🚨
Continuous brown discharge for 2+ weeks Variable Consult 🚨

Brown Discharge Before Period (1 to 7 Days)

You're on day 26 or 27 of your cycle, your period should arrive in a few days, and you're starting to see brown streaks in your panties. This is premenstrual spotting, one of the most common and normal symptoms there is.

Anxious woman holding menstrual calendar with brown discharge before her period

Why Does This Happen?

At the end of your cycle, your progesterone levels drop sharply. This hormone keeps your endometrium (uterine lining) firmly in place. As it drops, the endometrium begins to gradually shed. Some women lose a few small pieces 1 to 7 days before their actual menstrual flow.

Because this blood flows very slowly, it has time to oxidize before it comes out. The result: brown streaks rather than bright red.

✅ It's normal if

  • It lasts between a few hours and 3-4 days maximum
  • The quantity is small (a few traces, no need for protection or just a panty liner)
  • Your real period will then normally arrive.
  • You have the same premenstrual symptoms as usual (tender breasts, slight bloating, irritability)
  • No unusual pain, no strong odor

Should We Be Worried?

No, not in the vast majority of cases. Between 10 and 30% of women experience premenstrual spotting regularly. If it happens to you every cycle or almost every cycle, it's just your way of starting your period.

On the other hand, if this spotting appears suddenly when you have never had it, or if it lasts more than 5 days before your period, it could indicate a slight hormonal imbalance (often a lack of progesterone compared to estrogen). Not serious, but it's worth talking to a professional if it persists for several cycles.

Brown Discharge 1 Week Before Period

If your spotting starts really early (7 days before your expected period), there are several possible explanations beyond classic premenstrual spotting.

🥚 Delayed ovulation spotting

If you ovulated late (around day 21 instead of day 14), spotting on days 21-22 may be related to ovulation, not your period coming.

⚠️ Short luteal phase

If your post-ovulation phase (luteal phase) lasts less than 10 days instead of 12-14, your endometrium doesn't have time to develop properly. It may start shedding early. This is a mild hormonal issue that can impact fertility if you're trying to conceive.

🤰 Nidation (if pregnancy possible)

Brown/pinkish discharge 6-12 days after ovulation may be implantation bleeding. Consult our complete guide to nesting if you think you might be pregnant.

Brown or Black Period: Slow Flow at the Beginning or End

Diagram of vaginal discharge (pink, brown, blood) with a sanitary napkin and period panties

Does your period start with dark brown or almost black blood instead of the usual red? Or does it end with several days of brown discharge instead of stopping altogether? Totally normal.

Brown Period Start

When your flow begins, it's not always immediately heavy. For the first few hours (or even the first full day), your uterus gently contracts to expel the endometrium. The blood comes out slowly, has time to oxidize, and appears brown.

Typically, the flow then speeds up and becomes bright red for 2-3 days before slowing down again at the end of the period.

End of Brown Period

This is even more common. Around day 4, 5, or 6 of your period, your flow slows down considerably. There's only a little bit of endometrial tissue and blood left to shed. As it flows slowly, everything oxidizes and turns dark brown.

Some women experience 2-3 days of brown discharge after their "official" period. This is just your uterus finishing cleaning. As long as it doesn't last more than 3 days and there's no unusual odor, it's nothing to report.

Completely Brown/Black Rules From Start to Finish

If ALL of your periods are dark brown or black throughout, without ever going through a bright red phase, there are several possible explanations.

Possible causes of very dark periods:

  • Very light flow naturally : If you have always had light periods, the blood has more time to oxidize.
  • Hormonal contraception : Pill, implant, hormonal IUD can reduce flow and make it darker
  • Age : In perimenopause, periods often become darker and irregular.
  • Underdeveloped endometrium : If your endometrium is thin (mild hormonal imbalance), less tissue to evacuate = darker flow
  • Cervical stenosis : Rare, but if your cervix is ​​partially closed (scar, malformation), the blood flows slowly and turns black

If this color change is recent and is accompanied by other symptoms (very short periods, unusual pain, difficulty conceiving), speak to a gynecologist to check your hormonal balance.

Brown Discharge 10 Days After Period (Mid Cycle)

You're on days 12-16 of your cycle (right in the middle if your cycle is 28 days long), and you're seeing brown or pinkish streaks. Welcome to the ovulation spotting club.

Ovulation Spotting: What Is It?

