Abnormal Menstrual Discharge and Related Concerns - Obstetrics and Gynecology

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Menstrual discharge


Hello, I got my period on the 8th of this month, and it usually lasts about 5 days.
During my period, I engaged in masturbation, and afterward, I experienced some lower abdominal pain, which worried me.
I decided to ignore it, but today is already the 17th, and I still have blood-tinged discharge.
I'm very concerned.
I also noticed a bump on my vulva that looks like a pimple.
Can pimples occur in the genital area? Please respond, doctor.
Thank you.

Lin, 10~19 year old female. Ask Date: 2004/11/17

Dr. Chen Changfu reply Obstetrics and Gynecology


Dear online friend: Hello! Abnormal vaginal bleeding (commonly referred to as menstrual irregularities) should be evaluated in a gynecology outpatient clinic.
It is advisable to consult a specialist who can provide a proper diagnosis and treatment through a detailed medical history and professional examination.
Additionally, if you have developed a bump on the vulva that resembles a pimple, it may be a case of folliculitis, which also requires a physician's evaluation for confirmation.
Therefore, please seek care at a nearby gynecology outpatient clinic!

Reply Date: 2004/11/17

More Info


Understanding abnormal menstrual discharge and related concerns is crucial for maintaining reproductive health. Based on your description, it seems you are experiencing some unusual symptoms following your menstrual period, including prolonged discharge with blood and the appearance of a bump in the genital area. Let’s break down these concerns and provide some insights.

Firstly, it’s important to note that menstrual cycles can vary significantly from person to person and even from month to month. A typical menstrual period lasts between 3 to 7 days, and it’s not uncommon for some women to experience spotting or light bleeding after their period has officially ended. This can be due to several reasons, including hormonal fluctuations, ovulation, or even the onset of a new cycle. However, if the bleeding persists beyond a week or is accompanied by pain, it warrants further evaluation.

The abdominal pain you mentioned could be related to several factors. It might be a normal cramping associated with your menstrual cycle, but if it is severe or persistent, it could indicate other issues such as ovarian cysts, pelvic inflammatory disease (PID), or even endometriosis. These conditions can cause discomfort and abnormal bleeding, and they often require medical attention.

Regarding the discharge with blood, it’s essential to consider the color and consistency of the discharge. If it is bright red, it may indicate fresh bleeding, while brown discharge typically suggests older blood. If the discharge has a foul odor or is accompanied by itching or irritation, it could suggest an infection, such as bacterial vaginosis or a sexually transmitted infection (STI), which would require prompt treatment.

Now, concerning the bump you described as resembling a pimple in the genital area, it’s not uncommon for individuals to develop small cysts or folliculitis (inflammation of hair follicles) in that region. These can appear as small, raised bumps and are usually benign. However, if the bump is painful, growing, or accompanied by other symptoms such as fever or significant discomfort, it’s important to have it evaluated by a healthcare professional. In some cases, bumps in the genital area can be caused by conditions such as genital warts or herpes, which are sexually transmitted infections.

In summary, while some of the symptoms you are experiencing may be benign, the combination of prolonged bleeding, abdominal pain, and the appearance of a new bump warrants a visit to a healthcare provider. They can perform a thorough examination, possibly including a pelvic exam, and may recommend tests such as a Pap smear or ultrasound to rule out any serious conditions.
It’s always better to err on the side of caution when it comes to reproductive health. Early diagnosis and treatment can prevent potential complications and provide peace of mind. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare professional for personalized advice and care.

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