OpenHealth Q&A

Get answered by medical professionals

Could It Be Low Estrogen or Vitamin D Deficiency?

3/19/2025, 5:20:24 AMMale25-34

I am a 23-year-old woman, and I have not been sexually active. I have been experiencing some troubling symptoms, including a yellowish discharge that has an unusual odor and cystic acne that seems to coincide with my menstrual cycle. Recently, I underwent a Pap smear, and the results indicated no signs of intraepithelial lesions or cancer. In addition to these issues, I sometimes notice that I sweat excessively in my armpits, even in air-conditioned environments. While I’m not entirely sure if it's connected, I also experience intermittent sharp pains throughout my body. I would greatly appreciate any guidance or insight regarding my situation.

Vaginal DischargePelvic PainPCOS

Answers (1)

Cony

3/19/2025, 5:20:46 AM

OpenHealth AI

It's understandable to be concerned about your symptoms, especially when they seem to be affecting your daily life. You’re experiencing yellowish discharge with an unusual odor, cystic acne that varies with your menstrual cycle, excessive sweating, and intermittent sharp pains. Here’s how we can break this down:

Main Points:

  1. Yellowish Discharge: This can indicate an infection or imbalance, especially if it's accompanied by odor.
  2. Cystic Acne: Often linked to hormonal fluctuations, possibly related to estrogen levels or conditions like PCOS.
  3. Excessive Sweating: Could be a separate issue or related to hormonal changes or anxiety.
  4. Sharp Pains: It's important to monitor how frequent they are and if they correlate with any specific activities or phases of your menstrual cycle.

Explanation:

  • Yellowish Discharge: Changes in vaginal discharge can sometimes occur due to infections such as bacterial vaginosis or yeast infections, especially if there's an odor. It's essential to consider if you have additional symptoms such as itching or irritation.
  • Cystic Acne: Hormonal fluctuations, particularly relating to estrogen, can lead to acne. Conditions like Polycystic Ovary Syndrome (PCOS) could also contribute, especially if you have additional symptoms like irregular periods or increased body hair.
  • Excessive Sweating: This could result from anxiety, hormonal imbalances, or even be a standalone condition known as hyperhidrosis.
  • Intermittent Sharp Pains: These could be muscular, related to everyday activities, or could suggest other underlying concerns.

Next Steps:

  1. Monitor Your Discharge: Keep a log of the color, consistency, and odor of your discharge, noting any additional symptoms (like itching or irritation) for a couple of weeks.
  2. Evaluate Your Acne: Track the timing of your cystic acne related to your menstrual cycle and any other triggers you notice (like stress or diet).
  3. Assess the Sweating: Identify if this occurs at specific times (e.g., with anxiety or certain activities) and consider lifestyle factors that might exacerbate this, such as caffeine or spicy foods.
  4. Pain Journal: Document when you experience sharp pains, their location, duration, and any potential triggers to determine patterns.
  5. Self-Care Practices: Consider lifestyle changes like a balanced diet rich in fruits and vegetables, adequate hydration, stress-management techniques (like yoga or meditation), and regular physical activity to help balance hormones and manage symptoms.
  6. Consult a Healthcare Professional: Based on your tracking, if symptoms persist or worsen, consider discussing them with a healthcare provider. They may suggest further tests for hormonal levels, screenings for other conditions, or tailored treatment options.

By taking these steps, you'll be in a better position to understand your symptoms and how best to manage them. Remember, tracking your symptoms can provide valuable insights for your healthcare provider, should you need to seek further guidance. If you have any concerns, please don’t hesitate to reach out for more support.

Related Questions

Could It Be a Burst Ovarian Cyst?

I'm a 32-year-old woman weighing 110 pounds and standing at 5 feet tall. I do not smoke, drink alcohol, nor use recreational drugs. Yesterday, between midnight and 4 a.m., I was hit with sudden, intense pain in my lower abdomen. The discomfort was so severe that it felt like I was being stabbed with knives whenever I moved. It was an agonizing experience, unlike anything I had previously encountered. I also felt lightheaded, experienced chills, and endured some painful vomiting. I was essentially immobilized, but thankfully, the pain began to ease a bit, allowing me to eventually visit urgent care. At the clinic, the doctor examined me and sent me home, suggesting that various conditions could be the cause of my distress, advising me to seek emergency care if a fever developed. Later that same night, I noticed brown, bloody discharge, which raised my concern about a possible ovarian cyst, especially since they run in my family. Currently, I am still suffering from pain that prevents me from standing up straight or walking normally. How long can I expect this to persist? Over-the-counter pain relief isn't working for me, which is incredibly frustrating. I'm seeking some guidance since I have had similar pain before, but nothing that lasted this long. Typically, doctors tend to brush it off. Could anyone offer some advice?