At the time of ovulation, your ovary releases an egg by breaking through the surface of the ovary. This mini-rupture can cause very slight internal bleeding, which then flows into the fallopian tubes, then the uterus, and then the vagina. Because it's a very small amount of blood, it has time to oxidize and comes out brown or pink.

At the same time, the sudden drop in estrogen just after ovulation can cause a slight shedding of the endometrium in some women. The result: spotting at the precise moment of ovulation.

📊 The numbers

Seulement 3 to 5% of women regularly experience ovulation spotting. But up to 20% of women experience it at least once in their lives. If you're one of those 3%, it's a super reliable indicator of your fertile window.

How to Recognize Ovulation Spotting

Characteristics of ovulation spotting:

  • Timing : Between D12 and D16 of a 28-day cycle (or 14 days before your next period)
  • Duration : A few hours to 2 days maximum, rarely more
  • Quantity : Very light, just a few traces
  • Color : Pink, light brown, sometimes light red
  • Texture : Often mixed with cervical mucus (tinted "egg white" appearance)
  • Associated symptoms : Slight lower abdominal pain on one side (ovulatory pain), increased libido, more sensitive breasts

If you notice this spotting every month or around the same time, you can use it as a fertility marker. It's a sign that you've just ovulated or are about to ovulate. The 3-4 days around this spotting are your peak fertility window.

💧 How to Detect Your Ovulation with Cervical Mucus →

Bleeding after sex

You've just had sex and you notice some brown or pinkish streaks in the hours that follow. It can be scary, but in 90% of cases, it's benign. This is called post-coital bleeding.

Period Panties and protection to manage brown discharge after sex

Why Does It Bleed After Sex?

The cervix is ​​highly vascularized (full of small blood vessels) and its surface is delicate. During intercourse, the penis or a sex toy can rub against the cervix, especially during deep penetration. If your cervix is ​​particularly sensitive at this time of your cycle, this friction can cause micro-bleeding.

✅ Benign causes (most common)

  • Sensitive cervix : Depending on the time of the cycle (around ovulation or just before menstruation), the cervix is ​​more fragile
  • Friction : Lack of lubrication, vigorous intercourse, position that hits the cervix
  • Cervical ectropion : More fragile cervical area (very common in young women, completely benign)
  • Vaginosis or mild yeast infection : A small infection can make the mucous membranes more fragile

⚠️ Causes to watch out for (less frequent)

  • Cervical polyp : Small benign growth on the cervix, very vascularized, bleeds easily on contact
  • Cervicitis : Inflammation of the cervix (chronic infection, STI)
  • Precancerous lesions or cervical cancer : Rare before the age of 30, but possible. Hence the importance of regular smears.

Post-Intercourse Bleeding: Practical Management

If this happens to you once in a while (1-2 times a year), without any other symptoms, it's probably just a sensitive cervix or a lack of lubrication. Consider using a water-based lubricant and avoid very deep penetration positions if you notice that it promotes bleeding.

🚨 Consult quickly if

  • It happens after EVERY intercourse or almost
  • Bleeding is heavy (not just streaks)
  • You also have bleeding outside of intercourse
  • You feel pain during intercourse
  • You haven't had a cervical smear test in over 3 years

A simple gynecological exam can check the condition of your cervix, detect a possible polyp or infection, and reassure you. Don't let repeated bleeding drag on after intercourse.

Brown Discharge Instead of Period

Watercolor illustration of different colors of menstrual cycle discharge

Your period should be due, but instead of a normal flow, you only have light brown discharge for 2-3 days, then nothing. Not a true red period. There are several possible explanations, from the most benign to those requiring investigation.

Cause No. 1: Early Pregnancy (Nidation)

If you've had unprotected or poorly protected intercourse in the past 2-3 weeks, this brown discharge instead of a period may be implantation bleeding. About 25% of pregnant women experience light spotting when the embryo implants in the uterus.

🤰 Signs that it might be a pregnancy

  • Brown discharge lasts less than 3 days
  • They are very light (no need for protection)
  • You have other symptoms: tender breasts, mild nausea, unusual fatigue
  • It happens 6-12 days after the expected ovulation
  • Positive pregnancy test 2-3 days later

If you think you might be pregnant, check out our dedicated guide thattaille Everything you need to know about brown discharge during pregnancy, trimester by trimester, including the warning signs you absolutely need to know.

🤰 Analysis of Brown Discharge During Pregnancy →

Cause #2: Stress, Emotional Shock or Change of Rhythm

Severe stress can disrupt your hypothalamic-pituitary axis (the brain's hormonal conductor). The result: disrupted or absent ovulation, underdeveloped endometrium, and abnormally light or absent periods.

