Emotional Stress and Its Impact on Menstrual Cycle and Appetite: A Guide - Obstetrics and Gynecology

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The patient mentioned that he ate more than usual today and consumed saltier foods, but he still feels like there is not much taste.
He is unsure if this is due to overeating, as he feels full and has a sensation of nausea.
He also noted that he is in a bad mood and is worried about certain issues.
Could these symptoms be influenced by his emotions? He is particularly concerned about having engaged in digital penetration with clear bodily fluids, with only his fingers inserted into the vagina and no penile involvement.
He also mentioned that he did not masturbate, and any erection that lasted too long resulted in ejaculation.
However, his menstruation was delayed for two weeks but eventually arrived, with the flow and color being consistent with his previous menstrual cycles.
Can we confirm that this is indeed menstruation? Is it possible to rule out pregnancy?

A-Du, 20~29 year old female. Ask Date: 2019/10/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Today, I ate more than usual and consumed saltier foods, but I still feel like there's not much flavor.
I'm not sure if it's because I've eaten too much; I feel full and also have a sensation of wanting to vomit.
I just know that I'm in a bad mood today and I'm worried about certain things.
Could these symptoms be influenced by my emotions?
Answer: I'm only concerned about having had transparent bodily fluid during digital penetration, where only my fingers were inserted into the vagina, and there was no penile involvement.
Additionally, there was no masturbation, and any erection that lasted too long resulted in spontaneous ejaculation.
However, my menstrual period was delayed by two weeks, but the flow and color are consistent with my previous menstrual cycles.
Can I confirm that this is indeed my menstrual period?
Answer: Yes, you can confirm that it is your menstrual period.

Can I really rule out pregnancy?
Answer: Yes, you can rule out pregnancy.

Reply Date: 2019/10/02

More Info


Emotional stress can significantly impact various aspects of physical health, including appetite, gastrointestinal function, and even the menstrual cycle. The symptoms you describe—eating more than usual, experiencing a lack of taste, feeling nauseous after eating, and having a delayed menstrual cycle—can indeed be influenced by emotional stress.

When a person is under stress, the body releases hormones such as cortisol and adrenaline. These hormones can affect appetite and digestion. For some individuals, stress may lead to increased appetite or cravings for certain types of food, particularly those high in sugar or salt. This could explain why the individual in question is eating more and opting for saltier foods. However, the feeling of nausea after eating could indicate that the body is reacting negatively to the increased intake or that the stress is affecting the digestive system, leading to discomfort.

Moreover, stress can also disrupt the normal functioning of the gastrointestinal system. It can lead to symptoms such as bloating, nausea, and changes in bowel habits. The feeling of wanting to vomit after eating could be a psychosomatic response to stress, where the mind influences physical sensations in the body.

Regarding the menstrual cycle, stress is known to affect hormonal balance, which can lead to irregularities in menstruation. A delayed period, especially if it is accompanied by other symptoms of stress, may not necessarily indicate pregnancy. The menstrual cycle can be influenced by various factors, including stress, changes in weight, exercise habits, and overall health. Since the individual has reported that the flow, color, and duration of the menstrual period are consistent with previous cycles, it is likely that this is indeed a menstrual period rather than a sign of pregnancy.

As for the concerns about potential pregnancy from the described activities, it is important to note that pregnancy typically occurs when sperm fertilizes an egg. If there was no direct ejaculation into the vagina and only fingers were used, the risk of pregnancy is extremely low, especially if there was no ejaculation on or near the vaginal opening. However, if there are any lingering concerns about pregnancy, it is advisable to take a home pregnancy test or consult a healthcare provider for further evaluation.

In summary, the symptoms of increased appetite, nausea, and delayed menstruation can be attributed to emotional stress. It is essential for the individual to address the underlying stressors, as managing stress can lead to improvements in both mental and physical health. Techniques such as mindfulness, relaxation exercises, and seeking support from friends, family, or mental health professionals can be beneficial. If symptoms persist or worsen, it is advisable to consult a healthcare provider for a comprehensive evaluation and tailored advice.

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