Why is there no bleeding during menstruation, only brownish discharge? What should I do?

Generally, "yima" refers to menstruation. If there is no bleeding during menstruation and only brown discharge is present, it may be related to factors such as menarche, late menstrual phase, endocrine disorders, endometritis, or threatened abortion. This condition can be relieved through general treatment, medication, and other approaches. If discomfort occurs, prompt medical consultation is recommended. A detailed explanation is as follows:

1. Menarche

During the initial phase of menstruation, ovarian function is not yet mature and hormone levels are low, which may cause the menstrual blood to appear brown and reduce the menstrual flow. This is a physiological phenomenon and will resolve spontaneously once ovarian function matures completely and hormone levels return to normal, without requiring special treatment.

2. Late Menstrual Phase

In the late phase of menstruation, residual endometrium may remain in the uterine cavity for an extended period, becoming oxidized and turning brown. If there are no other accompanying symptoms and the condition lasts only briefly, observation without specific treatment may be appropriate.

3. Endocrine Disorders

Endocrine disorders may be associated with factors such as excessive fatigue and staying up late. If not properly managed, they may affect the normal discharge of menstrual blood, leading to menstrual irregularities and brown vaginal discharge. Symptoms may include reduced menstrual flow and dysmenorrhea. It is recommended to follow medical advice and promptly use medications such as Nylestriol tablets, Estradiol Valerate tablets, or Motherwort Granules for treatment.

4. Endometritis

Endometritis is typically associated with infection. Repeated inflammatory stimulation of the endometrium causes an inflammatory response that damages the endometrium and may hinder the normal discharge of menstrual blood, resulting in brown-colored menstruation. Symptoms may include fever and increased vaginal discharge. It is recommended to follow medical instructions and promptly use medications such as Amoxicillin capsules, Metronidazole tablets, or Roxithromycin dispersible tablets for treatment.

5. Threatened Abortion

Threatened abortion may be related to maternal and embryonic factors, such as exposure to harmful environments or chromosomal abnormalities. In the early stages of threatened abortion, the embryo may begin to separate from the uterine lining, causing the aforementioned symptoms. Symptoms may include abdominal pain and disappearance of pregnancy-related symptoms. Prompt treatment under medical guidance using medications such asProgesterone Injection, Dydrogesterone tablets, or Vitamin E soft capsules is recommended.

It should be noted that if menstruation remains irregular for a prolonged period and the menstrual flow and color remain abnormal, additional tests should be conducted promptly to identify the underlying cause and provide targeted treatment accordingly.