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Brown spotting before periods - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
Doctor :   hi
Doctor :   Dr. XXX here
User :   hi!
Doctor :   please proceed with your health query
User :   i'm just having some brown discharge right now, i'm 23 years old (female) in good health. period is due in about 1 week. i'm married and have been with the same guy for 3 years and i recently was on 4 different antibiotics for pneumonia (for about a month) and have been off of antibiotics for 2-3 weeks, i wasn't sure if this was related as to why i'm spotting brown discharge, but i have been on the pill for 9 years.
Doctor :   pls give me few moments to go through what you have typed
Doctor :   were you sexually active while being on the antibiotics?
User :   yes but we used protection
Doctor :   antibiotics tend to reduce efficacy of birth control pills, and cause ovulation.
Doctor :   if you were sexually active, and have had unprotected intercourse
Doctor :   then this mild spotting could indicate implantation bleed
Doctor :   which pill are you currently taking?
User :   the generic for orthotrycyclin
Doctor :   ok. then the spotting could also be due to breakthrough bleeding (if pregnancy is ruled out)
Doctor :   which is a common side effects of the pill use over long periods of time.
Doctor :   do you have any other associated symptom?
User :   okay, it kind of itches a little mostly external and i'm not sure if its' due to the wiping i don't see anything weird down there other than that.. sorry this is kind of an awkward topic
Doctor :   is the itching associated with burning or raw feeling after intercourse?
Doctor :   is there redness associated ?
User :   it's a little red mostly because it's irritated i think
Doctor :   do you see any changes in the vaginal discharge in terms of quantity, consistency or smell?
User :   no it doesn't have a smell to it or anything like that
User :   and i've had it for 2 days and it's been about the same
User :   it was more of a red right at first now its brown
Doctor :   ok. you can apply Caladryl lotion externally for teh itching
User :   i did have a yeast infection when i was on all the antiboitics and i think that is gone
Doctor :   wait for the periods to start, it there is any abnormality in duration or blood flow, then go ahead with a test
Doctor :   to rule out pregnancy
User :   okay i can do that, i should start in a week or so
User :   you don't think it has to do with any std's or anything like that? i was only tested once with my husband when we first started dating and since i've had normal pap smears
Doctor :   if pAp smears are normal it just means that there is no cervical abnormality
Doctor :   STD screening can be repeated if done before 3 years
Doctor :   if both are faithful to each other and have been using protection always, then STD chances are very minimal
User :   okay, we haven't always used protection so i
User :   will get tested for things when i go back to the dr for my yearly
User :   i havent had anything else going on just the brown discharge recently
Doctor :   in that case, it would be wise to get the test repeated for both of you
User :   okay we can do that
Doctor :   as I said if no other symptoms are present, then the discharge could be due to breakthrough bleeding
User :   okay thank you
Doctor :   the itching should subside in few days
Doctor :   if it continues then possibility of yeast infection should be ruled out
Doctor :   by getting a vaginal smear test done , not a PAP smear
User :   okay
User :   thank you if it continues ill go to the dr
Doctor :   is there anything else you would like to ask me?
User :   no thanks :)
Doctor :   thanks for consulting me. bye for now.
User :   bye
Doctor :   consider getting pills changed
User :   i will do that
User :   ive been on the same for a long time
Doctor :   if the bleeding is due to breakthrough bleeding
User :   sorry about that i got disconnected
Doctor :   it is ok. please proceed
Doctor :   Dr. XXXXXXXX here
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