Gynecological Concerns: A Husband's Perspective on Wife's Health

Supplementary explanation for 130133 and 130162?

Hello, Doctor Huang.
Recently, I've noticed a change in my wife's attitude and behavior, which prompted me to check her health records at the National Health Insurance Administration.
That's when I discovered that she had visited a gynecologist without informing me.
The whole situation unfolded like this: her menstrual cycle is usually very regular, but in September of this year, I noticed she was late.
I found out by chance that she had seen a gynecologist.
The visits in March (130133) were her first consultations; she initially went to one gynecologist for amenorrhea, and the next day, she went to another for abdominal pain.
A couple of days later, she returned for the same abdominal pain, and they prescribed her the first medication listed in 130133.
A week later, she went back again for abdominal pain, and they prescribed a second medication.
Six days later, she visited again, still for abdominal pain, but this time no medication was prescribed.

In September, during her first visit, she was diagnosed with amenorrhea and underwent a pregnancy test using an enzyme immunoassay, but I don't know the results.
Two days later, she returned and was prescribed the same medication as the first visit in 130133.
That night, I noticed she was bleeding heavily, and her pants were stained significantly.
She changed her sanitary pads three times that night, and there were even small blood clots.
Seeing that situation raised my suspicions.
I found out that she went back a week later, still diagnosed with abdominal pain, but no medication was given.

Since that night of heavy bleeding, it has been over a month without stopping.
I asked her about it, and she said she had taken too much soy isoflavone, which caused her period to come early and last longer.
I find that hard to believe, so I came here to ask the doctor about the effects of those medications and whether they could be related to abortion.
However, I found online that under the Maternal and Child Health Act, a married woman needs her spouse's signature to undergo an abortion.
Could she have had someone else sign for her? I would appreciate your help in clarifying this.
I feel like I'm in the dark about everything.

Niming, 30~39 year old female. Ask Date: 2017/11/10

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I sympathize with your situation, but I cannot answer that question.

Reply Date: 2017/11/10

More Info

It sounds like you are experiencing a lot of concern regarding your wife's recent health issues and her visits to the gynecologist. It's understandable to feel anxious when there are changes in a loved one's health, especially when they are not openly communicated. Let's break down the situation and address your concerns.

First, regarding your wife's menstrual irregularities and the bleeding she experienced, it is important to understand that there can be many reasons for changes in menstrual cycles, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. The fact that she has been experiencing prolonged bleeding and abdominal pain warrants further investigation by a healthcare professional. It is essential for her to communicate openly with her doctor about her symptoms and any medications she is taking, including the use of supplements like soy isoflavones, which she mentioned. While soy isoflavones are often used to manage menopausal symptoms, they can affect hormone levels, and excessive intake may lead to menstrual irregularities.

Regarding your concerns about the medications prescribed to her, it is crucial to clarify what those medications are. If she has been prescribed hormonal treatments or medications for specific conditions, it is essential to understand their purpose and potential side effects. If there is any suspicion of a pregnancy or complications related to her menstrual cycle, it is vital for her to follow up with her healthcare provider for appropriate testing and management.

As for your worries about abortion and the legal requirements surrounding it, in many places, a spouse's consent is required for a married woman to undergo an abortion. However, laws can vary significantly by location, and there may be circumstances under which a woman can proceed without her spouse's consent. It is important to approach this topic delicately with your wife, as it can be a sensitive issue. Open communication is key; expressing your concerns without accusations can help foster a more supportive environment for her to share her health decisions with you.

In terms of your emotional response to this situation, feeling like you are in the dark or "like a turtle" is a common reaction when a partner is not fully transparent about their health. It may be beneficial for both of you to have a candid conversation about health, trust, and communication in your relationship. Encourage her to share her health journey with you, and express your desire to support her through any challenges she may face.

Lastly, if you feel overwhelmed or uncertain about how to approach this situation, consider seeking support for yourself as well. Speaking with a counselor or therapist can provide you with strategies to cope with your feelings and improve communication with your wife.

In summary, it is essential for your wife to continue seeking medical advice for her symptoms and to communicate openly with you about her health. Your support and understanding can make a significant difference in how she navigates her health concerns. Encourage her to keep you informed, and consider seeking professional guidance together if necessary.

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