Abdominal pain with coffee-colored discharge may be related to pregnancy. In early pregnancy, biochemical pregnancy, preeclampsia or ectopic pregnancy, the symptoms of abdominal pain with coffee-colored discharge may occur, for women of childbearing age can do urine test paper test or blood HCG test to rule out the possibility of early pregnancy. Of course, this symptom may also be related to menstruation or pelvic inflammatory disease, some women in the first day of menstruation, there may be pain in the abdomen and a small amount of vaginal bleeding, coffee-colored, and usually the amount of blood will gradually increase, and the color changes to red. It may also be related to pelvic inflammatory disease when it occurs during non-menstrual periods. Persistent pain in the abdomen, aggravated by cold or exertion, should be checked by gynecological examination, and the uterus or adnexal area will show pressure pain. Pelvic inflammatory disease is a common gynecological disease, frequent disease, the disease is easy to recur, giving women a great deal of trouble. In short, the appearance of abdominal pain accompanied by coffee-colored discharge, should be actively examined in order to clarify the cause of symptomatic treatment.