Post-Menstrual Symptoms: Light Bleeding and Abdominal Pain

The day after menstruation ends, there may still be a little bleeding, and abdominal pain can occur?

The menstrual period originally started on December 25 and ended on December 31.
This month, it began on January 28 but was very light, lasting until about February 3.
However, there was some bleeding again on February 4 and 5, accompanied by pain.
On February 4, there was some genital rubbing with my girlfriend, but there was no penetration and no underwear was worn.
Shortly after, I wiped and urinated, and noticed a clear discharge from the urethra.
I'm unsure if it was pre-ejaculate fluid or urethral gland fluid.
I am now very worried about the possibility of pregnancy.
🥲

Jun, 10~19 year old female. Ask Date: 2022/02/06

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
For pregnancy concerns, please take a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse.
2.
The menstrual cycle can be influenced by various psychological and physiological factors.
If your period is more than two months late, it is recommended to see a gynecologist for examination and evaluation.

Reply Date: 2022/02/06

More Info

Understanding post-menstrual symptoms, such as light bleeding and abdominal pain, can be complex and often requires careful consideration of various factors. Based on the information provided, it appears that you are experiencing light bleeding following your menstrual cycle, along with some abdominal pain. Additionally, there was an incident involving genital contact with your girlfriend, which has raised concerns about potential pregnancy.

Firstly, it is important to note that light bleeding after a menstrual period can occur for several reasons. This phenomenon is often referred to as "spotting." Spotting can be a normal part of the menstrual cycle, especially if it occurs just before or after your expected period. Hormonal fluctuations, particularly changes in estrogen and progesterone levels, can lead to light bleeding. This is often seen in conditions such as ovulation, where some women experience mid-cycle spotting due to the release of an egg.

However, if the light bleeding persists or is accompanied by pain, it may indicate other underlying issues. Conditions such as hormonal imbalances, uterine fibroids, polyps, or even infections could contribute to abnormal bleeding patterns. In some cases, conditions like endometriosis or pelvic inflammatory disease (PID) can cause both bleeding and abdominal pain. Therefore, if the symptoms continue or worsen, it is advisable to consult a healthcare provider for a thorough evaluation.

Regarding the incident with your girlfriend, it is understandable to feel anxious about the possibility of pregnancy. While the risk of pregnancy from external genital contact (often referred to as "outercourse") is generally low, it is not entirely absent. Pre-ejaculate fluid (pre-cum) can contain sperm, and if it comes into contact with the vaginal area, there is a small chance of sperm entering the vagina and leading to pregnancy. If you are concerned about potential pregnancy, consider taking a home pregnancy test if your period is late or if you experience any pregnancy symptoms.

In addition to pregnancy concerns, the presence of clear discharge from the urethra could indicate several things. It might be normal pre-ejaculatory fluid, which is produced by the Cowper's glands, or it could be a sign of an infection, especially if accompanied by discomfort or unusual symptoms. If you notice any changes in urination, such as burning, increased frequency, or changes in the appearance of urine, it would be wise to seek medical attention.

In summary, while light bleeding and abdominal pain can be common post-menstrual symptoms, they can also indicate underlying health issues that may require medical attention. If your symptoms persist or worsen, or if you have concerns about pregnancy or infections, it is essential to consult a healthcare professional for proper diagnosis and treatment. Regular gynecological check-ups and open communication with your partner about sexual health can also help alleviate concerns and promote overall well-being.

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