Izimpawu zokuqala zokukhulelwa ngaphambi kokubambezeleka kungabonakala kakade ezinsukwini ezingu-10-12 emva kokukhulelwa kweqanda, ngisho nangaphambi kokuqala kokulibala. Futhi isibonakaliso sokuqala sokukhulelwa ukufakwa kombungu emdongeni wesibeletho. Abaningi besifazane abazizwa lo mzuzwana noma bangathinti ukubaluleka kwaso.
Eqinisweni, ukufakelwa - lokhu kuyisibonakaliso esibaluleke kakhulu sokukhulelwa, ukuxhumana kokuqala komama nengane. Kuze kube yilokhu emzimbeni wesifazane ngeke kube khona izimpawu nokuzwa kokukhulelwa, njengoba iqanda lisese "ukubhukuda kwamahhala".
Isibonakaliso sokufakwa kombungu esibelethweni singase siphume kancane. Lokhu kwenzeka uma i-microtraumas yezindonga ze-uterine yenzekile ngesikhathi isingeniso sombungu esibelethweni. Akukhona mayelana nokuphuma okunzima - maduze kuzoba ngamaconsi angu-1-2 kuphela. Ngezinye izikhathi inani legazi elinikeziwe liyingcosana kangangokuthi livele lingabonakali owesifazane.
Ngaphandle kokuphuma ngaphandle kokuhlanganisa umbungu esibelethweni, kunezinye izimpawu. Ziningi amathuba okuzizwa ezithombeni. Abanye besifazane bathi ngesikhathi sokunamathiselwa kombungu ezinye izibonakaliso zobuhlungu kanye ne-spasm emathunjini aphansi zazizwa.
Odokotela bakholelwa ukuthi ukuzwa okunjalo akunakwenzeka, ngoba ukutshalwa kweqanda kuncane kangaka kangangokuthi akakwazi ukuzwa ngokomzimba. Mhlawumbe, lesi sibonakaliso sinemvelaphi engokwengqondo, ngoba owesifazane ophupha ukuba ngumama, uyaphila nje, imizwa yakhe kanye nokuzwa kwakhe kuqinisiwe.
Amathuba okufakwa ngaphakathi angabhekwa ukushisa okuyisisekelo. Ngokuvamile ngalolu suku, igrafu ibonisa ukuwa kwehla okushisayo (kusukela ezinsukwini ezingu-6 kuya kwezingu-10 emva kokuvuthwa). Nakuba ngezinye izikhathi ukucindezeleka okunjalo akukwenzeka, kanti futhi ukukhulelwa kwenzeka.