Abdominal Pain and Abnormal Discharge in Women

Q: Abdominal Pain and Abnormal Discharge in Women

Hello Miss Jane： The presence of blood in vaginal discharge, if it occurs in the middle of the menstrual cycle, is likely to be ovulatory bleeding. <br>Its characteristics include a small amount of bleeding that typically stops on its own after a few days, occasionally accompanie

Abdominal issues?

Since March, I have been experiencing pain in my lower left abdomen during my menstrual period, which lasted until May.
A few days after my period in May, I noticed blood-streaked discharge, and by June, about a week after my period, the discharge also contained blood, which was more than the previous month.
In January, my menstrual flow was lighter and shorter.
After my period, I experienced brown discharge that was even less in quantity.
I did not have my period in July.
My menstrual cycle is usually regular, but sometimes the discharge resembles mucus.
During this time, I have consistently had pain in my lower left abdomen during my menstrual period, and there was one month when the pain continued even after my period ended.
What could be the cause of this?

Jane, 20~29 year old female. Ask Date: 2016/08/22

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Miss Jane: The presence of blood in vaginal discharge, if it occurs in the middle of the menstrual cycle, is likely to be ovulatory bleeding.
Its characteristics include a small amount of bleeding that typically stops on its own after a few days, occasionally accompanied by mild abdominal pain.
Pain in the lower right abdomen during menstruation is common, but it usually resolves after the menstrual period ends.
This is generally considered physiological and should not be a cause for concern.

Reply Date: 2016/08/22

More Info

Understanding abdominal pain and abnormal discharge in women can be complex, as various factors can contribute to these symptoms. Based on the information provided, it appears that you are experiencing a combination of left-sided abdominal pain, abnormal discharge with blood, and changes in your menstrual cycle. Let's break down these symptoms and explore potential causes.

Abdominal Pain
1. Menstrual Cramps (Dysmenorrhea): It is common for women to experience abdominal pain during their menstrual cycle due to the contraction of the uterus. This pain can sometimes radiate to the lower abdomen and may feel sharp or cramp-like.

2. Ovulation Pain (Mittelschmerz): Some women experience pain during ovulation, typically occurring mid-cycle. This pain is usually unilateral (on one side) and can last from a few minutes to a few hours.

3. Pelvic Inflammatory Disease (PID): This is an infection of the reproductive organs that can cause significant abdominal pain. PID can result from sexually transmitted infections and may present with abnormal discharge, fever, and pain during intercourse.

4. Ovarian Cysts: Functional ovarian cysts can cause pain, especially if they rupture. Symptoms may include sharp pain on one side of the abdomen and changes in menstrual patterns.

5. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside of it, leading to chronic pain, especially during menstruation. It can also cause abnormal bleeding and discharge.

6. Uterine Fibroids: These benign tumors can cause pain and heavy menstrual bleeding. Depending on their size and location, they may lead to pressure symptoms and changes in menstrual flow.

Abnormal Discharge
1. Normal Variations: It is normal for vaginal discharge to change in consistency and color throughout the menstrual cycle. However, the presence of blood in discharge outside of menstruation can indicate an underlying issue.

2. Hormonal Imbalances: Fluctuations in hormones can lead to changes in menstrual cycles and discharge. Conditions such as polycystic ovary syndrome (PCOS) can cause irregular periods and abnormal discharge.

3. Infections: Bacterial vaginosis or yeast infections can cause abnormal discharge, often accompanied by itching or a foul odor. Sexually transmitted infections (STIs) can also lead to changes in discharge and should be ruled out.

4. Implantation Bleeding: If there is a possibility of pregnancy, light spotting can occur when a fertilized egg implants itself in the uterine lining.

Recommendations
Given the complexity of your symptoms, it is crucial to seek medical attention from a healthcare provider, preferably a gynecologist. They can perform a thorough evaluation, including:
- Pelvic Examination: To assess for any abnormalities in the reproductive organs.

- Ultrasound: To visualize the ovaries and uterus for cysts, fibroids, or other issues.

- Blood Tests: To check hormone levels and rule out infections.

- Pap Smear: To screen for cervical abnormalities.

Conclusion
Your symptoms of left-sided abdominal pain, abnormal discharge with blood, and changes in your menstrual cycle warrant further investigation. While some causes may be benign, others could indicate a more serious condition that requires treatment. Early diagnosis and management are essential for maintaining reproductive health. Please consult with a healthcare professional to discuss your symptoms in detail and receive appropriate care.

Similar Q&A

Understanding Lower Abdominal Pain and Abnormal Discharge in Women

Hello Dr. Huang: Since early March this year, I have been experiencing a feeling of heaviness in my lower abdomen, occasionally accompanied by a sensation of pressure. I have noticed an abnormal increase in vaginal discharge, and sometimes when I urinate or have a bowel movement,...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Since you are experiencing abnormal vaginal discharge accompanied by constipation, and if the discharge is not associated with any discomfort, it is advisable to first consult a gastroenterologist.

Understanding Abnormal Discharge and Pelvic Pain in Women

Hello: I have been experiencing excessive discharge, and the amount of vaginal discharge is quite high, mostly clear and somewhat watery in texture. I am unsure what might be causing this. Occasionally, I also experience lower abdominal pain, particularly sharp pain that feels li...

Dr. Wu Zongcheng reply Obstetrics and Gynecology
Hello, the vaginal discharge (commonly known as leukorrhea) varies with hormonal changes throughout the menstrual cycle. The discharge before and after menstruation is typically a clear, watery fluid, while during ovulation, it becomes thick and stretchy, resembling egg white. Th...

Understanding Abdominal Pain and Discharge in Young Women: Key Insights

Hello, I am currently a student and have been experiencing intermittent abdominal cramps since high school (sometimes they can be quite painful). Additionally, I have noticed an increase in vaginal discharge, which occasionally has a small amount of blood in it (but not much). Wh...

Dr. Huang Jianxun reply Obstetrics and Gynecology
Hello: Please keep a complete record of your menstrual cycle, noting the days when you experience abdominal pain, abnormal discharge, or bleeding. This will assist the physician in making an accurate diagnosis during your visit to the obstetrics and gynecology department. Sincere...

Chronic Abdominal Pain in Women: Causes and Solutions Explored

Hello, doctor. I have a long-standing issue that may require your assistance. I've been experiencing intermittent abdominal pain for over a year. Initially, the pain was only in the lower right abdomen, but it later spread to the lower left abdomen, and eventually, I started...

Dr. Liu Yuhong reply Obstetrics and Gynecology
1. "I have been experiencing chronic lower abdominal pain that hasn't improved; what should I do?" There is a common condition among women called chronic pelvic pain, which refers to pain in the pelvic region lasting more than six months. Based on your description,...