Brown discharge in women
Brown highlights of different shades are an alarm for a woman. Why do they appear at different periods of life and what can they mean? Together with expert Victoria Fisyuk, we find out in which cases a woman should immediately consult a doctor

Why do brown discharge appear in women

Ordinary vaginal discharge, which even a healthy woman has, is clear, without an unpleasant odor. Coagulated blood gives them different shades of brown. The reasons may be different, and brown discharge is not always a pathology. Sometimes such discharge appears just before the onset of menstruation, during ovulation. But brown discharge can be a symptom of a bacterial infection, and a reaction to taking hormonal drugs, stress, etc.  

Diseases in which brown discharge may appear:

Hormone-dependent diseases:

  • polycystic ovaries;
  • endometriosis;
  •  uterine fibroids;
  • polyps of the uterus or cervical canal (as well as inflammation);
  • cysts (tumors) of the ovaries;
  • uterine myoma.

Inflammations:

  • endometritis – inflammation of the uterus;
  • cervicitis – inflammation of the cervix and cervical canal;
  • salpinx – inflammation of the fallopian tubes.

Injury to the vagina or cervix:

  • after gynecological operations,
  • after rough intercourse,
  • as a result of mechanical damage, for example, after cycling.

Malignancies vagina, uterus, appendages.

Sexually transmitted infections.

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What does brown discharge mean in women

Light brown

Such discharge may occur while taking birth control pills. And they can be a symptom of pathologies in the genital organs, sexually transmitted infections, microtrauma of the cervix or bacterial vaginosis.  

Dark brown

Dark brown discharge appears in many women due to a sharp change in hormonal levels when they start taking oral contraceptives. The same discharge is also characteristic after the abolition of contraceptives. Abundant dark brown discharge occurs with hyperplasia or endometriosis of the uterus (in this case, they are most often accompanied by severe pain in the lower abdomen).

Red-brown

Red-brown discharge appears when microcracks appear on the walls of the vagina due to an insufficient amount of mucus during intercourse. This problem is faced by both young girls whose sexual life has just begun, and women at the beginning of menopause. 

In addition, red-brown discharge in the middle of the cycle can be a sign of uterine fibroids. This is a benign growth, but the profuse discharge with a lot of blood that fibroids cause can lead to anemia.

tan

This shade indicates that the microbial component predominates in the vagina. Abundant yellowish-brown discharge with an unpleasant odor, accompanied by itching or burning, painful urination, occur with trichomoniasis.

Before menstruation

Brown discharge a day or two before menstruation is the norm. But if they appeared a week before the onset of menstruation, stress, poor diet, lack of sleep, hormone deficiency, and excessive exercise can be the cause.

Age also matters. If this is a young girl who has only recently begun menstruation, and the cycle is not yet stable, then brown discharge before menstruation may appear for six months or longer. But if such discharge continues before menstruation for 6-8 months in an adult woman, this is a reason to see a doctor.

Influence the appearance of smearing brown discharge before menstruation and some types of contraception. If the discharge began to appear a few days before menstruation after the woman began taking oral contraceptives, this is normal. But if such discharge has not disappeared after three months, you should consult a doctor. 

The appearance of light brown discharge is allowed for several months before the critical days after the installation of the intrauterine device. 

Dark brown discharge before menstruation often becomes a signal of the upcoming menopause. To eliminate them, the doctor may prescribe hormonal drugs to the woman.

Instead of menstruation

Brown discharge instead of menstruation may appear if the cycle is a little off. If brown discharge instead of menstruation is accompanied by pain and weakness, the reasons can be serious – from hormonal imbalance and disruption of the endocrine system to oncology. Therefore, with such a problem, you should urgently consult a doctor.

But brown discharge instead of menstruation can be during pregnancy. Moreover, both uterine and ectopic, when immediate surgical treatment is required.

After menstruation

If there are no other complaints, then discharge after menstruation for 2-3 days is normal. If the brown daub has dragged on after critical days, this may be due to a hormone deficiency. inflammation, infection, etc.

In the middle of a cycle

Often this is associated with the use of oral contraceptives, and in women who are close to menopause in age. If the discharge is quite abundant and does not disappear until the next menstruation, this is an occasion to consult a doctor.  

Brown discharge is the norm if their cause:

  • ● the first days of pregnancy;
  • ● ovulation;
  • ● start taking contraceptives;
  • ● climax;
  • ● monthly in 2-3 days;
  • ● exit of the endometrium after menstruation;
  • ● sudden change in body weight;
  • ● the formation of the menstrual cycle in girls.

With smell

If brown discharge has an unpleasant odor, this is always a reason to consult a doctor and immediately. It doesn’t matter what shade they are and how many days they last. The smell can accompany brown discharge associated with infectious diseases and even oncology. In infectious diseases, the smell resembles rotten fish.  

With itching

Itching and brown discharge in the middle of the cycle is a sign of infection in the reproductive system. An unpleasant fishy smell, burning and redness of the external genital organs, pain and burning during urination are symptoms that usually complement the picture of the disease.