Brown streaks instead of periods are common after major stress (exams, breakup, moving, bereavement, overwork). Your cycle should return to normal the next time you cycle if the stress decreases.

Cause #3: Very Low Body Weight or Intensive Sport

If your body fat percentage is too low (below 17-18%), your body may block or reduce ovulation to save energy. The endometrium develops poorly, and you only get phantom brown periods.

This is common among high-level athletes (running, dancing, gymnastics) or in cases of eating disorders. If it persists for several cycles, consult a doctor or a specialized nutritionist. Hypothalamic amenorrhea can have long-term consequences on bone health.

Cause #4: Hormonal Imbalance (PCOS, Thyroid, Prolactin)

Several hormonal problems can cause abnormally light periods.

  • PCOS (Polycystic Ovary Syndrome) : Rare or absent ovulation, very long cycles, light or absent periods
  • Hypothyroidism : Underactive thyroid, can disrupt the cycle and reduce menstrual flow
  • hyperprolactinemia : Too high prolactin level (breastfeeding hormone), blocks ovulation even if you are not breastfeeding
  • Premature ovarian failure : Premature menopause before age 40

If your period regularly becomes very light (only a few brown streaks) for several cycles, a hormonal assessment is recommended to identify the cause.

Cause #5: Hormonal Contraception

The pill, implant, and hormonal IUD reduce the thickness of the endometrium. The result: much lighter periods, sometimes just a few brown streaks, or even a complete disappearance of periods (contraceptive amenorrhea).

This is an expected and harmless side effect. If it bothers you, you can talk to your doctor about changing your contraception.

Cause No. 6: Peri-Menopause

If you're over 40, periods that become irregular, shorter, lighter, or brown are a classic sign of perimenopause. Your egg supply is dwindling, ovulation is becoming less reliable, and your cycle is gradually becoming disrupted.

Brown Discharge and Hormonal Contraception

You're on the pill, implant, or hormonal IUD, and you experience brown spotting right in the middle of your pack or randomly. This is one of the most common side effects of hormonal contraception, especially in the first few months.

Why Contraception Causes Spotting

Synthetic hormones (progestin alone or estrogen-progestin combination) keep your endometrium very thin. Sometimes, small pieces break off haphazardly, especially if the hormone dosage is low or if your body is still adapting. This blood stagnates and oxidizes before exiting, hence the brown color.

✅ Normal spotting under contraception

  • First months of adaptation (3-6 months)
  • Missing or delayed pill intake
  • Hormonal implant or IUD (can last the lifetime of the implant)
  • Microdose pill (very low dosage)

⚠️ Spotting that deserves a consultation

  • Heavy and frequent spotting after 6 months of adaptation
  • Spotting + unusual pain
  • Spotting that gradually gets worse
  • Bleeding after stopping contraception that lasts more than 2 weeks

In most cases, spotting while taking birth control isn't a medical problem. But if it bothers you on a daily basis, your gynecologist can adjust your dosage or suggest an alternative method.

Spotting Every Day? Protect Yourself Without Thinking About It

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The 5 Less Common But Real Causes

We've covered the most common causes of brown discharge. Now, let's look at the less common situations that can also explain brown bleeding, especially if it's persistent or accompanied by other symptoms.

1. Uterine or Cervical Polyps

Polyps are small, benign growths that grow on the wall of the uterus (endometrial polyps) or on the cervix (cervical polyps). They are highly vascularized and bleed easily, causing brown spotting between periods, after intercourse, or making periods longer.

Polyps are common (10 to 24% of women), especially after the age of 40. They are detected by ultrasound and easily removed if necessary (simple outpatient procedure).

2. Uterine fibroids

Fibroids (or myomas) are benign muscular tumors that grow in the wall of the uterus. They can cause abnormal bleeding, including brown spotting, especially if they distort the uterine cavity.

Fibroids are even more common than polyps (20 to 40% of women of reproductive age), but many are asymptomatic. They are detected by ultrasound.

3. Endometriosis or Adenomyosis

Endometriosis (endometrial tissue outside the uterus) and adenomyosis (endometrial tissue in the muscular wall of the uterus) can cause uneven bleeding, including brown spotting.

Both of these conditions are typically accompanied by chronic pelvic pain, very painful periods (severe dysmenorrhea), and sometimes infertility. If you have brown discharge + severe pain, talk to your doctor right away.

