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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Vaginal Discharge

I am 48 years old experiencing heavy watery vaginal discharge with cramping two days out of the month. Some spotting as well.
Poster
  • Female | 48 years old
  • Complaint duration: 81 days
  • Medications: Synthroid
  • Conditions: Thyroidectomy 20 years ago (hypo) - prior uterine polyps

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You need to see a gynecologist for colposcopy and Pap smear. The doctor will evaluate whether you have cervical ectropion (eversion) or cervical erosion, plus for a possibility of bacterial infections.

History of your parity (number of births and abortions lifetime) would help decide whether your watery discharge and cramping are from the hormonal or anatomical reasons.

Synthroid is an HRT for the deficient T3, T4, but it certainly does not regulate the acidic cells' function in the anterior pituitary gland (prolactin- TTH collateral). Although you are 48, the type of your discharge does not indicate on climacteric bleeding either.

I remain determined, that your condition has anatomical reasons: either erosion or ectropion of cervix, or residual polyps in endocervix or endometrium.

You need a colposcopy ASAP and local applications of antibacterial, anti-inflammatory therapy. Please make sure you see a doctor during the first phase of your menstrual cycle (proliferative, rather then secretive phase) for more accurate examination.

Based on the Pap smear results the doctor will advice whether or not, you need to visit again after the antibacterial therapy, for surgical treatment: LOOP excision, cryo of external cervix, or removal of the remaining polyps.

If no anatomical reasons are found, then you will need supplementary therapy with trace elements (Cu, Ca -in the first phase of the M cycle, and Zn, Fe, Mo in the second phase), plus an adjusted HRT.

Good luck and please anonymously post the results of your exam.
Hormones begin to change in a woman's late 30's, but most feel their effect in their 40's. This can include changes to vaginal discharge, headaches, changes in libido, sleeplessness, memory loss and hot flashes. A good GYN will evaluate your thyroid (TSH, T3, T4), your hormones (FSH/LH, estradiol, progesterone), and will perform a pelvic exam. With a history of polyps, an ultrasound should be recommended. Newer research is showing that earlier treatment with hormone replacement therapy (HRT) provides better quality of life with lower risks.
A simple exam will explain

the cause of this, so it can

be resolved.
This may be caused by a physical or hormonal change. Physical could include fibroids, polyps, cysts, inflammation or malignancy. Hormonal could be pre-menopause. With a history of polyps, this needs to be checked. An exam, ultrasound and labs will give the answer.