Common Concerns for Expecting Mothers: Skin Changes and Discharge Issues

Filled with questions and unease?

Hello Doctor:
1.
I am currently a mother who is over 39 weeks pregnant.
In the past 2 to 3 weeks, I have noticed a small brownish spot on the inner side of my armpits (approximately located near the shoulder straps close to the cup area).
It is not very large and feels slightly raised (similar to a mosquito bite), and I have noticed it on both sides.
What could this spot be?
2.
During my pregnancy, I have noticed that sometimes when I wipe after using the restroom, there is a discharge on the toilet paper that resembles a light green mucus, and it has a somewhat strong odor.
Could this indicate an infection? Will the discharge return to normal after delivery?
3.
On one or two occasions, I have noticed a sticky substance that looks like beige-colored clumps in my private area.
What could that be?

Xiao Zhu Zhu, 20~29 year old female. Ask Date: 2005/05/09

Dr. Lü Lizheng reply Obstetrics and Gynecology

There is a small brown raised spot under my armpit (approximately located near the upper edge of the bra strap on both sides) that looks like a mosquito bite.
It is not itchy or painful.
It could possibly be a remnant of congenital accessory breast tissue, which has become more noticeable due to pregnancy.
If it enlarges, I should see a doctor.
During my pregnancy, I have noticed that my discharge sometimes has a light greenish tint.
Could this indicate an infection? It may be vaginitis, but generally, it does not affect the fetus.
The yellowish, thick discharge is likely a product of inflammation.
Occasionally, I experience a sharp pain in the lower right side of my back when turning over, and recently, my right leg sometimes feels weak.
This is likely a result of nerve compression.
Sincerely, Lu Lizheng.

Reply Date: 2005/05/09

More Info

As an expecting mother in your 39th week of pregnancy, it's completely normal to have concerns about skin changes and discharge issues. Let's address your questions one by one.

1. The Brown Spot Under Your Armpit: The small brown spots you are noticing in the area near your armpits could be a variety of things. During pregnancy, hormonal changes can lead to skin pigmentation changes, often referred to as melasma or the "mask of pregnancy." These spots can appear on various parts of the body, including the underarms. The fact that they feel slightly raised, similar to a mosquito bite, could suggest a benign skin condition such as a dermatofibroma or a simple skin tag, which are common during pregnancy due to hormonal fluctuations. However, it is always best to consult with a dermatologist or your healthcare provider to get a proper diagnosis and ensure that it is nothing serious.

2. Discharge with a Greenish Color: The greenish discharge you are experiencing, especially if it has a strong odor, could indicate an infection. During pregnancy, changes in vaginal discharge are common, but a significant change in color, consistency, or odor can be a sign of a bacterial infection or other conditions such as a yeast infection or sexually transmitted infections. It is crucial to discuss this with your healthcare provider, as they can perform the necessary tests to determine the cause and provide appropriate treatment. After childbirth, many women find that their discharge returns to pre-pregnancy levels, but this can vary from person to person.

3. Yellowish Mucous Discharge: The yellowish, thick discharge you mentioned could also be related to a variety of factors. It might be normal cervical mucus, which can change in consistency and color during pregnancy due to hormonal influences. However, if this discharge is accompanied by itching, burning, or an unpleasant odor, it could indicate an infection, such as a yeast infection or bacterial vaginosis. Again, it is essential to consult your healthcare provider for an accurate diagnosis and treatment if necessary.

In summary, while many skin changes and discharge variations are normal during pregnancy due to hormonal shifts, it is essential to monitor these changes closely. If you notice any significant changes, especially those accompanied by discomfort, odor, or other concerning symptoms, do not hesitate to reach out to your healthcare provider. They can provide reassurance, conduct necessary examinations, and ensure both you and your baby remain healthy during this critical time.
Additionally, maintaining good hygiene, wearing breathable fabrics, and staying hydrated can help manage some of these skin and discharge issues. Always prioritize your health and well-being, and remember that seeking professional advice is the best course of action when it comes to any concerns during pregnancy.

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