4. Infections (PID - Pelvic Inflammatory Disease)

An infection that travels from the uterus to the fallopian tubes and ovaries (pelvic inflammatory disease) can cause abnormal bleeding, including brown discharge. This is often the result of an untreated STI (chlamydia, gonorrhea).

Associated symptoms: severe pelvic pain, fever, foul-smelling discharge, and pain during intercourse. This is a medical emergency that requires prompt antibiotic treatment to prevent fertility problems.

5. Precancerous Lesions of the Cervical (Dysplasia) or Cancer

Precancerous lesions of the cervix (cervical dysplasia) or cervical cancer can cause abnormal bleeding, especially after intercourse or between periods. This bleeding is often brown at first.

This is rare in women who regularly have their cervical smear tests (every 3 years between the ages of 25 and 65 in France). Early detection allows lesions to be treated before they become cancerous.

Warning Signs You Should Never Ignore

As we've reiterated throughout this article, most brown discharge is normal. But some situations require prompt medical attention to rule out a more serious problem.

Make an appointment in the coming days if

🔴 Brown discharge + intense pelvic pain: May indicate endometriosis, ruptured ovarian cyst, infection, ectopic pregnancy (if pregnancy is possible)

🌡️ Brown discharge + fever: Infection (PID, endometritis) that requires antibiotics

🐟 Brown discharge + very strong odor: Vaginal or uterine infection, vaginosis, forgotten foreign body

⏳ Continuous brown spotting for 2+ weeks: Polyp, fibroid, hormonal imbalance, or other structural cause

🔁 Bleeding after each intercourse: Tender cervix, polyp, cervical dysplasia - requires examination

😫 Brown discharge + unusual intense fatigue: May signal anemia if repeated bleeding, or thyroid problem

📅 Sudden change of cycle: Periods have become very light (just brown) for several months without explanation

💡 The golden rule: If something seems really different from your usual routine, if you feel that "this isn't normal for you," even without any obvious alarming symptoms, consult a doctor. You know your body better than anyone.

Managing Brown Losses on a Daily Basis

Light brown discharge doesn't require the same protection as heavy periods. There are several options depending on your comfort and the amount of discharge.

Protections Suitable for Brown Spotting

🩲 Light Flow Period Panties (BEST CHOICE)

Top comfort

You wear regular panties, no wetness, discreet protection for 12 hours. Perfect for unpredictable spotting. Washable and reusable.

📄 Washable panty liners

Economic

An alternative if you prefer panty liners. Choose organic cotton, plastic-free ones. Change them every 4-6 hours, even if they're not saturated.

📋 Disposable panty liners

help

OK as a stopgap, but avoid on a daily basis. They create moisture and promote irritation/fungal infections. Choose unscented organic cotton.

❌ What you should NEVER do

  • Vaginal douching : Destroy your vaginal flora and make problems worse
  • Tampons for light spotting : Too absorbent, dry out the vagina and create micro-lesions
  • Wear the same panty liner all day : Humid environment = guaranteed fungal infections

Complete Summary Table: All Causes at a Glance

We summarize everything we saw in a large table so that you can quickly find the information that concerns you.

Moment Probable Cause Characteristics Action
1-7 days before period Premenstrual spotting Light traces, then period arrives Normal ✅
Start of period Slow flow/oxidized blood Dark brown, then turns red Normal ✅
End of period Endometrial residue Light to dark brown, 1-3 days Normal ✅
Mid-cycle (D12-16) Ovulation spotting Pinkish/light brown, mixed with mucus, 1-2 days Normal ✅
After a report Sensitive/friction cervix Light traces just after Normal ✅
On contraception Hormonal adaptation Random spotting, especially in the first few months Frequent ⚠️
Instead of rules Pregnancy/stress/hormones Brown streaks for 2-3 days instead of flow Test/Monitor ⚠️
Continuous 2+ weeks Polyp/fibroid/imbalance Persistent spotting without stopping Consult 🚨
With intense pain Infection/endometriosis/ectopic pregnancy Severe cramps, possible fever Consult 🚨
With strong odor Vaginal/uterine infection Foul odor + itching Consult 🚨

