HomeAnswersObstetrics and Gynecologyvaginal disordersWhy is the tissue stained reddish brown when I wipe my vagina?

Why is the tissue stained reddish brown when I wipe my vagina?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At June 1, 2017
Reviewed AtJanuary 18, 2024

Patient's Query

Hi doctor,

I got my periods last week, and the blood was reddish brown when I wiped. I had normal flow for the next four days. But on the fifth day, it got reddish brown again. Today I noticed little light pink blood when I wiped. Is this normal? How do I chart my period? Should I start charting the day I see spotting and end it on the day there is no more blood on the tissue? I am nervous about ovarian, uterine or cervical cancer.

Answered by Dr. Balakrishnan R

Hi,

Welcome to icliniq.com.

Let me start by assuring you that these are normal features. You are normal from the history you have mentioned. For a young lady, cancer is not possible, unless you have a strong family history of cancer. During periods, the follicles keep on growing slowly, along with them, the endometrium or inner lining of the uterus also thickens. Then around 12th to 16th day of periods, ovulation occurs and the egg is pushed into the tube.

The remains of the follicle, which is called corpus luteum, it is the source of progesterone hormone, which further keeps the endometrium thick and spongy for a possible pregnancy. If no pregnancy, this comes out in the form of blood, bright or slightly dark red blood, for around seven days.Then it stops as the next cycle's follicles get ready. Now in your condition, all these are due to some hormone imbalance. It can be caused by your weight.

The fat deposits are converted into estrogen hormone. So, the balance is disturbed, follicles do not grow on time, and the endometrium does not grow up to the mark. Ovulation may or may not occur, after ovulation, the corpus luteum is not well formed, so due to poor support, it may keep on bleeding for long or as fleshy masses or clots with or without pain, and the secretions following periods will have a blood tinge seen as the pink color. Your expected weight is 115 to 125 lbs. Once you reduce weight to normal range, you would not need any medicine to get periods or to get pregnant, and the pregnancy will be healthy. To reduce weight, avoid fasting, junk food, fast foods, red meat. Reduce snacks in between meals and have a low calorie and high protein diet. Regular exercise, especially for the waist and hip area, aerobics, yoga, brisk walking. Try to reduce 4 to 8 lbs per month. Do not hurry on weight reduction as it will be difficult to maintain.

The second possibility is a vaginal infection. Vaginal infection is transmitted during sex, so you and your partner have to be treated at a time, or else you will get infected again. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at the beginning and late towards the end of sex. Pain will be radiating to the back, thighs. The infection will cause congestion of the glands, and they keep oozing discharge even after periods are over, which comes as pinkish discharge.

You will need evaluation by a gynecologist.

Patient's Query

Hello doctor,

Thank you for replying. I have not had sex in a long time, so infection is not a possibility. Is it normal for light pink spotting after periods? How many days can it last? When I researched online it says cervical cancer. I had a pap smear and ultrasound seven months back, and that was normal. I am very worried because this has never happened before.

Answered by Dr. Balakrishnan R

Hi,

Welcome back to icliniq.com.

Please do not trust everything you see on the internet. Cancer in your case is very rare, let me explain you why. The symptoms of cervical cancer are excessive bleeding during periods, which is not controlled by any medications, foul smelling dirt like discharge, bleeding on touching of the cervix, severe loss of appetite, and sudden weight loss. PAP smear detects the earliest and the most premalignant stage of cervical cancer. It takes more than 15 years for cancer to develop from any premalignant lesion, had it been there. As your periods is not heavy and you have already confirmed with a scan, uterine polyps or fibroids are ruled out.

As I told you if the progesterone is not produced in the right amount, the support to endometrium is not good, so it will not fully break up during periods, and after periods, the discharge keeps flowing out in pink color. I can say it with total confidence that you are normal. This discharge should be over in 4 to 7 days maximum. If you want to know if this is right, try taking any of the combined oral contraceptive pills from now on, as today is your 8th day of periods. This pill will supplement the hormones in your body. You will get your periods within 7 to 10 days of the last pill. You will not have the pink discharge next month if you want you can continue the pills, till you reduce your weight. If it is cancer, as you are predicting, it will not be corrected by any pill. Cervical cancer is also seen at this age, only after the 50s or 60s.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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