By the way

Very often there are spotting from the rectum, which, of course, is the pathology of the intestines, and women often mistake them for discharge from the genital tract. With the exclusion of gynecological pathology, the patient must be sent for examination to related specialists: coloproctologist, gastroenterologist.       

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How to treat brown discharge in women

The main thing – no self-treatment! The causes of brown discharge, as we have already found out, can be different, and in each case, appropriate treatment is prescribed.

Popular questions and answers

Brown discharge is accompanied by pain in the abdomen, what could be the reasons?

Pain in the lower abdomen and brown discharge – a combination of these symptoms can signal endometriosis, rupture of an ovarian cyst, ectopic pregnancy (if the discharge is with an ichorus), malignant tumors.  

What examinations can a doctor refer a woman who complains of brown discharge?

Usually this is a smear for flora and histology, a urine and blood test to determine hormonal disorders. In addition, the doctor may refer you for an ultrasound.

When should I see a doctor for brown discharge?  

You should definitely visit an obstetrician-gynecologist if brown discharge is regular and does not stop within two months. If they are accompanied by pain from the first appearance, it is better to consult a doctor as soon as possible. 

What does brown discharge mean during pregnancy?

This is an alarming symptom at any stage of pregnancy, and in the event of the appearance of brown discharge, a woman should immediately consult a doctor. Brown discharge can be a sign of a threatened miscarriage, miscarriage, placental abruption, or premature birth.

About normal secretions

Normally, fluid should be released from the woman’s vagina. But not all discharges are normal. “Good” secretions include clear, not abundant (from 50 mg per day) odorless mucus. Normal discharge does not cause discomfort, does not cause itching, burning and irritation of the vagina. If you take a smear for microflora, then it should show a normal number of leukocytes with a predominance of lactobacilli. Mucus secretions gradually increase in quantity until the day of ovulation (approximately 14 days after menstruation). During this period, mucus changes its properties. The feeling of moisture in the vulva at this time is absolutely normal.

But the brown discharge must be treated very carefully! The brown, brownish tint of the liquid clearly indicates bloody or bloody additions to the mucus. And this, in turn, may indicate violations of the female genital area. Further about such violations and their causes.

Endometritis

Brown discharge may be a sign of chronic endometritis – inflammation of the endometrium, the mucous membrane of the uterine cavity. Brown discharge with endometritis appears before and after menstruation, often has an unpleasant odor. Sometimes brown mucus appears in the middle of the cycle and is combined with aching pains in the lower abdomen. Chronic endometritis is dangerous during pregnancy, it can lead to miscarriages at different times. This pathology is due to the fact that the process of attachment of the fetal egg in the uterine cavity and its further development are impaired.

Chronic endometritis can lead to:

  • not fully cured acute postpartum or post-abortion endometritis;
  • intrauterine interventions;
  • imbalance between the hormonal and immune systems of the body;
  • hidden infections.

Endometriosis

Brown discharge or discharge mixed with blood are also the main symptoms of endometriosis of the cervix or body of the uterus. This does not necessarily cause pain. Endometriosis of the cervix is ​​a nodular, small-cystic formation or growth in the form of red or purple-blue stripes. From individual foci, dark bloody and brown discharge may appear. Endometriosis of the body of the uterus is the growth of endometrial cells in the myometrium (the muscular layer of the uterus). Pathological secretions decrease in size after menstruation, and their color becomes lighter.

Endometrial hyperplasia

Spotting, bloody, brown discharge at the end of the cycle before menstruation or for a long time after menstruation may indicate endometrial hyperplasia. The causes of hyperplasia can be of a different nature. Most often, this pathology develops due to hormonal imbalances., as well as carbohydrate, lipid and other types of metabolism. An important role can be played by hereditary predisposition, the presence of uterine fibroids, genital and breast cancer, hypertension and other diseases, manifestations of damaging effects during the prenatal period of development, diseases during puberty and the disorders of menstrual and subsequently reproductive function caused by them. The appearance of hyperplasia in adulthood is often preceded by gynecological diseases, abortions, and operations on the genitals.

Polyp

Brown discharge may be a sign of a polyp in the uterus . The cause of the polyp may be the pathology of the uterine mucosa or cervical canal against the background of a chronic inflammatory process. The cause of uterine polyps is most often hormonal disorders.

Detachment of the fetal egg

Brown discharge during pregnancy – spotting, bloody – is the first sign of detachment of the fetal egg or placenta, which happened a few days or even a week ago. Often, such discharge is accompanied by pain in the lower abdomen and in the lumbar region, resembling “light” contractions.

Ectopic pregnancy

Sometimes brown discharge with ichor indicates an ectopic pregnancy. At the same time, a woman may feel a decrease in blood pressure, periodic or persistent pain in the lower abdomen, increased heart rate, dizziness.

Hormonal contraceptives

Cinnamon discharge may appear in the first months of taking hormonal contraceptives. In this case, this is the norm. But if this phenomenon continues for the 3rd month or longer, then the drug is not suitable and a new method of contraception is required.

Don’t wait for trouble

If there are any discharges that bother you of those described above, this is an occasion to immediately consult a doctor. The specialist will determine the cause of the discharge, prescribe the necessary treatment and save from the further development of the disease.

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