[26F] With unusual vaginal discharge and possible early pregnancy symptoms

Patient Description

A 26-year-old female experienced a large amount of clear/white sticky vaginal discharge with a glue-like consistency, without odor, itch, or burn. This occurred once, approximately two weeks ago. The patient is on NuvaRing birth control and is due to remove it at the end of the week. She reports no recent changes in her birth control routine and no new sexual partners, though protection was not used. She has experienced mood swings, emotional sensitivity, extreme heartburn, nausea, bloating, cramping, constipation, and headaches for the past two weeks. The patient has a history of celiac disease, which can exacerbate nausea if accidentally exposed to gluten. She has had two previous pregnancies, one carried to full term. Initial pregnancy tests showed mixed results, with a faint line on one test and a negative result on a digital test. The patient is concerned about the possibility of early pregnancy.

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Arora's Assessment

What might be happening

Based on your symptoms and the information provided, here are some possibilities:

  1. Pregnancy: The mixed results from your pregnancy tests could indicate an early pregnancy. Home tests can sometimes give false negatives, especially if taken too early or with diluted urine. A blood test from a healthcare provider can offer more accurate results.

  2. Ovulation: The sticky, clear/white discharge could be related to ovulation, which is common and normal. It often occurs mid-cycle and can be more noticeable in some cycles.

  3. Hormonal Changes: Your symptoms, including mood swings, nausea, and bloating, could be related to hormonal fluctuations, possibly influenced by your birth control.

  4. Celiac Disease: Accidental gluten exposure can cause symptoms like nausea, bloating, and cramping. Ensure you're avoiding gluten strictly.

What you can do

  1. Retest for Pregnancy: Consider retesting in a few days with the first morning urine for more accurate results. A blood test can provide confirmation.

  2. Monitor Symptoms: Keep track of your symptoms and any potential triggers using a journal or an app like MDandMe. This can help identify patterns or triggers.

  3. Dietary Vigilance: Be extra cautious with your diet to avoid gluten exposure, which can exacerbate symptoms if you have celiac disease.

  4. Stay Hydrated: Drink plenty of water, especially if you're experiencing nausea or bloating.

What you should look out for

  • Seek Medical Advice: If your symptoms persist or worsen, or if you have concerns about a potential pregnancy, consult a healthcare provider.
  • Severe Symptoms: If you experience severe abdominal pain, heavy bleeding, or other concerning symptoms, seek medical attention promptly.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized advice.

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1 mo ago


People Also Ask


Can birth control like NuvaRing affect the results of a pregnancy test?

Birth control methods like NuvaRing do not affect the results of a pregnancy test. Pregnancy tests measure the hormone hCG, which is not influenced by hormonal birth control.


What are the common symptoms of early pregnancy?

Common symptoms of early pregnancy include missed periods, nausea, vomiting, breast tenderness, fatigue, and increased urination. However, symptoms can vary widely among individuals.


How can I differentiate between symptoms of gluten exposure and early pregnancy?

Symptoms of gluten exposure in someone with celiac disease often include gastrointestinal issues like nausea, bloating, and cramping, which can overlap with early pregnancy symptoms. Keeping a detailed symptom diary and considering recent dietary intake can help differentiate the two.


What should I do if I suspect I am pregnant but have mixed results on home pregnancy tests?

If you suspect you are pregnant but have mixed results on home pregnancy tests, it is advisable to retest in a few days using the first morning urine for more accurate results. Alternatively, a blood test from a healthcare provider can provide a more definitive answer.

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