Why do adolescent girls always have brown stuff after their menstruation?

The continued occurrence of brown discharge in adolescent women after menstruation may be caused by insufficient luteal function, incomplete endometrial shedding, endocrine disorders, endometritis or endometrial polyps, etc. Interventions can be made by adjusting work and rest, medication, and traditional Chinese medicine conditioning.

1. Insufficient luteal body function

Insufficient secretion of progesterone by the corpus luteum in the second half of the menstrual cycle will lead to irregular shedding of the endometrium, which is manifested as a small amount of brown discharge after menstruation. It is recommended to maintain a regular schedule and avoid staying up late. You can use progesterone capsules or dydrogesterone tablets to supplement progesterone as directed by your doctor, and monitor changes in basal body temperature at the same time.

2. Incomplete endometrial shedding

When the endometrium is not completely peeled off during menstruation, the remaining tissue oxidizes and forms brown secretions. It may be related to abnormal coagulation function or imbalance of prostaglandin secretion, which is often accompanied by symptoms of prolonged menstruation. You can try applying heat to the lower abdomen to promote blood circulation. If necessary, your doctor may prescribe tranexamic acid tablets or ibuprofen sustained-release capsules.

3. Endocrine disorders

Imperfect development of the hypothalamic-pituitary-ovarian axis during adolescence can easily lead to hormone fluctuations, resulting in postmenstrual spotting. Chronic stress or excessive dieting can worsen the disorder. It is necessary to establish healthy eating habits and ensure high-quality protein intake. The doctor may recommend short-acting contraceptives such as drospirenone and ethinylestradiol tablets to regulate the cycle.

4. Endometritis

Endometrial inflammation caused by ascending infection of pathogens can lead to abnormal bleeding, and brown discharge may be accompanied by lower abdominal pain or odor. Diagnosis requires gynecological examination and secretion testing. Levofloxacin tablets combined with metronidazole vaginal effervescent tablets are commonly used for treatment. Bed rest is required in the acute phase.

5. Endometrial polyps

Endometrial vegetations that grow under estrogen stimulation can easily cause intermenstrual bleeding, and ultrasound examination can confirm the diagnosis. Polyps smaller than 1 cm in diameter may fall off with menstruation. Larger polyps require hysteroscopic resection. After surgery, Yasmin can be taken to regulate hormone levels to prevent recurrence.

When adolescent women experience brown discharge after menstruation, they should record the bleeding time and accompanying symptoms, avoid strenuous exercise and cold and raw food, clean the perineum every day and change sanitary napkins frequently. If the menstrual cycle does not improve for 3 consecutive menstrual cycles or is accompanied by severe abdominal pain, fever and other symptoms, it is necessary to promptly go to the gynecologist for six hormone tests, ultrasound and other examinations. After excluding organic diseases, anxiety can be relieved by establishing a menstrual diary, psychological counseling and other methods.