Brown vaginal discharge

Only during menstruation will a woman's vagina have some brown discharge. If you have brown vaginal discharge even though you haven't had your period, it could be caused by a small amount of bleeding. At this time, it is best to go to the hospital for an ultrasound examination and consider whether it is endometritis, because this disease can easily cause symptoms such as low back pain, abdominal pain, and even vaginal bleeding.

Endometritis is an inflammatory change in the endometrial structure caused by various reasons. Bacteria can ascend along the vagina and cervix or descend along the fallopian tubes and reach the endometrium through the lymphatic system. Normally, the uterine cavity has good drainage conditions and periodic endometrial exfoliation, so inflammation rarely has a chance to stay in the endometrium for a long time. However, if the acute inflammation is not treated thoroughly, or there is often an infection source, the inflammation may recur. In severe cases, it may affect the myometrium and become myometritis. Endometritis can be divided into acute endometritis and chronic endometritis. Chronic endometritis often coexists with chronic cervicitis and chronic salpingitis and is the most common cause of miscarriage.

1. Symptoms

(1) Pelvic pain: Pain in the lower abdomen and lumbar pain during the menstrual interval. Some patients may not have any symptoms.

(2) Increased vaginal discharge is caused by increased secretion of endometrial glands. It is usually thin, watery, light yellow, and sometimes bloody. Senile endometritis presents as purulent leucorrhea, which often contains a small amount of blood. When there is pyometra, the discharge is purulent and has a foul odor.

(3) Menorrhagia: Menstrual periods are regular, the amount of menstrual blood doubles, and the bleeding period is significantly prolonged. Irregular bleeding is less common.

(4) Dysmenorrhea is more common in nulliparous women, but severe dysmenorrhea is rare. It may be caused by excessive thickening of the endometrium, which hinders normal tissue degeneration and necrosis, and stimulates excessive spasmodic contractions of the uterus.

2. Physical signs

The uterus may be enlarged and tender; the parauterine tissue may be thickened and tender. In mild inflammation, no abnormalities may be found during bimanual examination. When uterine pyometra occurs, the uterus will be enlarged, spherical, soft and tender. Speculum examination can reveal that the cervix is ​​discharging bloody pus with a foul odor.