Pelvic PainPCOSWomen's Health
Male25-34
2 hours ago

Exploring Bilateral Ovarian Fibromatosis: Seeking Guidance for a Rare Condition

I’m a 28-year-old female, standing at 5’4” (162 cm) and weighing 222 lbs (101 kg). Currently, I'm on escitalopram and Ritalin for managing depression and ADHD. **Background Story:** My menstrual journey began early, at age eight, and has been characterized as typically heavy. In November 2024, I experienced my first missed period with no chance of pregnancy since I wasn't in a relationship—initially, I felt relieved to have a break from menstruation. By December 2024, I traveled to Germany to visit an ex. Interestingly, after we were intimate, my period resumed. However, the bleeding continued excessively for several weeks, escalating to 5, 10, and then even 15 days. When I sought help at an emergency clinic in Germany, the doctor informed me that I had "a lot more to shed". I was advised to return to Ireland for further assessment if the bleeding persisted after ten days. They identified a small cyst, about 2 cm, on my right ovary, deemed too minor for any immediate intervention. Returning to Ireland in late January 2025, I went to the Accident and Emergency (A&E) department due to ongoing bleeding. They prescribed tranexamic and mefenamic acid and sent me home. Throughout 2025, my menstrual cycles became increasingly erratic, with intervals stretching between 50 to 70 days, followed by prolonged bleeding lasting around 20 days. A particularly concerning episode occurred from October to December 2025 when I bled continuously for 50 days. Between September and November 2025, I had three separate visits to emergency departments. One of these trips was to a maternity hospital, hoping for better care. Another incident involved an ambulance due to sudden, severe pain that required stretcher transport. Although I was later told it was back pain, I disagreed; I am familiar with sciatica and this felt distinctly different. I suspect it may have been ovarian torsion, briefly twisting before returning to its original state. Each visit concluded with prescriptions for more tranexamic acid and pain relief medication. In October 2025, I underwent transvaginal and abdominal ultrasounds, which detected a significant cyst (possibly the same one) on my right ovary and a small mural nodule. This led to an MRI exam. The pelvic MRI performed in November 2025 confirmed the cyst was simple yet measured approximately 7 cm x 6 cm x 6 cm. Alarmingly, the report also noted that both ovaries exhibited an “unusual appearance.” It mentioned a “T2 signal rim” and described it as a “Black Garland sign,” indicative of bilateral ovarian fibromatosis. I had an appointment with a gynecologist just two days ago, and while they recommended further scans, I was troubled to learn that they had no prior knowledge of ovarian fibromatosis. In my quest for answers post-MRI report, I conducted my own research (not out of distrust, but rather from a sense of deficiency in the information provided), and I discovered that ovarian fibromatosis, albeit benign, is extremely uncommon. Reports suggest there have been roughly 30 cases documented in the last three decades, with most being unilateral. My case is bilateral, making it even rarer. Now, I am left pondering whether I should seek treatment abroad for this condition. Are there any specialists in my area familiar with ovarian fibromatosis? The specialist indicated that the gynecological team at my hospital would convene to discuss my case to see if any team member has relevant experience, which adds to my apprehension. I appreciate any insights or advice that could help guide my next steps!

PCOSEndometriosisGynecology
Male25-34
2 days ago

Concerns About Birth Control and Spotting

At the age of 40 and weighing 120 pounds, I've been using the same form of birth control for seven years. Recently, I've noticed unusual spotting that begins about ten days prior to my period, occurring consistently during each cycle. While I still experience a slight menstrual flow when my period is due, the spotting has become a recurring issue. I underwent a routine pap smear and had both a pelvic ultrasound and a transvaginal ultrasound, which revealed a thin endometrial lining measuring 3.2 mm. Consequently, my gynecologist changed my birth control to a different type of progestin and instructed me to return in two months. In the first month after the switch, I didn’t experience any spotting - a welcome change. However, I did notice some spotting occurring after intercourse, which is something I haven’t encountered before. Currently, I’m midway through my second pack of birth control and have had slight spotting again, particularly with sexual activity. My doctor mentioned that if the spotting persists, she would recommend a biopsy of the lining, even though she assessed that it was unlikely to indicate a serious issue. I’m left wondering if my body is still adapting to the new hormones or if this situation warrants an earlier visit to the doctor instead of waiting for my scheduled follow-up at the end of February. Any thoughts or insights on this matter would be greatly valued.

Pelvic PainEndometriosisGynecology
Male25-34
2 days ago

Foot Issues After Trip to the Philippines

I am a 33-year-old male, standing at 6 feet 5 inches and weighing 190 pounds. I currently reside in the United States, but the incident I'm referring to occurred during my visit to the Philippines. While enjoying some family time in Zambales, I opted for a beach getaway, steering clear of the bustling life in Manila. Throughout my time at the beach, I spent a lot of time barefoot, and eventually, I noticed a troubling sensation in my feet: pain and itching. Oddly enough, I was the only one affected, which struck me as peculiar. Our activities included beach walks and swimming in both the ocean and the pool. Perhaps unrelated, but I later developed symptoms of illness, such as a sore throat, fever, and nausea. Fortunately, I had acquaintances in the area who connected me with a doctor; they arranged for prescriptions for antibiotics and throat medication, but they were unaware of my foot issues at the time. Upon my return to Manila, I observed that my feet began to improve. The red spots I had noticed transformed into small holes, then proceeded to peel before healing quickly. I am still left puzzled and haven't been able to find conclusive information online regarding what might have caused my symptoms. Additionally, I was born with club feet, leading to surgical interventions where doctors broke and reshaped some bones in my feet, resulting in my unusually high arches and unique foot structure. With this context in mind, I am genuinely interested in understanding what could have triggered my foot discomfort.

PCOSGynecologyWomen's Health
Male25-34
5 days ago

Concerns Regarding Elevated DHEA-S Levels

As a 17-year-old female dealing with significantly irregular and heavy menstrual cycles, I've been quite concerned about my health. A few months back, my physician conducted several blood tests, revealing normal results for most parameters, but my DHEA-S levels were surprisingly high at 664 µg/dL. Although I am aware that younger individuals typically exhibit elevated levels of DHEA-S, this reading seems excessively high to me. During my follow-up appointment, my doctor mentioned that results from DHEA-S tests can often be misleading and shouldn't be used for definitive diagnoses. Given my ongoing struggles with severe menstrual issues, I am contemplating seeking a second opinion to ensure that there aren't any underlying conditions associated with my DHEA-S results. If anyone has insights into possible conditions related to elevated DHEA-S levels that I could discuss during my next consultation, I would greatly appreciate your input!

MenstruationPCOSGynecology
Male25-34
6 days ago