How to treat leukorrhea with a coffee-colored hue before menstruation

Patient's question:

Started three months ago, one week before menstruation, white discharge turned coffee-colored, accompanied by stringy and granular substances, and often itchy.

Doctor's answer:

Generally, it is normal to have brown or black vaginal discharge 1-2 days before and after the end of menstruation, but the causes are different. Black discharge before menstruation is due to the shedding of a small amount of endometrium, while black discharge after the period ends is caused by blood remaining in the reproductive tract for too long.
If there are no symptoms such as abdominal pain, yellow discharge, odor, or external genital itching, you can continue to monitor the situation without excessive worry. In daily life, you can clean the external genital area with warm water to maintain dryness and hygiene, preventing infection.

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