Brown Discharge After Using Suppositories During Early Pregnancy - Obstetrics and Gynecology

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The use of suppositories during pregnancy has resulted in brown discharge?


Hello, doctor.
I am currently a pregnant mother about seven to eight weeks along.
During my pregnancy, I have experienced abdominal pain and noticed white and pink substances resembling tofu dregs when using the restroom.
However, there has been no blood present on my panty liner or when wiping, except for one instance when I saw pinkish frothy residue and light pink on the tissue after using the restroom.
When I visited the clinic for an examination, the fetal development was normal, and there was a heartbeat.
The doctor performed a pelvic exam and diagnosed me with a vaginal yeast infection, prescribing a suppository for me.
After using it last night, I noticed brown discharge this morning, which I have not experienced before.
Since it coincides with the New Year holiday and the hospital is closed, I am unsure whether I should continue using the suppository or if there are any other serious implications.

Youzhen, 30~39 year old female. Ask Date: 2016/02/07

Dr. Xu Junrui reply Obstetrics and Gynecology


Early pregnancy with pink or brown discharge may indicate embryo instability and a potential risk of a mild miscarriage.
The use of suppositories is intended to treat vaginal infections and is not related to the vagina itself.
It is recommended to continue using them.

Reply Date: 2016/02/07

More Info


Brown discharge during early pregnancy can be concerning, especially after using suppositories. It’s important to understand that brown discharge often indicates old blood, which can be a normal occurrence in pregnancy. However, when it follows the use of medication, it raises questions about the safety and effects of the treatment.

In your case, you mentioned experiencing abdominal pain and a discharge that resembled cottage cheese, which could indicate a yeast infection. Your doctor diagnosed you with a vaginal yeast infection and prescribed suppositories. The brown discharge you experienced after using the suppository could be due to several factors:
1. Old Blood: Brown discharge typically signifies old blood that has taken longer to exit the body. This can happen during pregnancy due to hormonal changes or cervical irritation.

2. Irritation from the Suppository: Sometimes, the introduction of a suppository can irritate the vaginal walls or cervix, leading to slight bleeding or brown discharge. This is generally not a cause for alarm unless accompanied by severe pain or heavy bleeding.

3. Infection: While your doctor diagnosed a yeast infection, it’s essential to monitor for any signs of complications. If the discharge changes in color, consistency, or odor, or if you experience increased pain, it may indicate a more serious issue.

Given that your ultrasound showed normal fetal development and a heartbeat, this is a positive sign. However, it’s crucial to follow up with your healthcare provider, especially since you are experiencing new symptoms after starting treatment. Here are some recommendations:
- Do Not Discontinue Medication Without Guidance: Unless advised by your doctor, do not stop using the suppository. It’s essential to treat the yeast infection to prevent complications.

- Monitor Symptoms: Keep track of any changes in your discharge, such as increased bleeding, changes in color, or any new symptoms like fever or severe abdominal pain. If you notice any concerning changes, seek medical attention promptly.

- Contact Your Healthcare Provider: Since it’s a holiday period and you may have difficulty accessing your usual healthcare provider, consider reaching out to an on-call physician or visiting an urgent care facility if your symptoms worsen.

- Stay Hydrated and Rest: Ensure you are taking care of yourself by staying hydrated and getting plenty of rest, which is vital during pregnancy.

In conclusion, while brown discharge can be alarming, it is often not a sign of a serious problem, especially if your doctor has confirmed that the pregnancy is progressing normally. However, always err on the side of caution and consult with a healthcare professional if you have any doubts or if your symptoms change. Your health and the health of your baby are paramount, and it’s always best to seek professional advice when in doubt.

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