Unexplained Gynecological Symptoms: What Could It Be?

The cause of the disease is unknown?

This month, I have already had my period, but it seems to have returned a second time, although it is brown in color.
My mother said that it might be due to poor contractions.
This started around January 29, and it has been brown since then, without the typical menstrual odor, itching, or pain.
Currently, there is a small amount of brown discharge along with normal white discharge (the brown discharge is thick).
At first, I thought it wasn't my period, so I didn't use a pad.
It wasn't until I rode my bike (about the second day) that I felt I should use one.
After putting on a pad, I went out to ride my bike.
The bike seat was a bit high, and when I stopped at a traffic light, it caused some discomfort.
When I got home and took a shower, I noticed some pain, and upon sitting down to check, I found some small white spots on the inner labia.
There were many white spots clustered together, forming a patch, but they didn't feel very raised—just a granular sensation.
There were also some white bumps between the labia minora and labia majora, which felt more prominent.
Near the labia, close to the vaginal opening, there was a small cut (I suspect it might have been caused by the bike seat).
After two days, the pain subsided, and I no longer saw the cut, which was not very noticeable to begin with.
The inner labia did not have any itching or pain.
I did some research online and saw information about white yeast infections, but the appearance didn’t quite match, as the white spots are not inside the vagina but rather near the labia.
Could you please tell me what might be the cause of this?

Niming, 10~19 year old female. Ask Date: 2016/02/02

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, based on the symptoms you described, it is recommended to consult a gynecologist for a clearer understanding.
Wishing you good health.

Reply Date: 2016/02/02

More Info

Understanding unexplained gynecological symptoms can be quite challenging, especially when they present in a way that is atypical or concerning. Based on your description, it seems you are experiencing a combination of unusual discharge, potential irritation, and some localized symptoms around the vulvar area. Let's break down the symptoms and possible causes.

1. Brown Discharge: The presence of brown discharge can often be attributed to old blood. This can occur at the beginning or end of a menstrual period, or it can be a sign of hormonal fluctuations. Since you mentioned that this brown discharge has persisted for a while without the typical odor or associated itching, it may not be indicative of an infection. However, if it continues or changes in character, it would be wise to consult a healthcare provider.

2. Localized Symptoms: The white spots you described on the inner labia could be a few different things. One possibility is that they are benign cysts or Fordyce spots, which are normal sebaceous glands that can appear as small white or yellowish bumps. They are usually harmless and do not require treatment. However, if they are new, changing, or associated with discomfort, further evaluation is warranted.

3. Irritation from Activity: You mentioned experiencing pain after riding your bike, which could indicate that the discomfort is due to friction or pressure from the bike seat. This can lead to localized irritation or even minor abrasions, especially if the seat is not well-padded or if you are not used to that level of activity. The small cut you noted could very well be a result of this activity, and if it healed quickly without further issues, it may not be a cause for concern.

4. Potential Infections: While you considered a yeast infection (candidiasis), the symptoms you describe do not fully align with typical presentations of such an infection, which usually includes significant itching, burning, and a thick, white discharge. However, if you notice any changes in your symptoms, such as increased irritation, odor, or discharge consistency, it would be prudent to seek medical advice.

5. Hormonal Factors: Given that you mentioned irregular menstrual cycles and the occurrence of brown discharge, it may be beneficial to evaluate your hormonal health. Conditions such as polycystic ovary syndrome (PCOS) or other hormonal imbalances can lead to irregular bleeding patterns and discharge changes. A healthcare provider can perform tests to assess your hormone levels and overall reproductive health.

6. When to Seek Help: If the symptoms persist, worsen, or if you develop new symptoms such as fever, increased pain, or significant changes in discharge, it is important to consult a gynecologist. They can perform a thorough examination, possibly including a pelvic exam, and may recommend tests such as a Pap smear or cultures to rule out infections.

In conclusion, while some of your symptoms may be benign and related to activity or hormonal fluctuations, it is essential to monitor your body and seek medical advice if you have concerns. Keeping a record of your symptoms, including their timing in relation to your menstrual cycle, can be helpful for your healthcare provider in diagnosing any underlying issues. Remember, your health is paramount, and it is always better to err on the side of caution when it comes to unexplained symptoms.

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