Why is my period blood brown?

February 4 2020 | Written by Miranda Van Haarlem (She/Her), Graphics by Sissi Chen (She/Her)

Like many of us menstruators, I remember my first period like it was yesterday. I was 10-years old, it was a Friday, and the night of my town’s MuchMusic Video Dance. It was the classic example of going to the bathroom and discovering something different in your underwear. I was confused… it was brown.  I showed my mom my underwear and, because I was so young, she thought it was just a stomach flu. We both look back on this story now and laugh. While this is a slightly embarrassing story to tell, I don’t think I was the only one to discover that period blood isn’t always cherry red.

In past blog posts we have discussed the lack of realistic menstrual blood in media. With menstrual product companies using blue dye to depict menstrual blood, how the heck am I supposed to know what colour period blood is supposed to be? 

In reality, menstrual blood can be a variety of colours ranging from shades of red to brown to even black. In this blog post, we are going to discuss the range of period blood colours and what they can mean and hopefully you won’t be as surprised as me! 

Bright Red Menstrual Blood

This is what I was expecting when I first got my period. Many individuals start out with bright red menstrual blood; it signifies that the blood is fresh and has a steady flow. Your menstrual blood may stay this colour throughout your whole menstrual cycle, but may darken as your flow begins to slow down. 

Dark Red Menstrual Blood 

Dark red menstrual blood is typically seen towards the end of your period or you may see this colour waking up in the morning. Why is this? The longer period blood remains in the uterus the higher the chance it will react with oxygen and become oxidized. Blood that has had time to oxidize will appear darker than blood that has a steady flow. 

Brown Menstrual Blood 

Brown menstrual blood is associated with the beginning or the end of your period. We just went over why you may see darker menstrual blood towards the end of your period, but why do we see it at the beginning if we have a steady flow? Brown blood at the beginning is usually leftover period blood from your last cycle, therefore it is older blood and has become oxidized. 

Black Menstrual Blood

If your menstrual blood has ever been black you know how alarming this can be, but it isn’t necessarily a reason to be concerned. Black blood, just like brown blood, is older blood that has been oxidized within the uterus. It is just truly taking its time to leave. 

When black blood becomes the norm it can signify a blockage within the vagina and it is recommended you visit your local practitioner if you have any concerns or other symptoms. 

Pink Menstrual Blood

Pink menstrual blood is usually associated with spotting towards the beginning and end of your period. The pink colour is usually a sign that your menstrual blood has mixed with cervical fluid. Some menstruators experience light red, and pink spotting within the middle of their cycle and this is known as ovulation bleeding.

Orange Menstrual Blood

Orange menstrual blood can also signify that your menstrual blood has mixed with your cervical fluid but it can also be a symptom of an infection.such as bacterial vaginosis, which is an overgrowth of bacteria found in the vagina. If you have noticed orange menstrual blood and have symptoms such as itching, foul-smelling vaginal discharge and/or a fever, it is recommended you visit your local practitioner. 

Grey Menstrual Blood

Grey menstrual blood, or grey vaginal discharge is also a symptom of infections, such as bacterial vaginosis. It is recommended to visit your local practitioner if you are experiencing grey discharge or other symptoms of bacterial vaginosis such as itching, foul-smelling vaginal discharge and/or a fever. 

If you are pregnant, grey discharge can also be a sign of a miscarriage as tissue passing through the vagina can be grey in colour. 

Period colour varies. A LOT. If your period blood is red one month and brown the next, this is normal. If you experience pink spotting during ovulation, this is also normal. It is important to pay attention to other aspects of your menstrual cycle such as volume and pain but if your period blood varies month to month and day to day, do not stress!


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] is a chemotherapy medication used for the treatment of hodgkin’s lymphoma and brain cancers. for hodgkin’s it is often used together with chlormethine, vincristine, and prednisone while for brain cancers such as glioblastoma multiforme it is used with lomustine and vincristine. it is typically taken by mouth.

common side effect include low blood cell counts and vomiting. other side effects include tiredness and depression. it is not recommended in people with severe liver or kidney problems. use in pregnancy is known to harm the baby. procarbazine is in the alkylating agents family of medication. how it works is not clearly known.

procarbazine was approved for medical use in the united states in 1969. it is on the world health organization’s list of essential medicines, the safest and most effective medicines needed in a health system. in the united kingdom a month of treatment cost the nhs 450 to 750 pounds.

medical uses
when used to treat hodgkin’s lymphoma, it is often delivered as part of the beacopp regimen that includes bleomycin, etoposide, adriamycin, cyclophosphamide, vincristine (tradename oncovin), prednisone, and procarbazine. the first combination chemotherapy developed for hodgkin’s lymphoma (hl), mopp also included procarbazine (abvd has supplanted mopp as standard first line treatment for hl, with beacopp as an alternative for advanced/unfavorable hl). alternatively, when used to treat certain brain tumors (malignant gliomas), it is often dosed as pcv when combined with lomustine (often called ccnu) and vincristine.

dose should be adjusted for kidney disease or liver disease.

side effects
very common (greater than 10% of people experience them) adverse effects include loss of appetite, nausea and vomiting. other side effects of unknown frequency include reduction in leukocytes, reduction in platelets, reduction in neutrophils, which can lead to increased infections including lung infections; severe allergy-like reactions that can lead to angioedema and skin reactions; lethargy; liver complications including jaundice and abnormal liver function tests; reproductive effects including reduction in sperm count and ovarian failure.

when combined with ethanol, procarbazine may cause a disulfiram-like reaction in some people.

it weakly inhibits mao in the gastrointestinal system, so it can cause hypertensive crises if associated with the ingestion of tyramine-rich foods such as aged cheeses; this appears to be rare.

procarbazine rarely causes chemotherapy-induced peripheral neuropathy, a progressive, enduring, often irreversible tingling numbness, intense pain, and hypersensitivity to cold, beginning in the hands and feet and sometimes involving the arms and legs.

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