Abnormal Discharge and Ovulation Pain: When to Seek Help

Abnormal secretion?

Hello Doctor, due to the current pandemic, it's inconvenient for me to return to Taiwan, and it's also difficult to see a doctor abroad.
I have some concerns I would like to ask about.
Recently, I've been experiencing pain in the lower left abdomen (occasionally on the right side) that lasts only for a brief moment.
My last menstrual period was from September 7 to September 14, and according to my calendar, my ovulation period should be around the 23rd of this month.
Could this be ovulation pain? I also feel a bloated sensation in my lower abdomen before my period or during ovulation; is this normal? Previously, I noticed that close to ovulation, I would have clear, sticky discharge or my underwear would feel damp (but this hasn't happened many times).
I read online that some people say this could be a symptom of cervical cancer, which includes watery discharge...
but others say it's normal ovulation discharge.
I would like to ask the doctor under what circumstances I should go to the hospital for an examination.
Last year, when I returned to Taiwan, I had a gynecological check-up with an ultrasound, and they said there were no abnormalities.
However, being abroad makes it difficult to seek medical care, and I am still quite worried.
I hope you can help me with these questions.
Thank you.

Xiao Xin, 20~29 year old female. Ask Date: 2021/09/27

Dr. Wu Xianghui reply Obstetrics and Gynecology

"Vaginal infections" can cause abnormal discharge, perineal itching, unusual odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
"Treatment methods" vary depending on the symptoms and require proper health education.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

Reply Date: 2021/09/27

More Info

It sounds like you are experiencing a combination of symptoms that can be quite concerning, especially when it comes to reproductive health. Based on your description, it seems you are experiencing left-sided abdominal pain, which could be related to ovulation, as well as changes in vaginal discharge. Let’s break down your concerns and provide some guidance on when to seek medical help.

Understanding Ovulation Pain and Discharge:
Ovulation pain, also known as mittelschmerz, is a common occurrence for many women. It typically happens around the midpoint of your menstrual cycle, which aligns with your estimated ovulation date around September 23rd. This pain can manifest as a sharp or cramp-like sensation on one side of the lower abdomen, depending on which ovary is releasing an egg. It is usually brief, lasting from a few minutes to a few hours, and is often accompanied by other symptoms such as increased vaginal discharge.

The clear, stretchy, and sometimes sticky discharge you mentioned is also normal during ovulation. This type of discharge is caused by hormonal changes that occur in your body as it prepares for a potential pregnancy. It helps facilitate sperm movement through the cervix.

When to Seek Medical Attention:
While ovulation pain and changes in discharge can be normal, there are certain situations where you should consider seeking medical attention:
1. Severe Pain: If the pain becomes severe or is accompanied by other symptoms such as fever, nausea, vomiting, or if it persists for an extended period, it may indicate a more serious condition, such as an ovarian cyst or ectopic pregnancy.

2. Abnormal Discharge: If you notice a significant change in the color, consistency, or odor of your discharge, especially if it becomes foul-smelling or is accompanied by itching, burning, or irritation, it could be a sign of an infection, such as bacterial vaginosis or a sexually transmitted infection (STI).

3. Persistent Symptoms: If the pain or abnormal discharge continues beyond your expected ovulation period or if you experience additional symptoms like heavy bleeding, it would be wise to consult a healthcare provider.

4. History of Conditions: Given your previous history of ovarian cysts, it is important to monitor any new symptoms closely. If you have concerns about your reproductive health, especially in the context of previous conditions, seeking medical advice is prudent.

Recommendations:
- Self-Monitoring: Keep track of your symptoms, including the timing, intensity of pain, and characteristics of your discharge. This information can be helpful for any healthcare provider you may consult in the future.

- Telehealth Options: Since you mentioned difficulties accessing healthcare due to the pandemic, consider utilizing telehealth services. Many providers offer virtual consultations, which can be a convenient way to discuss your symptoms and receive guidance without needing to visit a clinic in person.

- Emergency Care: If you experience sudden, severe abdominal pain or any other alarming symptoms, do not hesitate to seek emergency care.

In summary, while your symptoms may be related to normal ovulation processes, it is essential to remain vigilant and seek medical advice if anything feels off or if your symptoms worsen. Your health and peace of mind are important, and there are resources available to help you navigate these concerns even while abroad.

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