What is the reason for yellow-brown discharge from the vagina?

Patient's question:

Hello, I would like to ask: I am 16 years old, and my menstrual flow has always been quite heavy. But this month, it has only lasted 3 days, and the amount is still very minimal. The first two days of my period, I had yellowish-brown vaginal discharge. Could I have an ectopic pregnancy? (One month ago, my underwear accidentally got a drop of semen, and I immediately changed it and washed my external genitalia with hot water.) Thank you!

Doctor's answer:

After reviewing your description, the brown discharge from the vagina is likely related to the premenstrual period. At this time, the discharge is menstrual residue, caused by qi stagnation and blood stasis. This is not a serious issue and is a normal physiological phenomenon.
2. Another possibility is vaginitis, where inflammation stimulates the production of abnormal leukorrhea. I don’t know if there is an odor. If there is, the likelihood of vaginitis is higher. It is recommended to undergo a leukorrhea test for a definitive diagnosis. Oral metronidazole is advisable for treating the inflammation.

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