[19F] With white discharge and tissue-like material

Patient Description

A 19-year-old female presents with a white discharge containing tissue-like material for the past couple of days. The discharge is minimal and has no unusual odor. The patient denies recent sexual activity, with the last occurrence being over three months ago. This is the first instance of such a discharge, although she had a yeast infection in February. There are no accompanying symptoms such as itching, burning, or unusual smell. The patient's last menstrual period was on November 1st, and her period is currently late. She has not taken a pregnancy test. There has been no recent antibiotic use, hormonal changes, or travel. The patient has no pre-existing conditions, chronic illnesses, or known allergies. She is currently using an unspecified acne medication and a weight loss supplement called Dr. Bo 15 Day Colon Detox.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Normal Vaginal Discharge: It's common to have some discharge that can vary in consistency and color throughout your menstrual cycle. The tissue-like material could be normal shedding of the uterine lining, especially if your period is late.

  • Hormonal Changes: Stress, diet changes, or supplements like the colon detox can affect your menstrual cycle and discharge.

  • Yeast Infection: Although you don't have itching or burning, a yeast infection can sometimes present with a white, clumpy discharge.

  • Pregnancy: A missed period and changes in discharge can be early signs of pregnancy, even if you haven't been sexually active recently.

What you can do

  • Monitor Symptoms: Keep track of any changes in your discharge or if other symptoms develop.

  • Home Pregnancy Test: Consider taking a test to rule out pregnancy since your period is late.

  • Hydration and Diet: Ensure you're staying hydrated and maintaining a balanced diet, especially while using detox supplements.

  • Symptom Journal: Use MDandMe to journal your symptoms and track any changes. This can help provide insights and be useful for your healthcare provider.

What you should look out for

  • Seek Medical Advice: If the discharge persists, changes, or if you develop other symptoms like itching, burning, or a strong odor, consult a healthcare professional.

  • Missed Periods: If your period doesn't start soon, or if you have concerns about pregnancy, consider reaching out to a healthcare provider.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment.

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1 mo ago

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People Also Ask


What could cause a white discharge with tissue-like material?

A white discharge with tissue-like material could be due to normal shedding of the uterine lining, especially if your period is late. It can also be influenced by hormonal changes or supplements.


Can stress or diet changes affect my menstrual cycle and discharge?

Yes, stress and changes in diet can affect your hormonal balance, which in turn can impact your menstrual cycle and the nature of your vaginal discharge.


Is it possible to have a yeast infection without itching or burning?

Yes, it is possible to have a yeast infection without the typical symptoms of itching or burning. Sometimes, a yeast infection can present with a white, clumpy discharge alone.


Should I take a pregnancy test if my period is late and I have a white discharge?

If your period is late and you are experiencing changes in discharge, it is advisable to take a home pregnancy test to rule out pregnancy, even if you haven't been sexually active recently.


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