Is It Normal to Have Thick Vaginal Discharge and Pain? - Obstetrics and Gynecology

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Is this normal?


The vaginal discharge can vary in consistency and appearance due to several factors, including hormonal changes, infections, or other medical conditions.
A thick, sticky, semi-transparent white discharge can be normal, especially around ovulation or during certain phases of the menstrual cycle.
However, the presence of blood and changes in discharge, particularly when accompanied by discomfort or pain, may indicate an underlying issue that should be evaluated by a healthcare professional.
Regarding your menstrual cycle, experiencing periods that are irregular or close together can be a sign of hormonal imbalance or other gynecological issues.
The persistent pain in the lower back near the tailbone could also be related to menstrual issues, pelvic conditions, or musculoskeletal problems.
It is important to consult with a healthcare provider to discuss your symptoms in detail, as they can provide a proper diagnosis and treatment options.
Please seek medical attention as soon as possible for your concerns.

Wenwen, 20~29 year old female. Ask Date: 2007/01/18

Dr. Yan Mingxian reply Obstetrics and Gynecology


Based on the symptoms you described, pregnancy cannot be ruled out.
It is recommended that you take a pregnancy test.
If you are pregnant, this condition may be a sign of a threatened miscarriage.
It is advisable to seek medical attention promptly.
If there is no indication of pregnancy, it could be a vaginal infection.
Vaginal infections typically present with symptoms such as vulvar itching and abnormal discharge with an unpleasant odor.
If you experience these symptoms, it is recommended to see a doctor.

Reply Date: 2007/01/18

More Info


It’s understandable to feel concerned about changes in vaginal discharge and associated pain, especially when these symptoms are accompanied by other discomforts. Based on your description, it seems you are experiencing thick, sticky vaginal discharge that is semi-transparent and occasionally mixed with blood, as well as pain in the pelvic area.
Firstly, it’s important to recognize that vaginal discharge can vary significantly throughout the menstrual cycle due to hormonal changes. During ovulation, for instance, women often experience an increase in clear, stretchy discharge, while other times, especially before menstruation, the discharge may become thicker and more opaque. However, if the discharge is consistently thick, has an unusual color or odor, or is accompanied by pain, it could indicate an underlying issue that requires medical attention.

The presence of blood in the discharge, especially if it is not related to your menstrual cycle, can be concerning. It may suggest a number of conditions, including hormonal imbalances, infections (such as bacterial vaginosis or yeast infections), or even more serious issues like polyps or fibroids. Given that you mentioned experiencing pain in the lower back and tailbone area, this could also be related to pelvic issues, such as endometriosis or pelvic inflammatory disease (PID), which can cause both pain and abnormal discharge.

In your case, the timing of your symptoms is also noteworthy. You mentioned that your last menstrual period started on January 18, and you experienced pain in the lower back around January 16. If your menstrual cycle is irregular or if you are experiencing significant pain, it may be indicative of a hormonal imbalance or other gynecological issues.
It is crucial to consult a healthcare professional, preferably a gynecologist, to evaluate your symptoms thoroughly. They may perform a pelvic examination, take samples for laboratory testing, and possibly conduct imaging studies if necessary. Early diagnosis and treatment are essential, especially if there is an infection or other treatable condition.

In summary, while some variations in vaginal discharge can be normal, the combination of thick discharge, pain, and the presence of blood warrants a medical evaluation. It is always better to err on the side of caution when it comes to your health. Seeking medical advice will not only provide you with peace of mind but also ensure that any potential issues are addressed promptly.

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