Abnormal Menstrual Flow: Causes and Concerns - Obstetrics and Gynecology

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Menstrual issues


Hello, doctor.
I would like to ask about my menstrual issues.
I have had sexual intercourse, but I have always used protection.
For the past few months, my menstrual flow has been watery and dark red in color.
I visited a gynecologist in mid-December, and after my period ended, the doctor said there were no significant issues with my uterus.
The doctor prescribed a small pink pill for me to take at fixed times, morning and evening, for a duration of seven days.
After finishing the medication, I did not notice any abnormalities.
However, on December 25, I suddenly experienced brown discharge, and by December 27, there was a slight blood color, but it still had a brownish tint and was watery.
I asked the doctor why my flow has been consistently watery, and several times it has been like this.
The doctor mentioned that the volume is too low, but the color of the menstrual blood seems strange, and it is still watery.
I am unsure if this is a side effect of the medication or if there is an inflammation in my body.
Thank you, doctor.

Karen, 20~29 year old female. Ask Date: 2015/12/27

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the causes of abnormal menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and others.
However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions.
If symptoms persist, it is advisable to consult a physician for further evaluation and clarification.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2015/12/27

More Info


Abnormal menstrual flow can be a source of concern for many women, especially when accompanied by unusual characteristics such as color, consistency, and volume. Based on your description, it appears that you have been experiencing changes in your menstrual cycle, including a watery consistency and a deep red color, along with some brown discharge. These symptoms can be attributed to various factors, and understanding them is crucial for your health.

Firstly, it is important to note that menstrual blood can vary in consistency and color throughout the cycle. The presence of watery blood is not uncommon, especially at the beginning or end of a menstrual period. This can be due to hormonal fluctuations, which can affect the thickness of the endometrial lining and the blood flow. When the lining sheds, it may result in a lighter, more watery discharge, particularly if the flow is not heavy.

The brown discharge you mentioned is often old blood that has taken longer to exit the body, which can also be a normal occurrence. However, if this brown discharge is persistent and accompanied by other symptoms such as pain or an unusual odor, it may indicate an underlying issue that requires further investigation.

You mentioned that you had a gynecological examination in December, and your doctor prescribed medication. The pink pill you received could be a hormonal treatment, which is often used to regulate menstrual cycles or address issues such as irregular bleeding. Hormonal medications can sometimes lead to changes in menstrual flow, including lighter or more watery periods, especially during the initial phase of treatment as your body adjusts to the hormones.

In terms of inflammation, it is possible that an underlying infection or inflammation could contribute to abnormal discharge. Conditions such as pelvic inflammatory disease (PID), endometriosis, or even sexually transmitted infections (STIs) can lead to changes in menstrual flow and discharge. If you have concerns about inflammation or infection, it would be prudent to discuss these with your healthcare provider, who may recommend further testing or evaluation.

It is also essential to consider the impact of stress, lifestyle changes, and diet on your menstrual cycle. Stress can significantly affect hormonal balance, leading to irregularities in menstrual flow. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can help support menstrual health.

If your symptoms persist or worsen, or if you experience additional symptoms such as severe pain, fever, or unusual odors, it is crucial to seek further medical evaluation. Your healthcare provider may recommend additional tests, such as blood tests or imaging studies, to rule out any serious conditions.

In summary, while changes in menstrual flow can be concerning, they are often influenced by hormonal fluctuations, medication effects, and lifestyle factors. It is essential to maintain open communication with your healthcare provider and to seek further evaluation if your symptoms do not improve or if you have additional concerns. Your health and well-being are paramount, and addressing any abnormalities promptly can help ensure that you receive the appropriate care and support.

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