Symptoms: Do My Experiences Count as Sexual Activity?

Am I sick?

Hello doctor, I am a lesbian and have been with my girlfriend for 5 months.
We have had sexual activity, but it has only been through fingering.
When I visited the gynecologist, I said I had not engaged in sexual intercourse because I was unsure of the definition of "sexual intercourse." I am not sure if what we did counts as sexual activity.
Previously, I experienced ovarian pain, and it has been recurring frequently over the past few months.
Although the pain does not last long, I have noticed an increase in vaginal discharge with an unusual odor in the last two months.
My period has also been delayed this month, and I am unsure if it is due to changes in my routine and stress.
Additionally, I often experience lower back pain.
I have researched related articles that suggest seeking medical attention, but I am uncertain if what I have done counts as sexual activity and whether these symptoms are related to it or if there could be other causes.

L, 10~19 year old female. Ask Date: 2020/12/24

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment should be accompanied by comprehensive health education.
It is recommended to seek evaluation from a specialist in obstetrics and gynecology at an outpatient clinic.
2.
Genital contact is not the only risk factor for vaginal infections or pelvic inflammatory disease.

Reply Date: 2020/12/24

More Info

Your question touches on several important aspects of sexual health and the definition of sexual activity. To clarify, sexual activity encompasses a range of behaviors that can include not only penetrative intercourse but also oral sex, mutual masturbation, and other forms of intimate contact. In your case, using fingers for sexual stimulation with your partner does count as sexual activity, even if it does not involve penetration.
The symptoms you are experiencing—ovarian pain, increased discharge with an unusual odor, delayed menstruation, and lower back pain—are concerning and warrant further investigation. These symptoms can be related to various conditions, some of which may be linked to sexual activity, while others may not.
1. Ovarian Pain: This could indicate several issues, including ovarian cysts, which are common and often benign. However, if the pain is persistent or severe, it is essential to consult a healthcare provider for an ultrasound or other diagnostic tests.

2. Increased Discharge with Odor: A change in vaginal discharge, especially if it has an unusual odor, can indicate an infection, such as bacterial vaginosis or a sexually transmitted infection (STI). It is crucial to get tested for STIs, especially if you have engaged in sexual activity.
3. Delayed Menstruation: Stress, changes in routine, and hormonal fluctuations can all contribute to a delayed period. However, if there is a possibility of pregnancy, it is advisable to take a pregnancy test to rule that out.

4. Lower Back Pain: This can be related to various factors, including menstrual cramps, pelvic inflammatory disease, or even stress.
Given your symptoms and their potential implications, I recommend scheduling an appointment with a healthcare provider who specializes in sexual health or gynecology. They can provide a thorough examination, run necessary tests, and help you understand the relationship between your symptoms and your sexual activity.

In summary, your experiences with your partner do count as sexual activity, and the symptoms you are experiencing should be evaluated by a medical professional. It’s important to address these concerns promptly to ensure your overall health and well-being. Remember, open communication with your healthcare provider about your sexual history and symptoms is vital for accurate diagnosis and treatment.

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