Sexual Health: Periods, Infections, and Pregnancy Testing - Urology

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Sexual intercourse / Menstruation / Pregnancy test


Hello Doctor, I would like to ask:
Q1: If I go to the hospital for an examination, can I find out when my last sexual intercourse was or when I lost my virginity?
Q2: Recently, my discharge has been a light yellow-green color, and occasionally I experience mild itching along with a slight odor.
Could this be a Candida infection, or is it simply a urinary tract infection?
Q3: My last sexual intercourse was on May 20, and my menstrual period was expected on June 6.
I am currently 9 days late and have taken three pregnancy tests, with the last one on June 13, which was the seventh day of my missed period.
Is there still a possibility of pregnancy in this situation?
Thank you, Doctor, for taking the time to respond.
I appreciate your help.
🙇‍♀️

Jo, 10~19 year old female. Ask Date: 2022/06/15

Dr. Sun Hongshun reply Urology


Hello: 1.
A doctor is not a fortune teller, so the answer is no.
2.
I recommend that you undergo a urinalysis and bacterial cultures to clarify your condition.
3.
As long as your period has not arrived, there is still a possibility of pregnancy.
You are only 16 years old, so please take good care of yourself.

Reply Date: 2022/06/15

More Info


When it comes to understanding sexual health, particularly in the context of sexually transmitted infections (STIs), pregnancy, and menstrual cycles, there are several important aspects to consider. Let's address your questions one by one.

Q1: Can a hospital check reveal when I last had sexual intercourse or when I lost my virginity?
Unfortunately, medical examinations cannot determine the exact timing of your last sexual encounter or when you lost your virginity. While healthcare providers can assess for signs of STIs or other reproductive health issues, they cannot provide a timestamp for past sexual activities. The best way to keep track of your sexual history is to maintain a personal record. If you have concerns about STIs or other health issues related to sexual activity, it’s crucial to communicate openly with your healthcare provider.

Q2: I have been experiencing light yellow-green discharge with mild itching and a slight odor. Could this be a yeast infection or a urinary tract infection (UTI)?
The symptoms you describe—light yellow-green discharge, mild itching, and odor—could indicate several conditions, including a bacterial vaginosis (BV) or a sexually transmitted infection (STI) such as trichomoniasis. Yeast infections typically present with thick, white discharge and intense itching, but they usually do not have a strong odor. A UTI often involves symptoms like burning during urination and frequent urges to urinate, rather than discharge. It’s essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment. They may perform a pelvic exam and take samples for laboratory analysis to determine the cause of your symptoms.

Q3: My last sexual encounter was on May 20, and my period was due on June 6. It is now nine days late, and I have taken three pregnancy tests, the last one on June 13. Is there still a possibility of pregnancy?
Yes, there is still a possibility of pregnancy, especially if your menstrual cycle is typically regular. Home pregnancy tests are generally reliable, but they can sometimes yield false negatives, particularly if taken too early or if the urine is diluted. If you are experiencing a late period and have had unprotected sex, it’s advisable to consult a healthcare provider for a blood test, which can detect pregnancy earlier and more accurately than home tests. Additionally, if your period continues to be delayed, it’s important to explore other potential causes, such as hormonal imbalances or stress, with your healthcare provider.

Additional Considerations:
1. STI Testing: If you have had unprotected sex, it’s wise to get tested for STIs, regardless of whether you have symptoms. Many STIs can be asymptomatic, and early detection is crucial for effective treatment and to prevent transmission to partners.

2. Pregnancy Testing: If you suspect pregnancy, consider scheduling an appointment with your healthcare provider for a more sensitive blood test. This can provide peace of mind and help you plan for the next steps, whether that involves prenatal care or discussing your options.

3. Menstrual Irregularities: A late period can be caused by various factors, including stress, changes in weight, hormonal fluctuations, or underlying health conditions. If this is a recurring issue, it’s essential to discuss it with a healthcare provider.

In conclusion, maintaining open communication with your healthcare provider about your sexual health is vital. They can provide personalized advice, testing, and treatment options based on your individual circumstances. Remember, taking proactive steps in managing your sexual health is essential for your overall well-being.

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