Brown discharge before period

If brown discharge persists for a long time after the menstrual period, it is possible that you may have cervicitis. Inflammation is better after treatment. It is best to have a baby after treatment! The best advice is to go to a gynecologist. Examination, general ultrasound, colposcopy, and routine examination of leucorrhea can basically confirm the diagnosis. If the cervicitis is not serious and there is brown discharge before the menstrual period, you can take medication to treat cervicitis. You can take broad-spectrum antibiotics orally, such as cephalosporin antibiotics plus metronidazole for treatment.

The regulation of menstruation is a very complex process, involving various physiological and non-physiological adjustments. Disorders in any link may lead to menstrual disorders.

Common causes:

1. Endocrine factors

1. Regulation between the hypothalamus, pituitary gland, and ovary (see Part 3 for details)

2. Other endocrine glands

Thyroid symptoms include mild hyperthyroidism and excessive and frequent menstruation. Hyperthyroidism worsens further, causing infrequent menstruation and amenorrhea.

Adrenal manifestations: Excessive secretion leading to pseudohermaphroditism (masculinization of women) in women.

Pancreatic manifestations: Excessive secretion causes the ovaries to produce androgens, resulting in hyperandrogenism and amenorrhea.

2. Genital tuberculosis

It is one of the manifestations of systemic tuberculosis, secondary to tuberculosis in other parts of the body.

3. Amenorrhea

1. Primary amenorrhea

① Presence of secondary sexual characteristics:

Müllerian duct dysgenesis syndrome

Androgen insensitivity syndrome,

Opposed ovarian syndrome,

Reproductive tract atresia (barren woman),

True hermaphroditism

② Lack of secondary sexual characteristics:

Hypogonadotropic hypogonadism,

Hypergonadotropic hypogonadism

2. Secondary amenorrhea

①Hypothalamic amenorrhea (most common):

Mental factors (stress, anxiety, etc.),

Weight loss and anorexia nervosa,

Sports amenorrhea (long-term strenuous exercise, dance training, etc.),

Medically induced amenorrhea (birth control pills or certain medications)

Craniopharyngioma (the tumor compresses the hypothalamus and pituitary gland, causing amenorrhea, genital atrophy, obesity, and increased intracranial pressure)

②Pituitary amenorrhea:

Pituitary infarction (postpartum hemorrhage shock)

Pituitary tumors

Empty sella syndrome

③Ovarian amenorrhea:

Premature ovarian failure (before age 40, follicular exhaustion or nosocomial injury)

Functional ovarian tumor

Polycystic ovary syndrome (long-term anovulation and hyperandrogenism, manifested as amenorrhea, infertility, hirsutism, and obesity)

④Uterine amenorrhea:

Asherman syndrome (common in cases of excessive curettage during artificial abortion, postpartum injury to the endometrium, and uterine adhesions)

Surgery to remove the uterus

⑤Other endocrine glands (thyroid, adrenal glands, pancreas)