Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

What causes severe cramps and white tissue discharge during periods?

User rating for this question
Very Good
Answered by
Practicing since : 2003
Answered : 1414 Questions
At the start of my last period I had severe cramps, it felt like my insides were being torn apart (the pain was 9 out of 10). About ten hours later I passed a think, tough piece of white tissue about the size of a playing card. I have never had sex and wasn't on birth control. What was the tissue and is it something to worry about?
Posted Sun, 3 Aug 2014 in Women's Health
Answered by Dr. Binu Parameswaran Pillai 26 minutes later
Brief Answer:

Detailed Answer:
Good day,
Noted your case history.
I would like to know about your menstural history? Is it regular?
Have you ever had poly cystic ovary syndrome? Any history of fungal infection ?
Do you use tampons ?
Do you get similar cramps during all periods?
Did you ever have a scan of uterus and what was the endometria thickness in that ?
Any history of vaginal discharge ?

These details are important to assess further.

The white tissue could be a piece of endometrium ( lining of uterus which builds up before periods). It could be due to infection especially fungal infection. If you use tampons, it could be part of tampons as well.

I would appreciate a reply with answers to above questions.

Above answer was peer-reviewed by
Follow-up: What causes severe cramps and white tissue discharge during periods? 12 minutes later
My periods have been irregular, I skipped a few periods then have spotting for a few weeks with clots. I have had ovarian cysts before but never any kind of infection and haven't used tampons for several years.
Answered by Dr. Binu Parameswaran Pillai 4 minutes later
Brief Answer:

Detailed Answer:
okay, if your periods have been irregular, there is a chance of endometrial buid up cusing endometrial hyperplasia. When you have periods, this can shed and will look like peices of tissue. In your case, this could be the most likely cause. You need a pelvic ultrasound and possibly an endocmtrial biopsy ( if there is endometrila hyperplasia).
Please meet your GP and arrange for a pelvic ultraosund. It is also important to do a clinical examination.
Above answer was peer-reviewed by
Follow-up: What causes severe cramps and white tissue discharge during periods? 1 hour later
Why would I need an endometrial biopsy? I hear it's a painful procedure.
Answered by Dr. Binu Parameswaran Pillai 6 hours later
Brief Answer:

Detailed Answer:
You will need a pelvic examination ad pelvic ultrasound. If the pelvic ultrasound shows endometrial hyperplasia ( increased endometrial thickness), then you would need a endometrial biopsy to rule out endometrial cancer or precancerous changes. Please do not worry. Your gynecologist will decide on the necessity of same after examination and ultrasound.

Endometrial biospy may be done under light anesthesia. The pain is generally mild, but it is subjective.( some people feel less but soome other people will feel more).

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor