What is the cause of brown discharge in leucorrhea?

Brown discharge from leucorrhea may be caused by ovulation bleeding, vaginitis, cervicitis, endometrial polyps, threatened abortion, etc. It can be improved by adjusting living habits, drug treatment, surgical treatment, etc.

1. Bleeding during ovulation

A brief drop in estrogen levels during ovulation may cause a small amount of uterine lining to shed, causing brown discharge mixed with leucorrhea. It usually lasts for 2-3 days, has no special smell, and may be accompanied by slight lower abdominal distension. Just keep your vulva clean and avoid strenuous exercise. No special treatment is needed. If the amount of bleeding exceeds menstrual flow or lasts for more than 1 week, you need to seek medical attention.

2. Vaginitis

Bacterial vaginosis or trichomonas vaginitis may cause vaginal discharge that is brown in color and is often accompanied by a fishy smell or itching. It may be related to frequent vaginal washing and decreased immunity. Metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets or nifurtel nystatin vaginal ointment must be used as directed by your doctor, and sexual intercourse should be avoided during treatment.

3. Cervicitis

When the cervical columnar epithelium migrates outward in patients with chronic cervicitis, brown discharge may occur after intercourse. It may be related to repeated vaginal infection and mechanical stimulation, and is often combined with lumbosacral pain. You can use Baofukang suppositories and anti-metritis tablets as directed by your doctor, along with laser or cryotherapy. Regular cervical cancer screening is recommended.

4. Endometrial polyps

Rupture of blood vessels on the surface of polyps will cause brown discharge, which is more common before and after menstruation and may be accompanied by prolonged menstruation. Related to excessive estrogen levels and chronic inflammation stimulation. Polyps less than 1 cm in diameter can be treated with progesterone capsules, while larger polyps require hysteroscopic resection.

5. Threatened abortion

Brown discharge in early pregnancy may indicate subchorionic hemorrhage and is often accompanied by a tightening sensation in the lower abdomen. It is related to embryonic chromosomal abnormalities and insufficient luteal function. Bed rest is required immediately, use dydrogesterone tablets or progesterone injection as directed by the doctor, and bathing in the bath and weight-bearing activities are prohibited.

It is recommended to wear cotton underwear and change it daily, and avoid using sanitary products containing fragrance. Increase the intake of high-quality protein and vitamin C in your diet, such as eggs, broccoli, etc. If the discharge lasts for more than 1 week, is accompanied by a peculiar smell, or the abdominal pain worsens, you should go to a gynecologist in time to complete routine leucorrhea, ultrasound and other examinations. Women preparing for pregnancy need to monitor their basal body temperature to distinguish physiological bleeding from pathological bleeding.