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Change in color of vaginal discharge and possibility of pregnancy

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Color of regular vaginal discharge of my wife has changed to dark red/brown on 31 Dec 2013, earlier we had unprotected sex a day after her pds(15 dec) for about a week, but I never ejaculated inside her, on the last intercourse as a precaution she had ECP as she thought the spilled sperm could reach her vagina. She had pain in lower abdomen for some time so she went through an ultrasound on 29 dec and a kidney stone was detected, along with it the doc there spotted a black spot at the Uterus and suspected it as embryo of more than 35 days, but since we did nothing earlier so she was sure that the doc was wrong. Next day she gave urine sample for preg test but the result was negative and then the doc started saying this embryo is of 10-15 days which is shown in ultrasound and urine test is not accurate. She started taking med for stone and from 30 Dec onwards the colour of vaginal discharge changed, although the amount of discharge is normal and without odour.
What could be the possible reasons behind this change, she is afraid of getting pregnant and as she is in her hometown there are no med sup available. Considering the worst case, if she is preg, then what should be the next step in terms of medicines?


Category: OBGYN

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Category: Infertility Specialist
Dr. Aarti Vazirani is online now

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello
Thanks for your consult at DoctorSpring.com.

When an embryo is visualized in the ultrasound scan, the pregnancy test CANNOT be negative.

As she is having polycystic ovarian syndrome, she would be having endometrial hyperplasia.

There is basic hormonal imbalance, due to which the uterine lining is not shed off regularly, it builds up, and the spaces within the lining resemble cysts, and can be mistaken for an embryo.

Please get a blood pregnancy test done, that will be confirmatory. First we need to know if she is pregnant or not.

If she is pregnant, then early pregnancy upto 7 weeks can be safely terminated with medical abortion kit like MTP kit which should be taken under medical guidance.

All the best.
Please feel free to discuss further.


Patient replied :

Thanks doc for the reply . I have few more questions
1) What is the earliest an embryo can be detected by usg. We had intercourse between the period 15-22 dec. Usg was done on 29 dec. Doc said it was of around 1.5 to 1 months . But that is not possible as we did not do anything in that period. Also doc said it is in fluid form too small to ascertain if at all it is an embryo.

2)Her previous 2 periods were during 13-18 nov and 11-15dec. We had sex just after that between 15-22dec . I never ejaculated moreover she had ECP on 22dec. What are the likely chances of getting pregnant.

3)If the fluid detected in not an embryo what else it can be. She also had 3 negative urine tests done on 30dec though with the same urine sample done by a medical support staff.

4)Can this change in discharge color which started from 31dec be attributed to ECP . Also she is taking medicines for kidney stones like uroclear from 28dec.

Also she is having mild pain in abdomen and lower back starting from today 5jan. Are there any food items which can help in preponing a scheduled period date.


Expert:  Dr. Aarti Vazirani replied 3 Days.

Thanks for the follow-up.

1. If it is a transvaginal ultrasound, a gestational sac can be seen as early as 5 weeks, and embryo with heartbeat by 6 weeks of pregnancy. I doubt the accuracy and diagnosis of the scan you had. If you can upload the report to me, I will be more specific.
2. Odds of pregnancy are quite low, given the circumstances.
3. As i said, it could be endometrial hyperplasia or a small polyp which gets mistaken for an embryo. it could be just small fluid collection in the cavity.
4.Yes, spotting and orangish discharge is a common side effect of ECP.
5. Having taken hormonal pills and further with history of irregular cycles, it is better to avoid further medications.

Regards


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
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