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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Dark Brown Discharge After Being Sexually Active And On Birth Control?

I am a 20 year old female and have been on birth control for about 5-6 months. I just recently became sexually active with my first sexual partner ever. I am experiencing a dark brown discharge that has occurred for a week or better. I went and saw my gynecologist and had some tests done. All she told me was that I did not have an STD and gave me no information on what exactly is causing it and how to fix. Do I need to be concerned and if so what do I need to be concerned about? Do I need to change my diet or the strength of my birth control?
Mon, 19 Aug 2019
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General Surgeon 's  Response
Hello,

1) Irregular period cycle with brown discharge could be due to Poly Cystic Ovarian Disease, hormonal imbalance, endometriosis, mental stress, and depression, old blood with endometrial tissue, vaginal or pelvic infection, overweight, etc.

In this case, I suggest undergoing some basic investigation to narrow down the causes and confirm the diagnosis.

Do one blood test for beta-hCG to rule out the possible chance of conception if you did sex frequently in the last month.

2) On negative test result, I suggest undergoing one pelvic ultrasound scan and complete hormone profile (like Serum estrogen, progesterone, LH/ FSH, serum TSH, Prolactin, Testosterone, DHEAS, etc) to rule out underlying pelvic pathology. You can consult with your nearest OBGYN for proper guidance.

3) Combined hormonal pills are the mainstay of treatment to regularize your cycle. Some other supportive treatment may be required as per test reports.

Take healthy diet with LOW carbohydrate and IRON supplements, do light to moderate exercise for physical fitness and to control body weight, avoid mental stress by regular meditation or yoga.

Maintain your genital hygiene properly and a healthy lifestyle always.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Could Cause Dark Brown Discharge After Being Sexually Active And On Birth Control?

Hello, 1) Irregular period cycle with brown discharge could be due to Poly Cystic Ovarian Disease, hormonal imbalance, endometriosis, mental stress, and depression, old blood with endometrial tissue, vaginal or pelvic infection, overweight, etc. In this case, I suggest undergoing some basic investigation to narrow down the causes and confirm the diagnosis. Do one blood test for beta-hCG to rule out the possible chance of conception if you did sex frequently in the last month. 2) On negative test result, I suggest undergoing one pelvic ultrasound scan and complete hormone profile (like Serum estrogen, progesterone, LH/ FSH, serum TSH, Prolactin, Testosterone, DHEAS, etc) to rule out underlying pelvic pathology. You can consult with your nearest OBGYN for proper guidance. 3) Combined hormonal pills are the mainstay of treatment to regularize your cycle. Some other supportive treatment may be required as per test reports. Take healthy diet with LOW carbohydrate and IRON supplements, do light to moderate exercise for physical fitness and to control body weight, avoid mental stress by regular meditation or yoga. Maintain your genital hygiene properly and a healthy lifestyle always. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon