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Brown, odorless, painless, and itchy leucorrhea may be related to factors such as ovulatory bleeding, endometrial polyps, cervicitis, endocrine disorders, or the placement of an intrauterine device. It can be improved by adjusting lifestyle, drug treatment, or surgical intervention. It is recommended to seek medical treatment to identify the cause and then treat it accordingly.

1. Bleeding during ovulation

A brief drop in estrogen levels during ovulation may cause the lining of the uterus to shed a small amount, manifesting as brown discharge. It usually lasts for 2-3 days and can be observed if there is no special discomfort. Just keep the vulva clean. If it happens frequently, you can use progesterone capsules as directed by your doctor to regulate the cycle.

2. Endometrial polyps

Rupture of capillaries on the surface of polyps may cause brown discharge, which is often accompanied by increased menstrual flow. The diagnosis can be confirmed by ultrasound examination. Smaller polyps can be adjusted by taking drospirenone and ethinylestradiol tablets. Larger polyps require hysteroscopic polyp resection.

3. Chronic cervicitis

Brown discharge may occur when cervical columnar epithelial ectopia is combined with infection. TCT and HPV screening are required to exclude lesions. After diagnosis, Baofukang suppository or recombinant human interferon α2b vaginal effervescent tablets can be used for local treatment, combined with laser physical therapy to improve the cervical environment.

4. Endocrine disorders

Polycystic ovary syndrome or thyroid dysfunction may cause bleeding between periods. Six items of sex hormones and thyroid function need to be tested. After diagnosis, ethinyl estradiol and cyproterone tablets can be taken to regulate menstruation and combined with lifestyle intervention to control weight.

5. IUD stimulation

The IUD may rub against the uterine lining and cause spotting. It is recommended to use ultrasound to confirm the position of the IUD. If abnormal, it needs to be removed or replaced. You can take tranexamic acid tablets for a short period of time to reduce bleeding. If discomfort persists, you need to consider changing contraceptive methods.

Pay attention to avoid excessive vaginal cleaning on a daily basis, choose cotton breathable underwear and change it daily. Maintain a regular schedule, reduce the intake of spicy foods, and supplement vitamin E and B vitamins appropriately. If the brown discharge lasts for more than 1 week and is accompanied by abdominal pain or abnormal bleeding, you need to see a gynecologist promptly to complete colposcopy, hormone level and other tests. Avoid using lotions or medications to rinse the vagina yourself, as this may disrupt the balance of the flora and aggravate symptoms.