FAQ: The Questions You Really Ask Yourself

Can brown discharge permanently stain my underwear? +
Yes, brown discharge (oxidized blood) stains more than fresh red blood. Oxidized iron embeds itself in the fibers. To limit the damage: rinse in cold water as soon as possible (never in hot water which sets the stain), rub with Marseille soap or baking soda before washing, or use dedicated Period Panties that you don't mind staining.
My brown discharge has a slightly metallic smell, is this normal? +
Yes, completely normal. Blood contains iron, hence the slightly metallic odor. However, if the odor becomes really strong, nauseating (rotten fish), or if it is accompanied by itching/burning, then it is a sign of infection and you should consult a doctor.
Sticky or stringy brown discharge, is it serious? +
No, it's often blood mixed with cervical mucus, hence the sticky or stringy appearance. If it happens around ovulation, it's ovulatory spotting + fertile mucus. At the end of your period, it's the last remnants of blood mixing with normal vaginal secretions. Nothing abnormal.
I NEVER have brown discharge before my period. Is this abnormal? +
No, it's actually quite normal. Only 10-30% of women experience regular premenstrual spotting. If your period starts bright red without a preceding brown phase, it means your endometrium is shedding quickly and is being shed right away. No problem.
How long can normal brown discharge last? +
It depends on the context. Premenstrual spotting: 1-4 days max. End of period: 1-3 days. Ovulation spotting: a few hours to 2 days. If your brown discharge lasts more than a week continuously, or if it comes back constantly between periods, consult a doctor to check for polyps, fibroids, or hormonal imbalances.
Brown discharge and negative pregnancy test, what does it mean? +
If you have brown discharge instead of your period and the test is negative, there are several options: either you tested too early (wait 2-3 days and retest), or it's not pregnancy but spotting related to stress, a hormonal imbalance, or hormonal contraception. If the test remains negative and your real period doesn't arrive, consult a doctor for a checkup.
Can I have sex during brown discharge? +
Yes, there's no medical problem. It's just a matter of personal comfort. If you have brown discharge during ovulation, that's actually your peak fertility period. A little tip: put a towel on the bed if you want to avoid stains.

Not Everything Is Serious, But Not Everything Is Banal Either

Brown discharge is simply old blood that flows slowly, a completely normal phenomenon in over 90% of cases. Before menstruation, it often signals the start of the cycle; afterward, it indicates the end of uterine cleansing. It can also appear during ovulation or after intercourse, when the cervix, which is more fragile, bleeds slightly.

On the other hand, if they persist for more than two weeks, are accompanied by pain, fever, a strong odor, or bleeding after each intercourse, consult a professional. And if you suspect pregnancy, especially with brown discharge instead of a period, check our dedicated guide to find out if it's implantation or something else.

Medical Sources & References

This article is based on published scientific studies and official recommendations in gynecology.

Menstrual cycle and spotting

  1. Munro MG, Critchley HOD, Fraser IS. (2018). The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding. International Journal of Gynecology & Obstetrics. 143 (3): 393-408. DOI: 10.1002/ijgo.12666
  2. Hapangama DK, Bulmer JN. (2016). Pathophysiology of heavy menstrual bleeding. Women's Health. 12 (1): 3-13. DOI: 10.2217/whe.15.81
  3. Najmabadi S, Schliep KC, Simonsen SE, et al. (2021). Cervical mucus patterns and the fertile window in women without known subfertility. Human Reproduction. 36 (7): 1784-1795. DOI: 10.1093/humrep/deab049

Ovulatory spotting

  1. Fehring RJ, Schneider M, Raviele K. (2006). Variability in the phases of the menstrual cycle. Journal of Obstetric, Gynecologic & Neonatal Nursing. 35 (3): 376-384. DOI: 10.1111/j.1552-6909.2006.00051.x
  2. Reed BG, Carr BR. (2018). The Normal Menstrual Cycle and the Control of Ovulation. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext. South Dartmouth (MA): MDText.com, Inc. PMID: 25905282

Postcoital bleeding

  1. Shapley M, Jordan K, Croft PR. (2004). A systematic review of postcoital bleeding and risk of cervical cancer. British Journal of General Practice. 54 (509): 949-955. PMID: 15588542
  2. Roaldset LØ, Ingebrigtsen OK. (2017). Postcoital bleeding in a general practice population. Tidsskrift for Den Norske Legeforening. 137 (6): 432-435. DOI: 10.4045/tidsskr.16.0480

Hormonal contraception and spotting

  1. Mansour D, Korver T, Marintcheva-Petrova M, Fraser IS. (2008). The effects of Implanon
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The articles on the site contain general information which may contain errors. These articles should in no way be considered as medical advice, diagnosis or treatment. If you have any questions or doubts, always make an appointment with your doctor or gynecologist.

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