Post-Orgasmic Brown Discharge: Causes and Solutions

Q: Post-Orgasmic Brown Discharge: Causes and Solutions

Hello Ms. <br>Joq： I apologize, but your questions are too numerous and complex to address clearly in writing. <br>It may be more effective to communicate directly with a doctor at the hospital for clearer answers.

Is it the unresolved post-orgasmic secretion?

Hello, doctor! I used to have no issues with orgasms, but two years ago, after masturbating, I started experiencing abdominal soreness and brown discharge the next day.
This occurs even with orgasms that don't involve penetration.
If I don't masturbate regularly, I occasionally have brown discharge that lasts only 1-2 days, but any orgasm guarantees this symptom.
Additionally, I feel a strange looseness in my labia and constantly worry about more brown discharge.
In the past, I only experienced occasional abdominal soreness, and the discharge was normal leukorrhea.
Now, whenever I have abdominal soreness, I have to check my underwear for brown discharge.

I have undergone a Pap smear, blood tests, pelvic exams, and abdominal ultrasounds, all of which showed no issues.
However, a vaginal ultrasound revealed a 1.5 cm polyp in my uterus.
The doctor said it is not related to the orgasms and is not ovulation bleeding, suggesting that the bleeding might be due to the polyp being irritated.
They prescribed estrogen to stabilize my endometrium and a hemostatic medication.

I would like to ask if the polyp itself can bleed, or if, as the doctor said, the bleeding is due to the polyp being irritated? How does it get irritated? Is it from the contractions of the uterus during orgasm that causes the bleeding? Does it push the endometrium out, or does it compress the polyp? If it compresses the polyp, how can there be so much blood? Did the polyp rupture?
The doctor prescribed estrogen and hemostatic medication starting from the end of my period on October 31.
After an orgasm without penetration on November 13, I had brown discharge on November 15-16, which was more than usual, and then red blood on November 17-18.
I saw the doctor on November 18, and after taking estrogen and the hemostatic medication, I experienced increased bleeding on November 19.
I was unsure if this was my period or a side effect of the medication since my period was expected after November 20.
However, I had brown discharge after the orgasm on November 15.

Was the heavy bleeding due to the estrogen? Why did it turn into abnormal bleeding and cause my period to come early? I also heard that uterine polyps should not be treated with estrogen, but the doctor insisted on using estrogen to stabilize the endometrium before determining if the bleeding was due to the polyp.
Therefore, I hesitated to take it.
On November 17, I consulted a traditional Chinese medicine practitioner who said my hormones were low and prescribed hormone supplements containing donkey-hide gelatin, but I was hesitant to take it due to concerns about the polyp.

The "suspected period" lasted until around November 27, then on December 2, I started having a small amount of bleeding again.
I consulted another doctor and informed them about the polyp and my one-time use of estrogen.
They advised against taking estrogen and prescribed uterine contraction medication and hemostatic medication for three days, suggesting I return after my next period if there were any issues.
After completing the medication, the bleeding stopped, and my period came on December 18, ending on December 24.

After an orgasm without penetration on December 27, I experienced abdominal discomfort starting December 28-30, with a slight amount of very light brown discharge on the night of December 30 and the morning of December 31, but not as much as before.
I thought this time there would be no brown discharge after orgasm, but after three days, it returned.
I am unsure if this is due to the previous uterine contraction medication, which may have regulated my cycle.
Although the situation has improved significantly, the abdominal discomfort and brown discharge after orgasm persist.

On December 31, I consulted a traditional Chinese medicine practitioner who suggested that I might have pelvic inflammatory disease.
I have maintained cleanliness and have not engaged in any sexual activity.
The cause of the inflammation is unknown.
In terms of Western medicine, the first doctor mentioned that if bleeding continues after stopping estrogen, the polyp should be removed, which led me to seek a second opinion.
After taking the second doctor's uterine contraction medication, my condition improved, but the abdominal discomfort and brown discharge after orgasm remain.
I was hesitant to mention that these symptoms were related to masturbation to the second doctor.

As of January 1, the abdominal discomfort and brown discharge seem to have resolved, so I did not return to the second doctor.
However, I am certain that I will experience abdominal discomfort and brown discharge after any orgasm.
I am reluctant to keep switching doctors and undergoing repeated examinations since it seems to revolve around the polyp issue.
Ultimately, the doctors seem to be steering me toward surgery.
One doctor mentioned that the polyp is small enough that surgery may not be necessary, while another said that not removing it could complicate future pregnancies.

