Abnormal Vaginal Discharge: Causes and Treatments

The secretion contains blood?

Hello doctor, I am 29 years old and had a cesarean section five years ago.
My menstrual period started on October 13, with light flow.
From October 31 until today, I have had a small amount of blood-tinged discharge (less than one panty liner per day; sometimes it appears after wiping following urination.
A few days ago, it was dark red, and now it has turned into bright red streaks).
On November 7, I visited a gynecologist for an internal examination.
The doctor said there were no growths, but there was indeed blood-tinged discharge in the uterus, which is likely due to hormonal imbalance.
I was prescribed Ergonovine 0.2 mg, to be taken twice a day, one tablet each time.
I have taken it for three days, but the symptoms persist.
How long should I take this medication before I see results? Should I undergo any further tests? Since the internal examination ruled out growths, does that mean it is an issue of hormonal imbalance? Thank you for your response.

Li Wen, 20~29 year old female. Ask Date: 2017/11/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I am 29 years old and had a cesarean section five years ago.
My menstrual period started on October 13, with light flow.
Since October 31, I have been experiencing a small amount of blood-tinged discharge (less than one panty liner per day; sometimes it appears after wiping following urination.
A few days ago, it was dark red, but now it has turned into bright red streaks).
On November 7, I visited a gynecologist for an internal examination.
The doctor said there were no growths, but there was indeed blood-tinged discharge in the uterus, which is likely due to hormonal imbalance.
I was prescribed Ergonovine 0.2 mg to take twice a day, one tablet each time.
I have taken it for three days, but the symptoms persist.
How long should I take this medication before seeing results? Should I undergo any further tests? Since the internal examination ruled out growths, does that mean it is an issue of hormonal imbalance? Answer: An ultrasound examination should be performed.

Reply Date: 2017/11/12

More Info

Understanding abnormal vaginal discharge is crucial for maintaining reproductive health, especially when experiencing symptoms like those you've described. Abnormal discharge can be a sign of various underlying conditions, and it’s essential to consider both the characteristics of the discharge and any accompanying symptoms.

From your description, you have been experiencing a small amount of blood-stained discharge since October 31, following your menstrual period. The fact that the discharge has varied in color—from dark red to bright red—can indicate different things. Dark red blood is often older blood, while bright red blood may suggest fresh bleeding. The presence of blood in your discharge, especially when it is not associated with your menstrual cycle, warrants further investigation.

You mentioned that you had a gynecological examination on November 7, and the physician did not find any abnormalities. This is a positive sign, as it suggests that there are no visible lesions or growths in the reproductive tract. However, the presence of blood-stained discharge could still be linked to hormonal imbalances, which is what your doctor suggested. Hormonal fluctuations can lead to irregular bleeding or spotting between periods, often due to conditions like polycystic ovary syndrome (PCOS), thyroid disorders, or other endocrine issues.

The medication you were prescribed, Ergonovine, is typically used to help manage uterine contractions and can sometimes be prescribed to address certain types of abnormal bleeding. However, the effectiveness of this medication can vary from person to person. It is essential to follow your doctor’s instructions regarding the duration of the treatment. If you have been taking it for three days without improvement, it may be worth discussing with your physician whether you should continue or if further evaluation is necessary.

In terms of additional tests, if the discharge continues or worsens, or if you develop other symptoms such as pain, fever, or significant changes in your menstrual cycle, further investigations may be warranted. These could include blood tests to check hormone levels, an ultrasound to assess the ovaries and uterus, or even a hysteroscopy if there are concerns about the uterine lining.

It’s also important to consider lifestyle factors that could contribute to hormonal imbalances, such as stress, diet, and exercise. Maintaining a healthy lifestyle can support hormonal regulation and overall reproductive health.

In summary, while your initial examination did not reveal any immediate concerns, the ongoing symptoms you are experiencing should be monitored closely. If the discharge persists or if you have any additional symptoms, do not hesitate to follow up with your healthcare provider. They may recommend further testing or a different treatment approach based on your evolving symptoms. Always prioritize open communication with your healthcare provider to ensure you receive the most appropriate care for your situation.

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