Hi doctor, I am 22 years old and I am sexually active for about four years now. For some 2 to 2.5 years, I am getting an occasional brown vaginal discharge, when I masturbate. Not a lot, just enough to cover my fingers. It does not happen all the time. There is no other pain or symptom associated with it. Could it be something serious?
Hello. The dark brown vaginal discharge that you are experiencing, especially after masturbation and usually in the second half of the cycle is often due to luteal phase defect which indicates progesterone deficiency. So, it is suggested that you should get your serum progesterone levels done on day 21 of your cycle. If they are less than 21 g/dL, then you may need to be placed on cyclical progesterones to avoid such episodes of intermenstrual bleeding. Also other causes can be endometrial polyp, fibroid or even sometimes ovulation mid-cycle bleeds, which is so often confused for abnormal uterine bleeding. If the test is normal, then the next step would be to get an ultrasound pelvis to rule the above causes. However, such bleeds if in excess can be acutely controlled with antifibrinolytics like Tranexamic acid tablets, which can control such episodes. But, if the cause is progesterone deficiency, then progesterone supplementation shall be required. For further information consult an obstetrician and gynaecologist online -->