If I set aside the consideration of pregnancy, my primary concern is to stop experiencing brown discharge after orgasms.
However, I am unsure if this is due to the polyp or if it is related to unstable endometrial hormones caused by stress.
I would like to ask if there are any other potential causes for my symptoms, alternative treatment methods, or dietary supplements that could help.
Thank you!

joq, 30~39 year old female. Ask Date: 2017/01/01

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello Ms.
Joq: I apologize, but your questions are too numerous and complex to address clearly in writing.
It may be more effective to communicate directly with a doctor at the hospital for clearer answers.

Reply Date: 2017/01/01

More Info

Understanding post-orgasmic brown discharge can be complex, especially when accompanied by abdominal discomfort. Based on your detailed history, it seems that you have been experiencing a pattern of symptoms that may be related to the presence of a uterine polyp, hormonal fluctuations, and possibly the physiological effects of orgasm itself.

Causes of Post-Orgasmic Brown Discharge
1. Uterine Polyps: Uterine polyps are growths on the inner lining of the uterus (endometrium) that can cause irregular bleeding. They can indeed bleed, especially if they are irritated or "scraped" during contractions of the uterus that occur during orgasm. This could explain the brown discharge you experience after orgasm, as it may be old blood that is being expelled.

2. Hormonal Fluctuations: Hormonal imbalances can lead to irregularities in your menstrual cycle and can affect the endometrial lining. The use of estrogen can stabilize the endometrium, but it can also lead to breakthrough bleeding, especially if the lining is already unstable due to the presence of a polyp.

3. Menstrual Cycle Timing: The timing of your symptoms in relation to your menstrual cycle is also important. If you are experiencing brown discharge shortly after your period or around the time of ovulation, it could be related to hormonal changes or the shedding of the endometrial lining.

4. Pelvic Inflammatory Disease (PID): Although you mentioned that you have not engaged in sexual activity, any history of pelvic inflammatory disease could also lead to abnormal discharge and discomfort. PID can cause inflammation of the reproductive organs, which may lead to abnormal bleeding.

Relationship Between Orgasm and Symptoms
The contractions of the uterus during orgasm can sometimes lead to the expulsion of any blood that may be present in the uterus, especially if there is a polyp. The sensation of looseness you describe could be related to the relaxation of pelvic muscles post-orgasm, which can sometimes lead to a feeling of increased sensitivity or awareness of the area.

Management and Solutions
1. Monitoring and Follow-Up: Since you have already undergone various tests (Pap smear, blood tests, ultrasound), it is crucial to continue monitoring your symptoms. If the brown discharge persists or worsens, further evaluation may be necessary.

2. Consideration of Surgical Options: If the polyp is determined to be the cause of your symptoms and is causing significant discomfort or bleeding, surgical removal may be recommended. While there is a possibility of recurrence, many women find relief from symptoms after polyp removal.

3. Hormonal Treatment: Discuss with your healthcare provider the possibility of adjusting your hormonal treatment. If estrogen is causing breakthrough bleeding, your doctor may suggest a different approach or dosage.

4. Lifestyle and Dietary Adjustments: Maintaining a balanced diet rich in fruits, vegetables, and whole grains can support overall hormonal balance. Staying hydrated and managing stress through relaxation techniques may also help alleviate some symptoms.

5. Alternative Therapies: Some women find relief through acupuncture or herbal remedies, but these should be approached with caution and discussed with your healthcare provider to avoid interactions with any medications you may be taking.

6. Communication with Healthcare Providers: It is essential to communicate openly with your healthcare providers about all your symptoms, including those related to orgasm and any concerns about hormonal treatments. If you feel uncomfortable with one provider, seeking a second opinion can be beneficial.

Conclusion
In summary, the brown discharge you experience post-orgasm could be related to the uterine polyp, hormonal fluctuations, or the physiological effects of orgasm. It is crucial to continue working with your healthcare providers to monitor your symptoms and consider potential treatments, including the possibility of surgical intervention for the polyp. Maintaining a healthy lifestyle and being proactive about your health can also contribute to managing your symptoms effectively.

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