Common Gynecological Concerns: Your Questions Answered

Genital issues

Hello, doctor.
I have a few questions I would like to ask:
1.
During my first gynecological examination, the doctor advised me to use panty liners daily because I have increased vaginal discharge.
He mentioned that having more discharge is a good sign, indicating good fertility.
Is this correct? After the examination, I felt a slight itch in my intimate area, but it wasn't very bothersome.
2.
I would like to know if the hymen is naturally broken.
I have seen some individuals who have never engaged in sexual intercourse using tampons, claiming that the hymen is already broken; otherwise, menstrual blood wouldn't flow out.
I find this confusing because if that’s the case, then girls without sexual experience wouldn't be considered virgins.
Can virgins still undergo gynecological examinations without worrying about the hymen breaking? The more I think about it, the more unclear it becomes.
3.
When I masturbate, I sometimes experience a liquid that resembles urine, as it comes from the urethra.
Is this normal? I thought that if I urinated beforehand, it wouldn't happen, but it still does.
Am I experiencing a medical issue? I’m not referring to vaginal lubrication (which is thick), but rather a thin, watery substance that resembles urine, sometimes light yellow and sometimes colorless.
4.
If a woman has never had sexual experience in her life, does she still need to undergo Pap smears? I am very afraid of premarital sexual activity, but currently, the men I meet expect it, so I think I might have to remain single.

Ying Duo, 20~29 year old female. Ask Date: 2017/02/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
"Using panty liners every day and having increased discharge is good, indicating good fertility" is incorrect.

2.
Is the hymen naturally broken? I've seen some individuals who have not engaged in sexual intercourse use tampons, and they say the hymen is already broken; otherwise, menstrual blood wouldn't flow out.
However, I find it strange that girls without sexual experience wouldn't be considered virgins.
So, can virgins still undergo internal examinations without worrying about the hymen breaking? The more I think about it, the more confused I become.
The hymen is a membranous structure that partially covers the vaginal opening, typically about 1-2 mm thick, with an opening that allows menstrual blood to exit.
Many people misunderstand the hymen, thinking it is a completely intact membrane like a window screen that gets torn during first intercourse, causing pain and bleeding.
In reality, a normal hymen already has an opening.
3.
When I masturbate, towards the end, I experience a fluid that resembles urine coming from the urethra.
Is this normal? I thought if I urinated beforehand, it wouldn't happen, but it still does.
Am I sick? This is normal and is due to the secretion from Skene's glands.
4.
If a woman has never had sexual experience, she does not need to undergo a Pap smear.
5.
I am very afraid of premarital sexual intercourse, but my current boyfriend insists on it, so I think I might have to stay single.
Engaging in sexual intercourse is generally considered healthier than masturbation.

Reply Date: 2017/02/20

More Info

Dear Patient,
Thank you for your thoughtful questions regarding gynecological health. Let's address each of your concerns one by one.

1. Vaginal Discharge and Fertility: It is indeed common for women to experience varying amounts of vaginal discharge throughout their menstrual cycle. Increased discharge can be a sign of ovulation, which is a natural and healthy part of the reproductive cycle. It indicates that your body is functioning normally and that you are capable of conceiving. The recommendation to use panty liners is often made to maintain comfort and hygiene, especially if the discharge is more than usual. A slight itchiness can sometimes occur due to various factors, including hormonal changes or irritation from products like soaps or detergents. If the itchiness persists or worsens, it would be wise to consult your healthcare provider.

2. Hymen and Its Integrity: The hymen is a thin membrane that partially covers the vaginal opening. It is a common misconception that the hymen must be intact for a woman to be considered a virgin. Many factors can affect the hymen, including physical activity, tampon use, or medical examinations, which can lead to its stretching or tearing without any sexual intercourse. Therefore, it is entirely possible for someone who has never engaged in sexual activity to have a hymen that is not intact. Internal examinations, such as pelvic exams, can be performed without concern for the hymen's status.

3. Fluid During Masturbation: The fluid you are describing that resembles urine may be a result of female ejaculation, which is a normal physiological response for some women during sexual arousal or orgasm. This fluid can vary in consistency and color, and it is not uncommon for it to be clear or slightly yellow. If you have concerns about the nature of this fluid or if you experience discomfort, it may be beneficial to speak with a healthcare professional to rule out any underlying issues.

4. Pap Smear Recommendations: The Pap smear is a screening test for cervical cancer and is recommended for women starting at age 21, regardless of sexual history. It is important for all women to have regular gynecological exams, as these can help detect potential health issues early on. If you are concerned about sexual activity before marriage, it is essential to communicate openly with your partner about your feelings and boundaries. Your health and comfort should always come first.

In summary, your questions reflect common concerns among many women. It is crucial to maintain open communication with your healthcare provider about any symptoms or worries you may have. Regular gynecological check-ups, regardless of sexual experience, are vital for maintaining reproductive health. If you have further questions or need clarification on any points, please do not hesitate to reach out.

Best regards,
Doctor Q&A Teams

Similar Q&A

Understanding Women's Health: Common Gynecological Concerns Explained

Hello, doctor. I would like to ask: 1. Does having an ultrasound every time I visit the obstetrics and gynecology department affect fertility? 2. What is the purpose of an ultrasound? If the doctor does not mention anything, does that mean there is nothing wrong? 3. Does laser ...

Dr. Lü Lizheng reply Obstetrics and Gynecology
Dear Linda, 1. Will having an ultrasound every time I visit the gynecology department cause infertility? Answer: No. 2. What is the purpose of the ultrasound? If the doctor does not mention anything, does that mean there is nothing wrong? Answer: It allows observation o...

Common Gynecological Concerns: Questions About Symptoms and Diagnosis

Hello Doctor, I apologize for bothering you, but I have some questions I would like to ask. Q1. There is a lump in my genital area. The school nurse said it might be something like a pimple, but she didn't examine it directly; she only listened to my description. I noticed ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your symptom description, it is more likely that you are experiencing contact dermatitis or folliculitis. It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry. Avoid wearing tight clothing. You may soak...

Understanding Gynecological Concerns: When to Seek Further Medical Advice

I would like to ask the doctor, I recently had a urinary tract infection and took antibiotics, which have improved my condition! However, my underwear still feels damp... I'm not sure if it's because I held my urine at night, but now I sometimes feel a bit uncomfortable...

Dr. Lin Wenbin reply Obstetrics and Gynecology
Yes, if there are still issues after the examination and treatment, it is necessary to return to the physician for further evaluation, as the condition may change at any time.

Understanding Common Obstetric and Gynecological Issues in Women's Health

No content.

Dr. Huang Jianzhong reply Obstetrics and Gynecology
Please cherish our online medical resources. When asking the same question, please specify only one physician or dietitian.