Dark Blood Discharge and Its Implications in Women's Health - Obstetrics and Gynecology

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Turbid blood streaks


Hello doctor, my menstrual period started on May 29, and now I have been experiencing cloudy discharge with dark blood streaks that can stretch.
Additionally, I have been feeling itchy in the genital area.
This afternoon, during a bowel movement, I passed a black blood clot, but since then, there has been no further bleeding.
However, the doctor is unavailable for a few days.
What could be the cause of this? Thank you.

huanzhe, 40~49 year old female. Ask Date: 2015/06/09

Dr. Lin Wenbin reply Obstetrics and Gynecology


Abnormal uterine bleeding indicates that a visit to the outpatient clinic is necessary to determine the exact condition.
The cervix also needs to be examined.

Reply Date: 2015/06/09

More Info


Understanding dark blood discharge and its implications in women's health is crucial, especially when experiencing symptoms like those you described. The presence of dark blood or blood clots in vaginal discharge can be concerning, and it's essential to consider various factors that may contribute to these symptoms.

Firstly, the dark color of menstrual blood is often due to the blood being older. When blood takes longer to exit the body, it can oxidize, leading to a darker appearance, such as dark brown or even black. This is typically not a cause for alarm if it occurs during menstruation. However, if you notice this color outside of your regular menstrual cycle, it could indicate other underlying issues.

The presence of black blood clots, especially if they are accompanied by other symptoms like itching or unusual discharge, may warrant further investigation. Itching in the vaginal area can be a sign of several conditions, including infections (like yeast infections or bacterial vaginosis), sexually transmitted infections (STIs), or even irritations from hygiene products. The combination of dark discharge and itching suggests that there may be an infection or another issue that needs to be addressed.

In your case, the fact that you experienced a black blood clot during bowel movements is particularly noteworthy. While it could be related to menstrual blood, it is essential to differentiate whether this is menstrual in nature or if it could be related to other conditions, such as endometriosis or fibroids, which can cause abnormal bleeding and pain.

Endometriosis, for instance, is a condition where tissue similar to the lining inside the uterus grows outside of it, leading to painful periods, irregular bleeding, and sometimes dark discharge. Fibroids, which are non-cancerous growths in the uterus, can also lead to heavy bleeding and the passage of clots.

Given that your symptoms have persisted and you are experiencing discomfort, it is advisable to seek medical attention as soon as possible. While you mentioned that your doctor is currently unavailable, consider visiting another healthcare provider or an urgent care facility if your symptoms worsen or if you experience severe pain, fever, or any other alarming symptoms.

In summary, while dark blood discharge can sometimes be a normal variation, the presence of clots, especially when accompanied by itching and other symptoms, should not be ignored. It is essential to have a thorough evaluation by a healthcare professional to rule out any serious conditions and to receive appropriate treatment. Your health is paramount, and timely medical intervention can help prevent complications and ensure your well-being.

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