Abnormal Vaginal Discharge Colors: What You Need to Know - Obstetrics and Gynecology

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Color of secretions


Hello doctor, my period started at the end of November and ended in early December.
Two days before it ended, I noticed abdominal pain, but I couldn't have a bowel movement.
After wiping, I found a little bit of blood in the vaginal area, which was somewhat red and a bit brown.
It doesn't flow out like a regular period; I only see a little bit after wiping.
I have had sexual intercourse in the past two days.
Is this normal? This is the first time I've experienced this, and it really scared me.

Xiao Hua, 20~29 year old female. Ask Date: 2016/12/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, I apologize for not being able to provide a diagnosis based on your description.
It could possibly be ovulatory bleeding.
If you continue to experience discomfort, I recommend consulting a gynecologist.
Wishing you good health.

Reply Date: 2016/12/15

More Info


When it comes to understanding abnormal vaginal discharge colors and related symptoms, it’s essential to consider various factors that could contribute to these changes. Based on your description, it seems you are experiencing some unusual discharge after your menstrual cycle, which includes a mix of red and brownish colors. This can understandably cause concern, especially if it’s your first experience with such symptoms.

Firstly, it’s important to recognize that the color and consistency of vaginal discharge can vary significantly throughout the menstrual cycle due to hormonal fluctuations. After menstruation, it is not uncommon for women to notice some residual blood, which can appear brownish due to the oxidation of blood as it takes longer to exit the body. This is often referred to as "old blood" and is typically not a cause for alarm, especially if it is minimal and not accompanied by other symptoms.

However, the presence of abdominal pain and the timing of your sexual activity are crucial factors to consider. Abdominal pain can arise from various causes, including ovulation, menstrual cramps, or even more serious conditions such as pelvic inflammatory disease (PID) or ectopic pregnancy. If the pain is severe, persistent, or accompanied by other symptoms such as fever, chills, or significant changes in discharge (such as a foul odor or a change in color to green or yellow), it is advisable to seek medical attention promptly.

In your case, since you mentioned that the discharge is minimal and appears only when wiping, it may not be indicative of a serious issue. However, if you notice any changes in the discharge's characteristics, such as an increase in volume, a change in odor, or if the abdominal pain worsens, it would be prudent to consult a healthcare professional for a thorough evaluation.

Additionally, if you have had unprotected sexual intercourse, it is essential to consider the possibility of sexually transmitted infections (STIs), which can also cause changes in discharge and abdominal pain. Regular screenings and open communication with your healthcare provider about your sexual health are vital for early detection and treatment of any potential issues.

In summary, while some changes in vaginal discharge can be normal, especially following a menstrual period, it is crucial to monitor your symptoms closely. If you experience any concerning signs or if the symptoms persist, do not hesitate to reach out to a healthcare professional for further evaluation and guidance. Your health and peace of mind are paramount, and a medical professional can provide the necessary support and treatment options tailored to your specific situation.

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