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What causes brown discharge ten days after menstruation, along with severe lower back pain, and what should be done about it?

Jun 01, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Ten days after menstruation, the appearance of brown discharge along with severe lower back pain may be related to ovulation bleeding, pelvic inflammatory disease, endometritis, or other causes. Patients can manage the condition through daily self-care, oral medications, and similar approaches. It could also be associated with cervical polyps, ovarian cysts, or uterine fibroids. If patients experience additional discomfort symptoms that affect their daily life, they should seek timely medical evaluation at a hospital.

Brown discharge appearing ten days after menstruation, along with severe lower back pain, may be related to ovulation bleeding, pelvic inflammatory disease, endometritis, or other causes. Patients can manage the condition through daily care, oral medications, and other treatments. A detailed analysis is as follows:

1. Ovulation Bleeding

After menstruation, estrogen levels in the body temporarily decrease, causing the endometrium to lose hormonal support, leading to partial shedding and necrosis. This may result in abnormal vaginal bleeding or brownish discharge. This is a normal physiological phenomenon that does not require specific treatment. Maintaining proper hygiene of the external genitalia and vagina during this period can help prevent infections.

2. Pelvic Inflammatory Disease (PID)

PID is typically caused by bacterial infection of pelvic tissues, leading to inflammatory changes. Clinical symptoms include lower abdominal pain, increased vaginal discharge, abnormal discharge color, and low back or backache. Patients should follow medical advice and take medications such as metronidazole tablets or cefixime capsules.

3. Endometritis

If bacteria overcome cervical defenses and invade the endometrium, inflammation may develop. Clinical manifestations include lower abdominal pain, increased vaginal discharge, and brown vaginal discharge. Patients may take antibiotics such as roxithromycin tablets or levofloxacin hydrochloride capsules under a doctor's guidance.

In addition to the common causes mentioned above, similar symptoms may also be associated with cervical polyps, ovarian cysts, or uterine fibroids. If patients experience additional discomfort or if symptoms significantly affect daily life, prompt medical evaluation at a hospital is recommended.


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