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Answer to your Health Question

Question (04/13/2013):

Title: Yellow and brown discharge with water.

Hi, I have a problem with different discharge sometimes it is yellow and brown and now there is water coming that make my panty wet . I treat this with fragile and antibiotic but it does not help.



Dear Nozipho,

Thank you very much for your question.

Brown vaginal discharge is most often associated with old endometrial tissues.

Yellow vaginal discharge can serve as an indicator of some kind of infection, especially if it is accompanied by itching, swelling, foul odor, and lower abdominal pain.

Yellow vaginal discharge is in most cases seen where there is a vaginal infection.

A white, gray or yellowish vaginal discharge may be a sign of bacterial vaginosis. A fishy odor, along with redness, swelling, vaginal itching and burning may be present.

A brownish vaginal discharge is a sign of old blood (which may have been retained within the uterus or vagina) being expelled from the vagina. It may be caused by :

-Missed abortion - in early pregnancy, when the fetus is dead but is retained within the uterus without spontaneous abortion).
-In some cases of induced abortion.
-Implantation bleed - at the time the fertilized ovum implants or gets embedded in the endometrium.
-Cervical or endometrial cancer - it is likely to be accompanied by abnormal vaginal bleeding.
-Irregular periods or intermenstrual bleeding - vaginal bleeding or pelvic pain may be present.
-Pelvic inflammatory disease (PID).
-Genital warts.
-Sexually transmitted diseases (STDs) such as chlamydia and gonorrhea.

Causes of yellow vaginal discharge include:





Bacterial Vaginosis



Causes of Light Brown Vaginal Discharge

There are a few reasons why a woman's vaginal discharge may be brown in color. The most common two are pregnancy and Perimenopause.

Pregnancy. A pinkish brown colored discharge is an early sign of pregnancy.

Perimenopause. Perimenopause can cause a light brown discharge, pink, or a yellow discharge. In some women, the discharge may be heavy and uncomfortable.

Implantation Bleeding. This is another early sign of pregnancy. The discharge can be light brown, pink or red. This type of discharge is normal and usually occurs 10 -14 days after conception. The discharge is caused by the egg implanting itself to the uterine wall. It usually appears as a single smear of discharge not a spotting or flowing type.

Old Endometrial Tissues. A light brown discharge is common in young girls before they start their menstrual cycle. In women, the discharge is the body's way of releasing any old endometrial tissue that was not shed during the menstrual cycle.

Atrophic Vaginitis. Atrophic vaginitis can cause a brown discharge, bleeding, pain or itching in the vaginal area. A woman may also experience painful intercourse, burning sensation, dryness; the discharge may be yellow in color and have a foul smell.

Uterine Polyps. Uterine polyps are also called endometrial polyps. The Polyps can cause a discharge as well as bleeding after intercourse, heavy menstrual bleeding, and abnormal vaginal bleeding.

STDs. A light brown discharge can be an early symptom of a sexually transmitted disease (STD). The most common STDs that cause a discharge include chlamydia, trichomoniasis, gonorrhea, and genital warts.

Causes of Dark Brown Vaginal Discharge

There are seven common reasons a woman may experience a dark brown vaginal discharge. Most of the reasons are not serious however; a few are so it is important to set up an appointment with your gynecologist if you have other symptoms of a serious condition or for peace of mind.

Pregnancy. A dark brown discharge usually is implantation bleeding. The color can range from pink, red to light or dark brown. The discharge may last as long as three to four days.

Ovulation. During the process of the egg being released it is not uncommon to experience a dark brown discharge or spotting. It will usually only last a few days.

Menopause. Many women who are close to menopause will experience a dark brown discharge in place of a normal menstrual flow.

Endometrial Bleeding. Endometrial bleeding occurs when some of the uterine wall was not discharged during the menstrual cycle. It may occur just after the cycle ends or just before the next cycle begins. Because the blood is old, it becomes dark brown in color.

Pelvic Inflammatory Disease. Pelvic Inflammatory disease is a more serious condition and requires a visit to the gynecologist. This disease happens when there is an infection in the uterus lining, fallopian tubes, ovaries, cervix and/or the vagina. It is painful and can lead to pain during intercourse, abdominal pain, and infertility if left untreated.

Cervical Cancer. Cervical cancer is by far the most serious disease that is associated with a dark brown discharge. Cervical cancer is spread through the HPV virus (human papilloma virus.)Other symptoms of cervical cancer can include loss of appetite, weight loss, leg pain, pelvic pain, and fatigue.

You should get a PAP smear test done to rule out the possibility of any cervical malignancy.Its a simple procedure done on opd basis. Complete the course of the antibiotics as advised. Get your blood sugar tested. I think that a course of metronidazole should also be taken.

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