[23F] With lymph node pain, irregular bleeding, and dark discharge

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Pelvic Inflammatory Disease (PID): PID is an infection of the female reproductive organs. It can cause irregular bleeding, unusual discharge, and lower abdominal pain. Lymph node pain can also occur if the infection spreads. Treatment typically involves antibiotics prescribed by a healthcare provider.

• Hormonal Imbalance: Irregular bleeding and changes in discharge can sometimes be due to hormonal imbalances, which can be influenced by birth control methods like the Depo shot. Hormonal imbalances can also cause pain and discomfort in the lower abdomen.

• Cervical or Endometrial Polyps: These are growths on the cervix or the lining of the uterus that can cause irregular bleeding and unusual discharge. They are usually benign but can cause discomfort and require medical evaluation.

• Sexually Transmitted Infections (STIs): Although you mentioned no history of STIs and no recent new sexual partners, some STIs can remain asymptomatic for a long time and then cause symptoms like irregular bleeding, unusual discharge, and lower abdominal pain. Testing is important to rule this out.

• Endometriosis: This condition involves the growth of endometrial tissue outside the uterus, which can cause irregular bleeding, pain during intercourse, and lower abdominal pain. Diagnosis often requires imaging studies and sometimes laparoscopy.

What you can do

1. Consult a Healthcare Provider: It is important to see a doctor for a formal assessment and diagnosis. They may perform a pelvic exam, order blood tests, or recommend imaging studies to determine the cause of your symptoms.

2. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.

3. Maintain Good Hygiene: Keep the genital area clean and dry. Avoid using scented products that can irritate the area.

4. Stay Hydrated and Eat a Balanced Diet: Proper hydration and nutrition can help support your overall health and potentially alleviate some symptoms.

5. Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it may be best to avoid sexual activity to prevent further irritation or potential spread of infection.

What you should look out for

Seek medical attention more urgently if you experience:

• Severe Abdominal Pain: If the pain becomes intense or unbearable.
• Fever or Chills: These could indicate an infection that requires prompt treatment.
• Heavy Bleeding: If you experience heavy bleeding that soaks through pads or tampons quickly.
• Foul-Smelling Discharge: This could be a sign of an infection that needs immediate attention.
• Difficulty Urinating or Pain During Urination: This could indicate a urinary tract infection or other issues that need to be addressed.

Remember, while I can provide information and suggestions, I am not a doctor. It is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.