What causes brown vaginal discharge?

In daily life, women can understand their reproductive health by observing vaginal secretions. Normal secretions should be colorless, transparent and odorless. If the secretions are brown, then it is necessary to consider whether it is caused by vaginitis or endometritis.

1. Purulent leucorrhea

It is yellow or yellow-green in color, sticky or foamy, and has a foul odor. It is mostly caused by vaginal inflammation, among which Trichomonas vaginitis is the most common, and is often accompanied by vulvar itching. It can also be seen in chronic cervicitis, senile vaginitis, endometritis, mesometrial effusion or foreign bodies in the vagina.

2. Cheese-like leucorrhea or tofu-like leucorrhea

Most of them are typical phenomena of candidal vaginitis, often accompanied by severe vulvar itching.

3. Bloody leucorrhea

If there is blood in the leucorrhea, you should be alert to the possibility of malignant tumors such as cervical cancer and endometrial cancer. However, benign lesions such as cervical polyps, cervical erosion, submucosal myoma, dysfunctional uterine bleeding, urethral caruncle, senile vaginitis, etc. can also cause bloody leucorrhea. Bloody leucorrhea caused by intrauterine contraceptive devices is also more common.

4. Yellow watery leucorrhea

It often occurs after continuous vaginal bleeding, with a large amount of purulent and foul-smelling leucorrhea flowing out of the vagina. Advanced cervical cancer, endometrial cancer, or submucosal myoma with infection should be considered first. Those with paroxysmal discharge should be aware of the possibility of fallopian tube cancer.

5. Urinary dysfunction with increased leucorrhea

In typical gonococcal infection, the leucorrhea is like the urethral secretion, with increased amount, yellow purulent, and showing intense inflammatory reaction. The leucorrhea caused by chlamydia in cervicitis is less viscous and has an increase in white serous cervical secretions.