Abnormal Menstrual Color: What Does Brown Blood Mean? - Obstetrics and Gynecology

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Abnormal menstrual color?


Hello doctor, my girlfriend's menstrual cycle has always been irregular.
Yesterday, she mentioned that her period came 4 days early (4 days earlier than the app predicted) and that the flow is brown, but the amount is normal and not less than usual.
I would like to ask the doctor what this situation could be.
I have looked through other articles, but they only discuss cases of brown discharge with low volume, not brown discharge with normal volume.
Thank you for your help!

Xiao Mi, 10~19 year old female. Ask Date: 2016/09/11

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Xiaomi: The menstrual period is only four days early.
Although the blood is brown, the amount is normal, so it should not be a concern.
The brown color of menstrual blood may indicate that it has been present in the vagina for half a day or a day before it is noticed, and during this time, the blood is oxidized by the air, resulting in a brown color.
This is quite common and not something to worry about.

Reply Date: 2016/09/11

More Info


Understanding the color of menstrual blood can often lead to confusion, especially when it deviates from what is typically expected. In your girlfriend's case, experiencing brown menstrual blood that arrives a few days early but in a normal amount can be quite common and is generally not a cause for concern.

Menstrual blood can vary in color from bright red to dark brown or even black. The color of menstrual blood is primarily influenced by the age of the blood and how long it has been in the uterus. Fresh blood, which is usually bright red, indicates that it is flowing quickly from the uterus. In contrast, brown blood typically signifies older blood that has taken longer to exit the body, which can happen at the beginning or end of a menstrual period. This is why it is not uncommon for women to notice brown blood at the start or conclusion of their menstrual flow.

The fact that your girlfriend's menstrual flow is normal in volume is a positive sign. It suggests that her body is functioning properly, and the brown color does not necessarily indicate any health issues. It is also worth noting that menstrual cycles can be influenced by various factors, including stress, hormonal changes, diet, and exercise. These factors can lead to variations in cycle timing and flow characteristics, such as color.

Regarding the irregularity of her menstrual cycle, it is not unusual for women to experience fluctuations in their cycle length and timing. Factors such as stress, changes in weight, travel, or even changes in birth control methods can all contribute to these variations. If her cycle continues to be irregular or if she experiences other symptoms such as severe pain, excessive bleeding, or unusual discharge, it may be worth consulting a healthcare provider for further evaluation.

In summary, brown menstrual blood, especially when accompanied by a normal flow, is generally not a cause for concern. It is often just a sign of older blood being expelled from the body. However, if there are any significant changes in her menstrual cycle or if she has any other health concerns, it would be advisable for her to seek medical advice. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed promptly and effectively.

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