Can Discharge Indicate Pregnancy? Emergency Contraception and Menstrual Changes

Q: Can Discharge Indicate Pregnancy? Emergency Contraception and Menstrual Changes

Hello, A-Dai： I find your description a bit unclear, but since your menstruation is delayed, I suggest you take a pregnancy test first. <br>If the test is negative, then you may consider options to induce menstruation.

Can discharge lead to pregnancy? Emergency contraception and menstruation?

My girlfriend had her period on December 3rd due to emergency contraception, and now her expected menstrual period is approaching.
She has been experiencing premenstrual symptoms, and for the past two days, her discharge has been a normal brown color with some blood.
However, she has noticed that her vaginal secretions have developed a fishy odor.
Since yesterday, the discharge has turned yellow.
She mentioned that when the brown discharge appears, her period is usually imminent, but it has not started yet.
Additionally, on December 10th, there was some foreplay, and she used emergency contraception.

A-Dai, 10~19 year old female. Ask Date: 2016/12/23

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello, A-Dai: I find your description a bit unclear, but since your menstruation is delayed, I suggest you take a pregnancy test first.
If the test is negative, then you may consider options to induce menstruation.

Reply Date: 2016/12/23

More Info

When it comes to understanding the relationship between discharge, pregnancy, and menstrual changes, it's essential to consider several factors, including the timing of ovulation, the menstrual cycle, and the effects of emergency contraception.

Firstly, the discharge your girlfriend is experiencing can be influenced by various factors, including hormonal changes, infections, or the use of medications like emergency contraception. The brown discharge she noticed a couple of days before her expected period is often referred to as "spotting." This can occur for several reasons, including the shedding of the uterine lining, which is a normal part of the menstrual cycle. It can also be a sign of implantation bleeding if pregnancy has occurred, although this typically happens around a week after conception.

The presence of yellow discharge, especially if it has a foul odor, may indicate a possible infection, such as bacterial vaginosis or a sexually transmitted infection (STI). It's crucial to monitor this symptom, as infections can lead to complications if left untreated.

Regarding the use of emergency contraception (EC), such as Plan B or similar medications, it is designed to prevent pregnancy after unprotected intercourse. EC can cause changes in the menstrual cycle, including delayed periods, irregular bleeding, or changes in discharge. It is not uncommon for women to experience changes in their menstrual cycle after taking EC, which can include a delay in the onset of their next period. The hormonal fluctuations caused by the emergency contraceptive can lead to symptoms similar to those experienced before a period, such as breast tenderness, mood swings, and changes in discharge.

In your girlfriend's case, since she took emergency contraception on December 10th after engaging in sexual activity, it is possible that the hormonal changes from the medication are affecting her cycle. If her period is delayed beyond a week from the expected date, it would be advisable for her to take a pregnancy test to rule out pregnancy. If the test is negative and her period does not arrive, she should consult a healthcare provider for further evaluation.

In summary, while discharge can indicate various conditions, including potential pregnancy, it is essential to consider the context of the menstrual cycle, recent sexual activity, and any medications taken. If there are concerns about unusual discharge, especially if accompanied by a foul odor or other symptoms, seeking medical advice is crucial for proper diagnosis and treatment.

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