Changes in Menstrual Flow: What You Need to Know

Menstrual issues

Hello Doctor: This time my menstruation came a few days earlier than last time, and the amount of bleeding has noticeably decreased for two consecutive cycles.
What’s strange this time is that I find myself changing sanitary pads approximately every three hours, and most of the blood has turned brown, with the red portion being less.
After using the restroom and wiping with toilet paper, I noticed that aside from bright red blood, there were also many small specks that I couldn't tell if they were brown blood or discharge.
During my first menstruation, I noticed some impurities and I'm worried if there might be an underlying condition.
I have been taking medication continuously for the past two months, starting after the New Year, first for a cold and then for inflammation of the ligaments in my knee, which has affected my mood a bit.
Last month, the menstrual blood decreased and appeared pinkish when wiped, which I attributed to emotional factors.
This month, there is no obvious pink color, but there are some brown specks.
I hope you can clarify for me whether my menstruation over the past two months is normal.

Xiao Mei, 20~29 year old female. Ask Date: 2021/03/25

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it should be considered relatively normal for now; just monitor the situation.
If your next few menstrual cycles are still different from before, it is advisable to consult a gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/03/25

More Info

Understanding changes in menstrual flow can be quite concerning, especially when you notice significant alterations in the volume, color, and consistency of your menstrual blood. Based on your description, it seems you are experiencing a few notable changes: your menstrual cycle has become irregular, the flow has decreased, and the color of the blood has shifted to a darker hue, which can be alarming.

Firstly, it’s important to recognize that menstrual cycles can be influenced by a variety of factors, including stress, hormonal changes, medications, and underlying health conditions. Given that you have been taking medication for a cold and knee ligament inflammation, it’s possible that these factors could be affecting your menstrual cycle. Certain medications, particularly non-steroidal anti-inflammatory drugs (NSAIDs) or hormonal treatments, can impact menstrual flow and cause changes in the color and consistency of menstrual blood.

The presence of brown blood is typically associated with older blood that has taken longer to exit the uterus. This can happen at the beginning or end of a menstrual period, and it is often considered normal. However, if you are experiencing this consistently throughout your cycle, it may warrant further investigation. The mixture of colors you described—bright red and brown—could indicate that your body is shedding the uterine lining at a different rate than usual, which can occur due to hormonal fluctuations.

Additionally, emotional stress can also play a significant role in menstrual irregularities. Stress can lead to changes in hormone levels, which may result in lighter periods or changes in the timing of your cycle. It’s not uncommon for women to experience variations in their menstrual flow during stressful times, and this could explain the changes you’ve observed over the past couple of months.

Given your concerns about the presence of "impurities" in your menstrual blood, it’s essential to consider what these might be. Small clots or tissue can sometimes be present in menstrual blood, especially if the flow is lighter than usual. However, if you notice large clots, an unusual odor, or if the changes in your menstrual cycle are accompanied by other symptoms such as severe pain, fever, or significant emotional distress, it would be prudent to consult with a healthcare provider.

In summary, while some changes in menstrual flow can be normal, especially in response to stress or medication, it is always best to err on the side of caution. If your menstrual irregularities persist or worsen, or if you have any additional concerns, I recommend scheduling an appointment with your healthcare provider. They can perform a thorough evaluation, which may include a physical examination, blood tests to check hormone levels, and possibly imaging studies if necessary. This will help ensure that any underlying issues are addressed and that you receive appropriate care. Remember, your health and well-being are paramount, and seeking professional advice is always a wise choice when it comes to changes in your menstrual cycle.

Similar Q&A

Understanding Irregular Menstrual Cycles and Heavy Flow Issues

Doctor, I'm sorry to bother you. I previously mentioned that my menstrual cycle used to be 28 to 29 days, but recently it has changed to 37 to 39 days. Additionally, the menstrual flow has increased significantly; it comes out like water when I go to the bathroom. Is there a...

Dr. Lin Wenbin reply Obstetrics and Gynecology
You will only know after the outpatient examination. Excessive bleeding requires great caution, especially regarding symptoms such as dizziness and palpitations caused by anemia. It is essential to treat these conditions; otherwise, they can easily lead to other complications.

Heavy Menstrual Flow: Causes, Symptoms, and When to See a Doctor

Hello doctor, I would like to ask about my menstrual changes this year. My menstrual flow has increased significantly compared to two years ago. Previously, my periods were regular, lasting 4 to 5 days with a need to change pads 4 to 5 times a day. However, this year, my periods ...

Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: Based on the statement, there are indeed abnormalities. Your concerns can be confirmed through a physician's consultation and examination. A pelvic examination may be necessary; if refused, a rectal examination can be considered. If both the pelvic and rectal examinat...

Understanding Menstrual Changes: Impact of High Platelet Count

Since March of this year, my menstrual flow has been decreasing each month (with a cycle of about 28-29 days), almost more than half of what it used to be, accompanied by blood clots and abdominal pain. In March, a health check revealed an abnormally high platelet count of 1008, ...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello, Miss: It is recommended that you visit the obstetrics and gynecology department at the hospital. The amount of menstrual flow and dysmenorrhea require ultrasound examination, pelvic examination, hormone tests, and blood tests, among others, to assist in diagnosing your con...

Understanding Changes in Menstrual Flow: When to Seek Medical Advice

Hello, my menstrual cycle has always been regular, and this month is no exception. However, the flow suddenly decreased. Previously, I would have at least three days of flow; the first two days were normal, but on the third day, it suddenly seemed to stop (last month, the flow la...

Dr. Wu Xianghui reply Obstetrics and Gynecology
Abnormal bleeding and irregular menstrual cycles can have various underlying causes. It is recommended to consult a gynecologist for evaluation in an outpatient setting.