Menstrual irregularities
The last menstrual period was from March 13 to March 18, with ovulation likely occurring around March 29 or 30.
On April 3, there was unprotected intercourse, but ejaculation did not occur inside; instead, it happened after using hands.
On April 4, breast tenderness began, and by April 8, there was a sensation of abdominal discomfort, similar to premenstrual symptoms.
On April 12, after drinking ginger tea, the discomfort subsided.
There is a concern that menstruation, expected around April 13, might be delayed until April 14 or 15, potentially affecting an upcoming competition.
I would like to ask: Is the abdominal discomfort a sign that menstruation is approaching? Thank you for your response, doctor.
Phoebe, 10~19 year old female. Ask Date: 2023/04/12
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, should we observe during menstruation? Wishing you good health.
Reply Date: 2023/04/12
More Info
Menstrual irregularities can be a source of concern for many individuals, and understanding the symptoms and timing can help in managing expectations and planning accordingly. Based on the information provided, it seems you are experiencing some symptoms that may be related to your menstrual cycle.
Firstly, let's clarify the menstrual cycle. The average menstrual cycle lasts about 28 days, but it can range from 21 to 35 days in adults. Ovulation typically occurs around 14 days before the start of your next period. Given that your last menstrual period was from March 13 to March 18, you would expect ovulation to occur around March 29 or March 30.
You mentioned engaging in sexual activity on April 3, which is close to your ovulation window. Although you did not have ejaculation inside, there is still a possibility of pregnancy due to pre-ejaculatory fluid, which can contain sperm.
Now, regarding the symptoms you are experiencing: breast tenderness (starting on April 4) and a feeling of heaviness or discomfort in your abdomen (starting on April 8) can be indicative of several things. These symptoms are commonly associated with premenstrual syndrome (PMS), which occurs in the luteal phase of your cycle, after ovulation and before your period starts. PMS can include symptoms such as breast tenderness, bloating, mood swings, and abdominal discomfort.
The feeling of "something is coming" in your abdomen is often a sign that your period may be approaching. Many individuals experience cramping or a dull ache in the days leading up to menstruation. However, it is also important to note that these symptoms can sometimes be confused with early signs of pregnancy, especially if they occur around the time of your expected period.
You mentioned drinking ginger tea on April 12, which may have helped alleviate some discomfort. Ginger is known for its anti-inflammatory properties and can help with digestive issues and menstrual cramps.
As for your concern about the timing of your period, if you are expecting your period around April 13, it is possible that the symptoms you are experiencing are indeed related to your menstrual cycle. However, if your period does not arrive as expected, it may be worth taking a pregnancy test, especially considering the timing of your sexual activity.
In summary, the symptoms you are experiencing—breast tenderness and abdominal discomfort—are common signs that your period may be approaching. However, they can also be indicative of other conditions, including pregnancy. If your period does not arrive on time or if you have any concerns about your symptoms, it is advisable to consult with a healthcare professional for further evaluation and guidance. They can provide personalized advice based on your medical history and current situation.
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