Abnormal Uterine Discharge: Causes and Concerns - Obstetrics and Gynecology

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There is a point in the left lower abdomen that is pulsating, and a watery fluid is continuously draining from it?


In recent days, my girlfriend has been reporting that her uterus feels strange.
She feels something moving at a specific point in her lower left abdomen, and there has been a frequent discharge of a watery fluid from her uterus.
A few days ago, the discharge was a color similar to mucus, and today when she checked her underwear after using the restroom, it appeared slightly brown.
There is no foul odor.
Doctor, could this be a case of vaginitis, or could it indicate some other specific condition? Thank you for your hard work, doctor.

Xiao Liu, 20~29 year old female. Ask Date: 2015/07/25

Dr. Lin Manying reply Obstetrics and Gynecology


You need to visit the outpatient clinic for an examination; it cannot be answered online.

Reply Date: 2015/07/25

More Info


Abnormal uterine discharge can be a source of concern for many women, and it is essential to understand the potential causes and implications of such symptoms. Based on your description of your girlfriend's symptoms—specifically the sensation of something moving in the left lower abdomen, the watery discharge that has changed in color and consistency, and the presence of brownish discharge—there are several possibilities to consider.

Firstly, the sensation of movement in the abdomen could be attributed to various factors, including gastrointestinal issues, ovarian activity, or even uterine contractions. It is not uncommon for women to experience sensations related to their menstrual cycle, ovulation, or even conditions such as ovarian cysts. If the sensation is persistent or accompanied by pain, it may warrant further investigation.

The discharge itself, particularly the change from a clear, mucus-like consistency to a brownish color, can indicate several things. Brown discharge often occurs at the beginning or end of a menstrual period, as it is typically older blood that takes longer to exit the body. However, if this discharge occurs outside of the expected menstrual cycle, it could be a sign of other underlying issues.

One potential cause of abnormal discharge is vaginitis, which can be due to infections (such as bacterial vaginosis or yeast infections) or irritations. These conditions can lead to changes in the discharge's color, consistency, and odor. In your girlfriend's case, since the discharge does not have a foul smell, it may be less likely to be a bacterial infection, but it is still a possibility that should be ruled out.

Another consideration is the possibility of hormonal imbalances, which can lead to irregular bleeding or discharge. Conditions such as polycystic ovary syndrome (PCOS) or issues related to the thyroid can affect menstrual cycles and lead to abnormal discharge.

In some cases, abnormal discharge can be associated with more serious conditions, such as endometriosis or uterine fibroids. Endometriosis, for instance, can cause abnormal bleeding and pain, particularly during menstruation or ovulation, and may lead to the sensation of movement in the abdomen due to the presence of endometrial tissue outside the uterus.

Given the variety of potential causes, it is crucial for your girlfriend to consult with a healthcare provider for a thorough evaluation. A gynecological examination, along with appropriate tests such as a pelvic ultrasound or laboratory tests, can help determine the underlying cause of her symptoms. The healthcare provider may also inquire about her menstrual history, any associated symptoms (such as pain or fever), and any recent changes in her health or lifestyle.

In conclusion, while the symptoms your girlfriend is experiencing could be related to a benign condition, it is essential to seek medical advice to rule out any serious issues. Early diagnosis and treatment can help manage symptoms effectively and ensure overall reproductive health. Encourage her to make an appointment with her gynecologist to discuss her symptoms in detail, as this is the best way to address her concerns and receive appropriate care.

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