Patient's question:
I am 23 years old and have had sexual activity. Sometimes, about ten days after my period, I have brownish discharge, and at other times, it is blood-colored. It usually lasts for about three or four days and then disappears. There is no discomfort or unpleasant odor, and my period is quite regular, coming every month around the same time. Is this normal? I was previously told it could be ovulation bleeding. If that is the case, would it affect future fertility? Could there be any other conditions? I hope to get an answer!First follow-up question: Is it okay to have sexual activity during this time? Can I have a child next year if I want to?
Doctor's answer:
Hello: It could be ovulation bleeding. You must go to the gynecology department for a check-up. Ovulation bleeding occurs during the mid-cycle, i.e., the ovulation period. Due to a temporary decline in estrogen levels, the endometrium loses hormonal support, leading to partial shedding of the endometrium and causing regular vaginal bleeding, which is known as ovulation bleeding. In traditional Chinese medicine, it is referred to as "intermenstrual bleeding."Treatment > 1. Western medicine treatment: Diethylstilbestrol 0.25–0.5 mg per day, starting 3 days before ovulation and stopping 2–3 days after the bleeding stops. 2. Traditional Chinese medicine treatment: Liuwei Dihuang Wan, Gujing Wan, Xuefu Zhuyu Wan.
Prevention and Care > 1. Pay attention to menstrual and postpartum health care, maintain external genital hygiene, and prevent pelvic infection. 2. Keep a calm mood and avoid excessive stress.