Abdominal Pain and Discharge Between Menstrual Cycles - Obstetrics and Gynecology

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Menstrual discharge and lower abdominal pain?


Hello, doctor.
I experience vaginal discharge between my menstrual periods, which resembles yellow mucus and is quite elastic, similar to rubber.
Since high school, I have had dull pain every time I menstruate, and when I stand, it feels like my uterus is about to fall out.
Sometimes, I inexplicably feel dull pain in my abdomen (not during my period), but I am unsure if it is a gastrointestinal issue or a gynecological problem.
After masturbation (without deep penetration), I feel a dull pain in the lower abdomen.
What could be wrong with me? If I go to a clinic for an examination, will there be a pelvic exam?

ss, 10~19 year old female. Ask Date: 2018/05/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, based on your description of symptoms, it is recommended that if the symptoms persist or worsen, you should seek a physician for diagnosis and treatment.
Typically, a medical history will be taken, and an ultrasound or external genital examination may be performed.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2018/05/28

More Info


Understanding abdominal pain and unusual discharge between menstrual cycles can be quite complex, as it involves both gynecological and gastrointestinal considerations. Based on your description, it seems you are experiencing a combination of symptoms that could be related to various underlying conditions.

Firstly, the yellowish, stretchy discharge you mentioned could be a sign of ovulation, which typically occurs around the middle of your menstrual cycle. During ovulation, the cervical mucus becomes more elastic and clear, resembling raw egg whites. However, if the discharge has a strong odor or is accompanied by itching or irritation, it could indicate an infection, such as bacterial vaginosis or a sexually transmitted infection (STI).

The pelvic pain you experience, especially the feeling of heaviness or pressure in the lower abdomen, could be related to several factors. Conditions such as endometriosis, fibroids, or pelvic inflammatory disease (PID) can cause significant discomfort and may lead to symptoms like those you described. Endometriosis, in particular, is a condition where tissue similar to the lining of the uterus grows outside of it, often leading to painful periods and chronic pelvic pain.

Your mention of experiencing pain after masturbation could also be related to pelvic floor muscle tension or irritation of the pelvic organs. If the pain is persistent or severe, it is essential to discuss this with a healthcare provider, as it could indicate an underlying issue that needs to be addressed.

Regarding your concern about whether an internal examination (pelvic exam) will be performed at the clinic, it is common practice for healthcare providers to conduct a pelvic exam when evaluating symptoms related to the reproductive system. This examination allows the doctor to assess the health of your reproductive organs, check for any abnormalities, and determine the cause of your symptoms.

In addition to a pelvic exam, your healthcare provider may recommend further tests, such as a transvaginal ultrasound, to visualize the ovaries and uterus, or laboratory tests to check for infections. It is crucial to communicate all your symptoms clearly to your doctor, including the timing of your pain in relation to your menstrual cycle, the characteristics of your discharge, and any other relevant details.

In summary, while some of your symptoms may be related to normal physiological changes, others could indicate a more serious condition that requires medical attention. It is advisable to seek a thorough evaluation from a healthcare professional who can provide a comprehensive assessment and appropriate management based on your individual situation. Remember, early diagnosis and treatment can significantly improve outcomes and alleviate discomfort.

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