Ovulation, PMS Symptoms, and Normal Discharge Patterns

I am 145257?

Hello Doctor: I am #145257.

1.
During the ovulation period (approximately estimated), I experienced two days of abundant clear discharge, which then turned white.
After that, there has been no discharge for three days, and if there is any, it is very minimal clear discharge.
Is this normal?
2.
I have breast tenderness before my period, and at its worst, even walking causes pain.
This lasted for two days, and today it is not as painful.
Is this normal?
3.
Previously, I would experience a feeling of heaviness in my lower abdomen before my period (which becomes more pronounced when I exhale and apply pressure to my abdomen), along with breast tenderness and severe lower back pain.
Currently, this morning I felt some heaviness in my lower abdomen, but it was not as uncomfortable in the afternoon.
I still have breast tenderness and mild lower back pain, and I have developed one or two pimples, with my skin feeling slightly oilier than usual.
Could this be premenstrual syndrome (PMS)? If so, how can I improve it?
4.
Can all of the above be ruled out as being caused by pregnancy? Thank you, Doctor, for your patience in answering! I appreciate it!

Niming, 10~19 year old female. Ask Date: 2019/04/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
During the ovulation period (approximately estimated), there are two days of abundant clear discharge, which then turns white, and there is no discharge for the next three days; if there is any, it is very minimal clear discharge.
Is this normal? Ans: Normal.

2.
Breast tenderness before menstruation, which is so severe that even walking causes pain, lasts for two days, and today it is not as painful.
Is this normal? Ans: Normal.

3.
"Previously," before menstruation, there was a feeling of heaviness in the lower abdomen (more pronounced when exhaling and applying pressure to the abdomen), breast tenderness, and severe lower back pain.
"Currently," this morning there is a feeling of heaviness in the lower abdomen, but in the afternoon, the discomfort is less pronounced, with breast tenderness, mild lower back pain, a couple of pimples appearing, and the skin feeling slightly oilier than usual.
Is this premenstrual syndrome (PMS)? Ans: Yes, it is premenstrual syndrome.

4.
If so, how can I improve this condition? Ans: Moderate exercise, Vitamin B6, and calcium intake.

5.
Can all of the above be ruled out as being caused by pregnancy? Ans: Yes.

Reply Date: 2019/04/10

More Info

Understanding ovulation, PMS symptoms, and normal discharge patterns is crucial for women to manage their reproductive health effectively. Let's break down your questions and concerns regarding these topics.

1. Ovulation and Discharge Patterns: It is entirely normal to experience a significant increase in clear, stretchy discharge around the time of ovulation. This type of discharge, often referred to as "egg white cervical mucus," is produced by the body to facilitate sperm movement through the cervix, enhancing the chances of conception. After ovulation, it is common for the discharge to decrease in quantity and change in consistency, becoming thicker and more opaque. The absence of discharge for a few days following this peak is also typical, as the hormonal changes in your body shift from the estrogen-dominant phase to the progesterone-dominant phase of the menstrual cycle.

2. Breast Tenderness: Breast tenderness, or mastalgia, is a common symptom experienced in the luteal phase of the menstrual cycle, which occurs after ovulation and before menstruation. The fluctuation of hormones, particularly estrogen and progesterone, can lead to swelling and tenderness in breast tissue. It is normal for this discomfort to vary in intensity; some women may experience severe pain, while others may have mild discomfort. The fact that your breast pain has subsided somewhat today is also typical, as these symptoms can fluctuate throughout the luteal phase.

3. PMS Symptoms: The symptoms you describe, including lower abdominal heaviness, breast tenderness, lower back pain, and skin changes (like increased oiliness and acne), are indeed indicative of premenstrual syndrome (PMS). PMS can manifest in various ways, and the severity of symptoms can change from cycle to cycle. The presence of these symptoms, especially if they occur consistently in the luteal phase, suggests that you may be experiencing PMS. To manage these symptoms, consider lifestyle modifications such as regular exercise, a balanced diet, adequate hydration, and stress management techniques. Some women find relief through dietary supplements like calcium, magnesium, or vitamin B6, but it's essential to consult with a healthcare provider before starting any new supplements.

4. Excluding Pregnancy: The symptoms you describe can overlap with early pregnancy signs, such as breast tenderness and abdominal discomfort. However, if you have had a negative pregnancy test and your menstrual cycle is regular, it is likely that these symptoms are related to PMS rather than pregnancy. If you suspect pregnancy, especially if your period is late, it is advisable to take a home pregnancy test or consult with a healthcare provider for further evaluation.

In summary, your experiences with discharge patterns, breast tenderness, and PMS symptoms are generally normal and can vary from cycle to cycle. If you find that your symptoms are significantly impacting your quality of life, it may be beneficial to discuss this with a healthcare provider who can offer tailored advice and potential treatment options. Regular monitoring of your cycle and symptoms can also help you identify patterns and manage your reproductive health more effectively.

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