Should We Visit a Gynecologist? Pregnancy Concerns and Symptoms

I would like to request a medical diagnosis from a physician?

Hello, doctor.
I would like to ask for your opinion on whether we should visit a gynecologist.
My girlfriend is a virgin, and we have not had penetrative intercourse, but we do engage in some foreplay.
On May 13, we attempted penetration with a condom, but we stopped shortly after.
On May 29, we engaged in foreplay again.
I did not pay particular attention to whether any pre-ejaculate fluid came into contact.
I have been tracking her menstrual cycle using an app for the past seven months, and it has been very regular.
The app indicated that her period was due on May 29, and it still has not arrived.
We bought a pregnancy test today, which did not show any signs of pregnancy.
She has been experiencing some anxiety and stress due to a major event this month, and she also mentioned that she has been feeling a bit of increased frequency in urination.
Do you think this is psychological, or should we go for a gynecological check-up? Thank you for your help.

You, 10~19 year old female. Ask Date: 2018/06/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My girlfriend is a virgin, and we have not officially had intercourse, but sometimes we engage in fondling.
On May 13, we attempted penetration while using a condom, but we stopped shortly after.
On May 29, we engaged in fondling again.
I did not pay special attention to whether pre-ejaculate fluid made contact.
Over the past seven months, I have been helping her track her cycle using an app, and it has been very regular.
The app indicated that her period was due on May 29, but it still hasn't arrived.
Today, I bought a pregnancy test, which did not show any signs of pregnancy.
She has been experiencing significant stress and anxiety due to a major event this month, and she also mentioned that she has been feeling a bit of urinary frequency.
The doctor believes this is a psychological effect.
Should we still consider going for a gynecological check-up? Answer: There is no need to go for a gynecological check-up.

Reply Date: 2018/06/05

More Info

When it comes to concerns about pregnancy and reproductive health, it's essential to approach the situation with care and understanding. Based on the details you've provided, let's break down your concerns and determine whether a visit to a gynecologist is warranted.

1. Potential Pregnancy: Your girlfriend has not had penetrative intercourse, and you used protection during your attempt. While condoms significantly reduce the risk of pregnancy, no contraceptive method is 100% effective. The fact that she has missed her period is understandably concerning. However, since you mentioned that you purchased a pregnancy test and it did not show positive results, this is a good initial step. It's important to note that stress and anxiety can also affect menstrual cycles, leading to delayed periods.

2. Menstrual Cycle Regularity: You indicated that her menstrual cycle has been regular according to the app you both have been using. A missed period can be caused by various factors, including stress, hormonal imbalances, or changes in routine. Given that she has been under stress due to a significant event, this could very well be a contributing factor to her delayed menstruation.

3. Symptoms of Frequent Urination: The symptom of frequent urination can be attributed to several causes. It could be a result of anxiety or stress, especially if she is feeling overwhelmed. Psychological factors can manifest physically, leading to symptoms such as increased urination. However, it could also indicate a urinary tract infection (UTI) or other medical conditions. If this symptom persists, it would be wise to consult a healthcare professional.

4. When to See a Gynecologist: If your girlfriend's period does not arrive within a week or two, or if she continues to experience symptoms such as frequent urination, it would be advisable to visit a gynecologist. A healthcare provider can perform a more sensitive pregnancy test, conduct a pelvic exam, and rule out any underlying conditions that may be causing her symptoms.

5. Psychological Factors: Given the context of your relationship and the stress surrounding her missed period, it’s important to consider the psychological aspect. Anxiety can significantly impact menstrual cycles and overall health. Encouraging her to relax and manage stress through techniques such as mindfulness, yoga, or talking to a counselor can be beneficial.

6. Communication and Support: Open communication between you and your girlfriend is crucial during this time. Ensure she feels supported and understood. If she is anxious about the possibility of being pregnant or about her health, discussing these feelings can help alleviate some of her worries.

In conclusion, while there is no immediate need to rush to a gynecologist, monitoring her symptoms and the status of her menstrual cycle is important. If her period does not return soon or if her symptoms worsen, a visit to a healthcare provider would be the best course of action. They can provide reassurance, conduct necessary tests, and help address any underlying health concerns. Remember, taking care of mental health is just as important as physical health, especially during times of uncertainty.

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