HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Severe Cramps And White Tissue Discharge During Periods?

default
Posted on Mon, 4 Aug 2014
Question: At the start of my last period I had severe cramps, it felt like my insides were being torn apart (the pain was 9 out of 10). About ten hours later I passed a think, tough piece of white tissue about the size of a playing card. I have never had sex and wasn't on birth control. What was the tissue and is it something to worry about?
doctor
Answered by Dr. Binu Parameswaran Pillai (26 minutes later)
Brief Answer:
Hello

Detailed Answer:
Hello,
Good day,
Noted your case history.
I would like to know about your menstural history? Is it regular?
Have you ever had poly cystic ovary syndrome? Any history of fungal infection ?
Do you use tampons ?
Do you get similar cramps during all periods?
Did you ever have a scan of uterus and what was the endometria thickness in that ?
Any history of vaginal discharge ?

These details are important to assess further.

The white tissue could be a piece of endometrium ( lining of uterus which builds up before periods). It could be due to infection especially fungal infection. If you use tampons, it could be part of tampons as well.

I would appreciate a reply with answers to above questions.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Binu Parameswaran Pillai (12 minutes later)
My periods have been irregular, I skipped a few periods then have spotting for a few weeks with clots. I have had ovarian cysts before but never any kind of infection and haven't used tampons for several years.
doctor
Answered by Dr. Binu Parameswaran Pillai (4 minutes later)
Brief Answer:
Hi

Detailed Answer:
okay, if your periods have been irregular, there is a chance of endometrial buid up cusing endometrial hyperplasia. When you have periods, this can shed and will look like peices of tissue. In your case, this could be the most likely cause. You need a pelvic ultrasound and possibly an endocmtrial biopsy ( if there is endometrila hyperplasia).
Please meet your GP and arrange for a pelvic ultraosund. It is also important to do a clinical examination.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Binu Parameswaran Pillai (1 hour later)
Why would I need an endometrial biopsy? I hear it's a painful procedure.
doctor
Answered by Dr. Binu Parameswaran Pillai (6 hours later)
Brief Answer:
Hi

Detailed Answer:
Hi,
You will need a pelvic examination ad pelvic ultrasound. If the pelvic ultrasound shows endometrial hyperplasia ( increased endometrial thickness), then you would need a endometrial biopsy to rule out endometrial cancer or precancerous changes. Please do not worry. Your gynecologist will decide on the necessity of same after examination and ultrasound.

Endometrial biospy may be done under light anesthesia. The pain is generally mild, but it is subjective.( some people feel less but soome other people will feel more).

Regards XXXXXXX
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Severe Cramps And White Tissue Discharge During Periods?

Brief Answer: Hello Detailed Answer: Hello, Good day, Noted your case history. I would like to know about your menstural history? Is it regular? Have you ever had poly cystic ovary syndrome? Any history of fungal infection ? Do you use tampons ? Do you get similar cramps during all periods? Did you ever have a scan of uterus and what was the endometria thickness in that ? Any history of vaginal discharge ? These details are important to assess further. The white tissue could be a piece of endometrium ( lining of uterus which builds up before periods). It could be due to infection especially fungal infection. If you use tampons, it could be part of tampons as well. I would appreciate a reply with answers to above questions. Regards Binu