Discharge Abdominal Pain
Hello doctor, my period started around the 17th of last month, but my cycle is usually irregular.
However, about two weeks ago, I began to notice blood in my vaginal discharge.
There is blood when I wipe after using the bathroom and on my underwear, but it is not as much as a regular period.
There is no blood in my urine, and this has been ongoing, although there were a few days in between without any bleeding, about two days.
Additionally, I have been experiencing some bloating and pain in my abdomen, similar to the feeling I get when my period is about to start, but my period has not come.
I would like to ask: 1.
Could the bleeding be caused by my staying up late until 1 or 2 AM? 2.
Can staying up late cause a delay in my menstrual cycle? 3.
What could be the most likely cause of the bleeding? 4.
Is it possible that my period has actually started but the flow is too light for me to notice? 5.
Can using a handheld showerhead for stimulation lead to pregnancy? Thank you for your answers, doctor.
I am hesitant to discuss this with my family and hope you can clarify my concerns.
yu, 10~19 year old female. Ask Date: 2018/11/18
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.
Generally, there needs to be a source of sperm for conception to occur.
It is advisable to consult a gynecologist if symptoms persist or worsen to determine if there is a hormonal imbalance or other underlying causes.
Thank you! Wishing you peace and health, Dr.
Zhang.
Reply Date: 2018/11/18
More Info
Understanding abnormal vaginal discharge and abdominal pain in women can be quite complex, as these symptoms can arise from a variety of underlying conditions. Based on the details provided, it seems you are experiencing some concerning symptoms, including irregular menstrual cycles, abnormal vaginal discharge with blood, and abdominal pain. Let’s address your questions one by one and provide some insights into what might be happening.
1. Could staying up late cause bleeding? While staying up late and experiencing sleep deprivation can affect your overall health and hormonal balance, it is unlikely to be the direct cause of abnormal bleeding. Stress and lifestyle factors can influence menstrual cycles, but they typically do not cause bleeding on their own. However, if your body is under stress, it may lead to hormonal fluctuations that could affect your menstrual cycle.
2. Can staying up late delay your period? Yes, sleep deprivation and irregular sleep patterns can potentially lead to hormonal imbalances that may delay your period. The menstrual cycle is regulated by hormones, and any disruption in your lifestyle can affect these hormones, leading to irregularities.
3. What could be the cause of the bleeding? The presence of blood in your vaginal discharge, especially if it is not during your regular menstrual period, can be attributed to several factors. Some common causes include:
- Hormonal Imbalances: Conditions such as polycystic ovary syndrome (PCOS) can lead to irregular bleeding.
- Infections: Vaginal infections or sexually transmitted infections (STIs) can cause abnormal discharge and bleeding.
- Uterine Issues: Conditions like fibroids or polyps can lead to abnormal bleeding.
- Pregnancy-related Issues: If there is a possibility of pregnancy, bleeding could indicate a miscarriage or implantation bleeding.
- Cervical or Uterine Problems: Conditions such as cervical erosion or endometrial hyperplasia can also cause abnormal bleeding.
4. Could it be that your period has started but is just light? Yes, it is possible for your period to be very light, especially if you have irregular cycles. Some women experience spotting or very light bleeding that may be mistaken for discharge. If you are unsure, keeping track of your symptoms and any changes in your cycle can be helpful.
5. Can using a handheld showerhead for masturbation lead to pregnancy? No, using a handheld showerhead for masturbation cannot lead to pregnancy. Pregnancy occurs when sperm fertilizes an egg, which typically happens through vaginal intercourse. If there is no direct contact with sperm and the vagina, the likelihood of pregnancy is nonexistent.
Given your symptoms, it is crucial to consult with a healthcare provider for a thorough evaluation. They may recommend a pelvic exam, ultrasound, or blood tests to determine the underlying cause of your symptoms. It is essential to address any abnormal bleeding, as it can be a sign of a more serious condition that requires medical attention.
In summary, while lifestyle factors like sleep can influence your menstrual cycle, the symptoms you are experiencing warrant a professional evaluation to rule out any significant health issues. Keeping a record of your symptoms, menstrual cycle, and any other changes can be beneficial when discussing your concerns with your healthcare provider. Remember, it is always better to seek medical advice when it comes to your health, especially regarding reproductive health.
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