Does a little brown color count as menstruation? Backache?

A little brown discharge accompanied by backache may be a sign of premenstruation or abnormal bleeding. It needs to be judged based on the amount of bleeding, duration and other symptoms. Common causes include endocrine disorders, ovulation bleeding, endometritis, cervical lesions, luteal insufficiency, etc.

1. Endocrine disorders

Long-term stress or disordered work and rest may cause hormone levels to fluctuate and cause brown discharge. Usually there is no special treatment, just keep a regular schedule. If it lasts for more than 3 menstrual cycles, it is recommended to check six sex hormones.

2. Bleeding during ovulation

Breakthrough bleeding caused by a brief drop in estrogen in the middle of menstruation is small in amount and brown in color, lasts for 2-3 days, and may be accompanied by mild abdominal pain. It is a physiological phenomenon and does not require treatment.

3. Endometritis

Inflammatory reactions caused by endometrial infection are common, including endless brown secretions, obvious backache, and may be accompanied by lower abdominal pain. A gynecological examination is required to confirm the diagnosis, and antibiotics such as levofloxacin tablets and metronidazole tablets can be used as directed by the doctor.

4. Cervical lesions

Cervical columnar epithelial ectopia or cervical polyps may cause contact bleeding and brown discharge. Malignant lesions need to be excluded through TCT and HPV screening, and laser or cryotherapy is performed if necessary.

5. Insufficient luteal function

Insufficient secretion of progesterone leads to a small amount of premenstrual bleeding, and basal body temperature monitoring shows that the high temperature phase is shortened. After diagnosis, progesterone capsules or dydrogesterone tablets need to be supplemented, and the course of treatment is 3-6 menstrual cycles.

It is recommended to record the start and end time of bleeding and accompanying symptoms, avoid strenuous exercise, and keep the perineum clean. Daily hot compresses can be applied to the waist to relieve pain, and the intake of iron-containing foods such as animal liver and spinach can be increased. If brown discharge lasts for more than 7 days or occurs repeatedly, gynecological ultrasound and hormone level testing should be performed promptly to rule out organic lesions. Keep warm during menstruation and avoid cold or raw foods that may stimulate pelvic congestion and aggravate backache symptoms.