Unusual Discharge Before Menstruation: What You Need to Know

Abnormal discharge?

Today is about a week before my period is due.
I've been experiencing continuous discharge, and this morning I noticed it even soaked my underwear.
In the past, I would have breast swelling and nipple tenderness one to two weeks before my period, but I haven't experienced those symptoms this time.
Recently, I've had stomach issues, which have caused me to lose weight, and even my breasts have shrunk.

xuan, 10~19 year old female. Ask Date: 2017/04/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
About a week before menstruation, there has been continuous discharge, and this morning I noticed it even soaked my underwear.
Ans: Normal.

2.
In previous cycles, I experienced breast enlargement and nipple tenderness one to two weeks before my period.
Ans: Normal.

3.
This time, those symptoms have not appeared yet.
Ans: It's not uncommon for breast enlargement and nipple tenderness to vary from cycle to cycle, so it's okay.

4.
Recently, due to stomach issues, I've lost weight, and even my breasts have shrunk.
Ans: Eat a bit more and exercise regularly.

Reply Date: 2017/04/17

More Info

Unusual discharge before menstruation can be a common concern for many women, and it’s important to understand the potential causes and implications of this symptom. The discharge you are experiencing could be attributed to several factors, including hormonal fluctuations, infections, or other underlying health issues.

Firstly, it’s essential to recognize that hormonal changes throughout your menstrual cycle can lead to variations in vaginal discharge. In the luteal phase, which occurs after ovulation and before menstruation, the body produces higher levels of progesterone. This hormone can cause the cervical mucus to thicken, leading to an increase in discharge. If the discharge is clear or white and does not have a foul odor, it is often considered normal.

However, if the discharge is accompanied by unusual symptoms such as a strong odor, itching, or irritation, it may indicate an infection, such as bacterial vaginosis or a yeast infection. These conditions can cause changes in the normal flora of the vagina, leading to an overgrowth of certain bacteria or yeast, resulting in abnormal discharge. It’s advisable to consult a healthcare professional if you notice these symptoms, as they can provide appropriate treatment.

Additionally, stress and significant changes in your health, such as weight loss or gastrointestinal issues, can also impact your menstrual cycle and discharge. Stress can lead to hormonal imbalances, which may affect ovulation and menstruation. Weight loss, particularly if it is rapid or significant, can disrupt your body’s hormonal balance as well, potentially leading to changes in your menstrual cycle and discharge patterns.

In your case, you mentioned experiencing gastrointestinal issues and weight loss, which could be contributing to the changes in your body, including the discharge and the absence of typical premenstrual symptoms like breast tenderness. It’s crucial to address any underlying health issues, as they can have a broader impact on your menstrual health and overall well-being.

If you are concerned about the unusual discharge or any other symptoms you are experiencing, it is best to schedule an appointment with a healthcare provider. They can perform a thorough evaluation, which may include a pelvic exam and possibly lab tests to determine the cause of your symptoms. Based on the findings, they can recommend appropriate treatments or lifestyle changes to help manage your symptoms and improve your overall health.

In summary, while some changes in discharge before menstruation can be normal, it’s important to pay attention to your body and seek medical advice if you notice any unusual patterns or accompanying symptoms. Taking proactive steps to address your health concerns can help ensure that you maintain a healthy menstrual cycle and overall well-being.

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