Delayed Period Concerns: Pregnancy Risk and Vaginal Discharge Issues

Menstrual delay

I had sexual intercourse on November 26 and November 19, but I used condoms throughout.
My menstrual cycle is usually around 27 to 34 days, and my last period started on October 27.
Today is November 28; is there a possibility of pregnancy? Additionally, I have a discharge issue that was initially like cottage cheese but later changed to yellow with an odor.
Could this be a yeast infection or bacterial vaginosis? Thank you for your response.

Xu, 20~29 year old female. Ask Date: 2022/11/28

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the likelihood of pregnancy should be low.
The unusual odor of the discharge may indicate inflammation, so it is recommended to see a gynecologist.
Wishing you good health.

Reply Date: 2022/11/28

More Info

When it comes to concerns about a delayed period, potential pregnancy, and vaginal discharge issues, there are several factors to consider. Based on your timeline, you had sexual intercourse on November 19 and November 26, and your last menstrual period started on October 27. Given that your menstrual cycle typically ranges from 27 to 34 days, you are currently experiencing a delay in your period, which could indicate a potential pregnancy.
The use of condoms significantly reduces the risk of pregnancy, but it is not 100% effective. If the condoms were used correctly and did not break or slip off during intercourse, the likelihood of pregnancy is relatively low. However, if you are experiencing a delayed period, it may be advisable to take a home pregnancy test to confirm whether or not you are pregnant. These tests are most accurate when taken after a missed period.

Regarding your vaginal discharge, the description of "cottage cheese-like" discharge that later turned yellow and had an odor raises concerns about possible infections. The initial discharge resembling cottage cheese is often associated with a yeast infection (candidiasis), which is caused by an overgrowth of the fungus Candida. This type of infection typically presents with itching, irritation, and a thick, white discharge.
The subsequent yellow discharge with an odor could suggest bacterial vaginosis (BV) or another type of infection. Bacterial vaginosis is characterized by an imbalance of the normal bacteria in the vagina and can lead to a thin, grayish-white discharge with a fishy odor. It is important to note that both conditions can occur simultaneously, and the presence of an odor is a key indicator of bacterial vaginosis.

To differentiate between these conditions, it is crucial to consult with a healthcare provider. They can perform a pelvic examination and possibly take a sample of the discharge for laboratory analysis. This will help determine the exact cause of your symptoms and guide appropriate treatment.
In summary, while the risk of pregnancy exists, it is relatively low if condoms were used correctly. A home pregnancy test can provide clarity. As for the vaginal discharge, it is advisable to seek medical attention to accurately diagnose the issue and receive the necessary treatment. Ignoring these symptoms could lead to complications, so timely intervention is essential for your health.

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