Menstrual delay
Hello, doctor.
My period is 8 days late this month, but I have noticed a small amount of brown discharge in the last two days.
(I had intercourse on April 18-19 with protection, and I took a pregnancy test on May 4 which showed only one line.) I would like to ask if the brown discharge indicates that my period is coming soon? Additionally, I would like to know if a pregnancy test must be taken with the first morning urine.
Xiang Ting, 20~29 year old female. Ask Date: 2020/05/06
Dr. Wu Xianghui reply Obstetrics and Gynecology
1.
For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse.
2.
Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to see a gynecologist for assessment.
3.
There is no specific time required; a clean urine sample will suffice.
Reply Date: 2020/05/06
More Info
When it comes to understanding delayed periods and brown discharge, there are several factors to consider. First, let's address your concern about the delayed period. A delay of 8 days can be attributed to various reasons, including stress, hormonal imbalances, changes in weight, or even lifestyle factors. It’s important to note that menstrual cycles can vary from month to month, and a delay does not always indicate a serious issue.
The presence of brown discharge, especially if it occurs before your expected period, can often be a sign that your menstrual flow is about to begin. Brown discharge typically indicates older blood that has taken longer to exit the uterus, which can happen at the beginning or end of a menstrual period. In your case, since you mentioned having a slight amount of brown discharge, it could indeed suggest that your period is approaching. However, it’s also possible that this discharge could be related to other factors, such as ovulation or hormonal fluctuations, especially if you have recently experienced any stress or changes in your routine.
Regarding your question about pregnancy testing, it is generally recommended to use the first morning urine for pregnancy tests. This is because the first urine of the day is usually more concentrated, which can increase the accuracy of the test. However, many modern pregnancy tests are sensitive enough to provide accurate results at any time of the day, as long as you have not consumed a large amount of fluids beforehand. If you tested on May 4th and only saw one line, it suggests that you are likely not pregnant, especially if you took precautions during intercourse.
If your period does not arrive soon and you continue to experience unusual symptoms, it may be wise to consult a healthcare provider. They can perform a more thorough evaluation, including blood tests or ultrasounds if necessary, to rule out any underlying conditions such as polycystic ovary syndrome (PCOS), thyroid issues, or other hormonal imbalances.
In summary, while an 8-day delay and brown discharge can be concerning, they are not uncommon and can often be explained by normal physiological changes. If you continue to have concerns or if your symptoms change, seeking medical advice is always a prudent step. Remember to keep track of your menstrual cycle and any other symptoms you may experience, as this information can be helpful for your healthcare provider in determining the best course of action.
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