Abnormal Discharge: What Your Symptoms Might Indicate - Obstetrics and Gynecology

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I am troubled by issues related to discharge?


Hello doctor, thank you for taking the time to respond to my question.
My menstrual cycle was normal in July and August, but I did not have my period in September.
It came in mid-October, but the flow was not heavy, just normal.
Recently, I have noticed some brownish discharge, and this morning after using the restroom, I noticed some red discharge.
I used a panty liner, thinking it might be my period, but after changing the liner in the afternoon, there was only a small amount of red discharge mixed with clear discharge by the evening.
Is there something wrong with my body?

Niming Huang Xiaojie, 10~19 year old female. Ask Date: 2016/10/30

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Anonymous Huang: You can observe your situation for a few more days.
If the red discharge naturally disappears, the bleeding you are experiencing is most likely ovulatory bleeding.
This is a physiological occurrence and should not be a cause for concern.
However, if the bleeding persists and increases, it may indicate a menstrual disorder, and it would be best to consult a doctor.

Reply Date: 2016/10/30

More Info


Understanding abnormal discharge and menstrual irregularities can be concerning, and it's important to approach these symptoms with care and attention. Based on your description, it seems you are experiencing a change in your menstrual cycle and discharge, which can be caused by various factors.

Firstly, it's essential to note that menstrual cycles can be influenced by numerous factors, including stress, hormonal changes, weight fluctuations, and underlying health conditions. The fact that you had a normal menstrual cycle in July and August, followed by a missed period in September, suggests a possible disruption in your hormonal balance. This disruption could lead to the irregular discharge you are experiencing.

The brown discharge you mentioned is often old blood that has taken longer to exit the body, which can occur at the beginning or end of a menstrual period. It is not uncommon for women to experience brown discharge as a part of their menstrual cycle, especially if the flow is lighter than usual. However, the presence of red discharge, particularly if it is accompanied by other symptoms, warrants further investigation.

Here are some potential causes for your symptoms:
1. Hormonal Imbalance: Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can lead to irregular menstrual cycles and abnormal discharge. Hormonal fluctuations can cause changes in the consistency and color of vaginal discharge.

2. Pregnancy: If there is a possibility of pregnancy, light bleeding or spotting can occur, known as implantation bleeding. This typically happens around the time your period is due and can be mistaken for a light period.

3. Infections: Vaginal infections, such as bacterial vaginosis or sexually transmitted infections (STIs), can cause abnormal discharge, often accompanied by a change in odor or irritation.

4. Uterine Conditions: Conditions such as fibroids or polyps can lead to irregular bleeding and changes in discharge. These are usually benign but can cause discomfort and require monitoring.

5. Stress and Lifestyle Factors: High levels of stress, significant changes in weight, or intense physical activity can also affect your menstrual cycle and lead to irregularities.

Given your symptoms, it is advisable to consult with a healthcare professional. They may recommend a pelvic examination, ultrasound, or blood tests to assess hormone levels and rule out any underlying conditions. It's crucial to provide your doctor with a complete history of your menstrual cycle, any other symptoms you may be experiencing, and any medications you are currently taking.

In the meantime, keep track of your symptoms, including the timing and characteristics of your discharge, as this information can be helpful for your healthcare provider. If you experience severe pain, fever, or any other concerning symptoms, seek medical attention promptly.

In summary, while changes in menstrual cycles and discharge can be common, they can also indicate underlying health issues that require attention. It's essential to approach these symptoms with care and seek professional guidance to ensure your health and well-being.

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