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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For The Black Stringy Discharge And Then Light Brown During Periods And Having Pain In The Right Abdomen?

Hi

for the past month I have had what started off as black stringy discharge for a week then ever since has been light brown, some days stringy and some days watery. I am not pregnant and have been on the pill for three years. All this is accompanied by a dull ache in the lower right side of my abdomen. This pain has been there for roughly 18 month, mainly a dull aches but the odd time painful, also have pain in the right side during sex. I addressed this with my doctor last yrar and had a smear test together with sti check and smear. Everything was clear so I left it thinking I must be imagining it. The change in my discharge is really starting to worry me. Please advise on possibilities? Thanks
Mon, 20 Jan 2014
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Anesthesiologist 's  Response
Hello,
I have gone through your query and understand your concern.
I suspect you are suffering from Pelvic inflammatory disease.
Because of vague symptoms,Pelvic inflammatory disease often goes unrecognized by women and their treating physicians.
Women who have symptoms of Pelvic inflammatory disease most commonly have lower abdominal pain.
Another important feature of PID is unusual abnormal vaginal discharge.
PID is difficult to diagnose because the symptoms are often subtle and mild.
Because there are no precise tests for PID, a diagnosis is usually based on clinical findings.
One of the main complication of PID is permanent damage to reproductive organs like Fallopian tubes.
Thus early treatment is necessary to avoid further damage to reproductive organs.
As i already said, Pelvic inflammatory disease is difficult to diagnose.
But proper examination and investigation really helps.
Please do pelvic ultrasound.
If it is normal, then go for Diagnostic laproscopy procedure.
Pelvic inflammatory disease can be cured by multiple antibiotics.
Because of the difficulty in identifying organisms infecting the internal reproductive organs and because more than one organism may be responsible for an episode of PID, PID is usually treated with at least two antibiotics that are effective against a wide range of infectious agents.
If you delay the treatment, you will more likely is to become infertile or to have a future ectopic pregnancy because of damage to the Fallopian tubes.
These symptoms may go away before the infection is cured.
Even if symptoms go away, you should finish taking all of the prescribed medicine.
This will help prevent the infection from returning.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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What Could Be The Reason For The Black Stringy Discharge And Then Light Brown During Periods And Having Pain In The Right Abdomen?

Hello, I have gone through your query and understand your concern. I suspect you are suffering from Pelvic inflammatory disease. Because of vague symptoms,Pelvic inflammatory disease often goes unrecognized by women and their treating physicians. Women who have symptoms of Pelvic inflammatory disease most commonly have lower abdominal pain. Another important feature of PID is unusual abnormal vaginal discharge. PID is difficult to diagnose because the symptoms are often subtle and mild. Because there are no precise tests for PID, a diagnosis is usually based on clinical findings. One of the main complication of PID is permanent damage to reproductive organs like Fallopian tubes. Thus early treatment is necessary to avoid further damage to reproductive organs. As i already said, Pelvic inflammatory disease is difficult to diagnose. But proper examination and investigation really helps. Please do pelvic ultrasound. If it is normal, then go for Diagnostic laproscopy procedure. Pelvic inflammatory disease can be cured by multiple antibiotics. Because of the difficulty in identifying organisms infecting the internal reproductive organs and because more than one organism may be responsible for an episode of PID, PID is usually treated with at least two antibiotics that are effective against a wide range of infectious agents. If you delay the treatment, you will more likely is to become infertile or to have a future ectopic pregnancy because of damage to the Fallopian tubes. These symptoms may go away before the infection is cured. Even if symptoms go away, you should finish taking all of the prescribed medicine. This will help prevent the infection from returning. Hope this helps. Please write back for further queries. Wishing you good health.