Abdominal Discomfort: Stress and Menstrual Irregularities

Abdominal issues?

Hello doctor, I had intimate contact with my boyfriend on August 4th.
I was wearing underwear, but he was not, and there was friction near my vagina.
He did not ejaculate, but I am concerned that a small amount of sperm from pre-ejaculate may have entered.
My last menstrual period started on July 16th, and I had my period again on August 18th after the intimate contact.
However, I am unsure if my anxiety about potential pregnancy is affecting me.
On the first day of my period, I experienced significant abdominal pain and took a painkiller twice, once in the afternoon and once in the evening.
The flow was very light the next day, and by the third day, there was almost nothing in the morning, with only a little in the afternoon.
My period lasted until about five or six days later.
After my period ended, I still felt bloated and occasionally had discomfort.
I have experienced diarrhea in the past few days, and my discharge is about the same as usual, but sometimes I have a reduced appetite.
My ear temperature has been around 36.4-36.6°C, while it was about 37°C before my period.
My body feels a bit sore, and today my breasts occasionally hurt, but they are not swollen.
Due to my concerns, I visited a traditional Chinese medicine doctor on August 27th to address my menstrual issues and received medication.
Doctor, could my anxiety be causing these physical symptoms?

aa, 10~19 year old female. Ask Date: 2018/08/31

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you have your period, it is unlikely that you are pregnant, so there is no need to worry.
It's possible that anxiety may affect your physical health.
If you continue to feel unwell, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2018/08/31

More Info

Understanding abdominal discomfort can be quite complex, especially when considering the interplay between physical health and psychological factors such as stress and anxiety. Based on your description, it seems that your recent experiences with abdominal pain, changes in menstrual flow, and gastrointestinal symptoms may indeed be influenced by stress, particularly following your intimate encounter and the subsequent worry about potential pregnancy.

Firstly, it’s important to note that stress can have a significant impact on the body, particularly the gastrointestinal system. The gut-brain axis is a well-documented phenomenon where emotional and psychological states can influence gut function. Stress can lead to symptoms such as abdominal pain, bloating, and changes in bowel habits, including diarrhea or constipation. This could explain the discomfort you are experiencing, especially if you have been feeling anxious about the possibility of pregnancy.

Regarding your menstrual cycle, it’s not uncommon for stress to affect menstruation. Stress can lead to hormonal imbalances that may cause irregularities in your cycle, such as changes in flow or duration. The pain you experienced during your period, along with the changes in flow, could be attributed to this stress response. It’s also worth noting that the first day of your period can often be accompanied by cramps and discomfort, which may have been exacerbated by your anxiety.

The symptoms you describe, such as abdominal bloating and occasional diarrhea, can also be linked to dietary changes or stress-induced gastrointestinal disturbances. If you are feeling anxious, you may be more prone to gastrointestinal issues, which can manifest as bloating, changes in appetite, or irregular bowel movements. The fact that you mentioned having a reduced appetite and feeling "off" after your period could further indicate that your body is responding to stress.

As for the breast tenderness you mentioned, hormonal fluctuations during your menstrual cycle can also lead to breast discomfort. This is typically normal but can be more pronounced if you are under stress or experiencing anxiety.

In terms of managing these symptoms, it might be beneficial to focus on stress-reduction techniques. Practices such as mindfulness, meditation, or gentle exercise can help alleviate anxiety and improve your overall well-being. Additionally, maintaining a balanced diet and staying hydrated can support your gastrointestinal health.

If your symptoms persist or worsen, it would be advisable to consult with a healthcare professional. They can provide a thorough evaluation to rule out any underlying medical conditions and offer tailored advice based on your specific situation. It’s also important to communicate openly with your healthcare provider about your stress and anxiety, as they can help address these concerns and suggest appropriate interventions.

In summary, while your abdominal discomfort and menstrual irregularities may be influenced by stress and anxiety, it’s essential to monitor your symptoms and seek professional guidance if needed. Taking proactive steps to manage stress and maintain a healthy lifestyle can significantly improve your overall health and well-being.

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