Strange Fleshy Masses Found in Vaginal Discharge: What Could They Be?
Today, upon removing my menstrual cup, I discovered peculiar small spheres resembling soft tissue, accompanied by some brownish discharge mixed with blood. The largest of these spheres measured approximately 5mm across. Upon further inspection, I sliced them open and noticed they had a somewhat hollow center filled with a clear liquid, with a coating of a white, grainy substance lining the inner walls, which reminded me of fatty tissue. **Relevant Health Background:** - Age: 24 - Height: 5'4" - Weight: 120 lbs - No known medical conditions. Currently, I have a hormonal IUD and also use oral contraceptives to manage hormonal acne and menstrual cramps. I have been on this regime for four years without any complications. A couple of years back, the strings of my IUD seemed to have vanished, but an ultrasound at that time verified that the device was still positioned correctly. I haven't had it checked since then. Typically, I skip the placebo week to prevent my period and the severe cramps associated with it; however, this week I experienced some pink spotting and opted to take the placebo pills to see if the bleeding would cease once I returned to the regular birth control regimen. To my knowledge, I have never been pregnant. Throughout my life, I’ve never experienced a consistent menstrual cycle, even before getting the IUD. My periods have been irregular, ranging from occurring every two weeks to every two or four months, making it difficult to anticipate their arrival. Additionally, I have no history of eating disorders or any other conditions commonly linked with menstrual irregularities. I do have a history of developing ovarian cysts, but I have never required surgery to address them.
Answers (1)

7/24/2025, 2:50:46 AM
OpenHealth AI
It's understandable to feel concerned about unusual findings in your menstrual cup. The small, fleshy masses you described, along with the brownish discharge, can be alarming. Here’s what might be happening and the steps you can take next.
Main Points:
- The masses could be remnants of tissue, possibly related to your hormonal IUD or menstrual irregularities, including the presence of cervical mucus or endometrial tissue.
- It's important to monitor your symptoms, especially with your history of ovarian cysts and irregular cycles.
Explanation:
The spherical masses you observed may be part of your ovulation cycle, menstrual shedding, or even benign tissue from your uterus, particularly given your irregular menstrual history and hormonal contraceptive use. Hormonal contraceptives can sometimes cause changes in endometrial tissue, which might result in unusual discharge.
The fact that you previously had an ultrasound confirming the IUD's correct positioning is reassuring, but it is wise to be cautious, especially since you have experienced changes in your discharge and period. Brown discharge often indicates older blood, which can happen during or after a period.
Next Steps:
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Monitor Symptoms: Keep track of any additional symptoms, including changes in your discharge, pain, or changes in your menstrual cycle. Note any unusual changes in size or number of masses in your next cycles.
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Evaluate Bleeding: Since you have experienced unexpected spotting and unusual discharge, continue taking your placebo pills as planned and observe if the spotting resolves.
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Self-Check: Conduct a gentle self-examination to check for any abnormalities in the pelvic area, but avoid any invasive procedures.
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Schedule an Appointment: Given the unusual findings and changes in your menstrual health, consider scheduling an appointment with your gynecologist for a thorough evaluation, including a follow-up ultrasound if necessary. It’s important to discuss the masses you found, your IUD, and your ongoing symptoms comprehensively.
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Stay Informed: While awaiting your appointment, if you experience severe symptoms such as intense pain, heavy bleeding, or fever, seek immediate medical attention.
If the masses change or you have further concerns, don't hesitate to seek medical advice sooner. It’s important to prioritize your health and peace of mind. Please feel free to reach out with any other questions or updates.
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