Vaginal Discharge Issues: Symptoms and Solutions

Vaginal discharge issues?

Hello Dr.
Huang,
I have been experiencing some troubling symptoms recently as follows:
1.
The vaginal discharge (a clear, thick substance, right?) does not stick to my underwear, but I notice a significant amount being expelled during bowel movements (especially when constipated).

2.
I often feel a dull pain from the pelvic area to the pubic bone, more on the right side.

3.
My menstrual flow is very light (so light that I only need to use panty liners during my period), but my cycle is regular.
I have previously consulted a gynecologist who performed an internal examination and said everything was normal.

In response, the doctor noted:
1.
There is pain in the lower abdomen and pelvis, but I see that your ovaries are not inflamed.

2.
There is some vaginal discharge.

3.
The menstrual flow is light, which can sometimes be due to lower hormone secretion or stress.
As long as your cycle is regular, it is usually considered normal unless you are planning to conceive, in which case we can make adjustments.
I was prescribed a suppository (Clomazole 500 mg vaginal tablets) for a week, but it doesn't seem to have improved my condition.
Therefore, I would like to inquire if there could be other underlying causes.
Additionally, I would like to ask about the necessity of removing fibroid cysts.
I had an examination at the end of last year and found one on each side (0.2 cm or mm, I forgot).
The doctor said regular monitoring is sufficient, but some of my married colleagues have suggested that removal is safer (especially since my new insurance policy has a clause excluding this condition).
So, I would like to know if removal is truly necessary.
I apologize for the lengthy message, and I appreciate your time in responding.
Thank you, and God bless you!

Amanda, 30~39 year old female. Ask Date: 2009/03/23

Dr. Huang Jianxun reply Obstetrics and Gynecology

Dear Amanda,
Hello.
According to the response from your attending physician, it seems that you do not have any major issues.
However, if you still feel discomfort, it may be advisable to consult a specialist regarding the fibrocystic changes, which I assume refers to the breast.
Whether or not it needs to be removed should be determined by a breast specialist through regular follow-ups.

Wishing you peace and health,
Dr.
Huang Chien-Hsun
Director, Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2009/03/23

More Info

When it comes to understanding vaginal discharge issues, it's essential to consider various factors, including the characteristics of the discharge, associated symptoms, and any underlying conditions that may be present. Based on your description, you are experiencing several symptoms, including changes in vaginal discharge, pelvic pain, and alterations in menstrual flow. Let's break down these issues and explore potential solutions.

1. Vaginal Discharge: You mentioned that your discharge is a transparent, white, thick substance that does not adhere to your underwear but is expelled during bowel movements, especially when constipated. This could indicate a normal physiological discharge, which can vary in consistency and volume throughout the menstrual cycle. However, if there are changes in color, odor, or consistency, it may suggest an infection or other condition. Since you have been prescribed Clotrimazole (a common antifungal medication) without improvement, it may be worth considering other causes, such as bacterial vaginosis or a sexually transmitted infection (STI). A follow-up with your healthcare provider for further testing may be warranted.

2. Pelvic Pain: The dull pain you are experiencing in the pelvic area, particularly on the right side, could be related to several factors. Conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease (PID) could cause such discomfort. Since your doctor has indicated that your ovaries are not inflamed, it may be beneficial to monitor the pain and discuss it further with your healthcare provider, especially if it persists or worsens.

3. Menstrual Flow: You noted that your menstrual flow is quite light, requiring only panty liners during your period. Light menstrual flow can be influenced by hormonal changes, stress, or even weight fluctuations. If your periods are regular and you are not experiencing any other concerning symptoms, this may be considered normal for you. However, if you are planning to conceive or if you have other reproductive health concerns, discussing potential hormonal evaluations or treatments with your doctor could be beneficial.

Regarding the fibroid cysts you mentioned, it is common for small fibroids or cysts to be monitored rather than removed, especially if they are asymptomatic and small in size (like the 0.2 cm or mm you described). Regular monitoring through ultrasound can help track any changes in size or symptoms. If they begin to cause discomfort or other issues, surgical removal may be considered. The advice from your colleagues about removal for safety reasons is understandable, but it is essential to weigh the risks and benefits with your healthcare provider. They can provide personalized recommendations based on your medical history and current health status.

In conclusion, while some of your symptoms may be within the range of normal physiological changes, persistent or concerning symptoms warrant further investigation. It is crucial to maintain open communication with your healthcare provider, who can guide you through appropriate testing and treatment options. Additionally, if you have any new symptoms or if your current symptoms worsen, do not hesitate to seek medical attention. Your health and comfort are paramount, and addressing these issues proactively can lead to better outcomes.

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