Two Key Gynecological Questions: Pregnancy Risks and Menstrual Concerns

I have two questions I would like to clarify?

I would like to ask the doctor two questions:
1.
While playfully interacting with my boyfriend, I accidentally touched his underwear and felt a little wetness.
Later, I forgot about it, went to the bathroom without washing my hands, and wiped my genital area with a wet tissue.
Is there a possibility of becoming pregnant from this?
2.
Last month, my menstrual flow was very heavy.
I have previously been diagnosed with uterine fibroids and polyps.
This time, my menstrual flow was very light, with bright red discharge, and I did not have any sexual intercourse.
Could this be related to the fibroids or polyps, or could it be premenstrual syndrome (PMS)?
Thank you for your response, doctor.

Guoqu, 30~39 year old female. Ask Date: 2023/04/25

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, the chances of pregnancy are low but not impossible.
However, as long as there are active sperm in the vagina during the ovulation period, there is still a possibility of pregnancy through any means.
It is advisable to take appropriate contraceptive measures, and if necessary, consult a physician for evaluation.

There are many factors that can affect the menstrual cycle or cause bleeding outside of the menstrual period, such as age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, miscarriage, and breastfeeding, among others.

If your symptoms persist or worsen, it is recommended to see a gynecologist to check for hormonal imbalances or other causes.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2023/04/25

More Info

When it comes to gynecological health, especially regarding pregnancy risks and menstrual concerns, there are several important factors to consider. Let's address your two questions in detail.

1. Pregnancy Risk from Contact: You mentioned a situation where you had contact with your boyfriend's underwear and then did not wash your hands before touching your genital area. The likelihood of becoming pregnant from this scenario is extremely low. Pregnancy typically occurs when sperm is deposited in the vagina, which usually happens through sexual intercourse. Sperm can survive outside the body for a short time, but the conditions required for sperm to remain viable are not present on clothing or skin. Therefore, while it is always wise to practice good hygiene, the risk of pregnancy from this incident is negligible.

2. Menstrual Concerns with Uterine Fibroids and Polyps: You noted a significant change in your menstrual flow, with a previous history of heavy bleeding and current symptoms of lighter, bright red discharge. Uterine fibroids and polyps can indeed affect menstrual patterns, often leading to heavier or irregular bleeding. However, a sudden change to lighter bleeding could be indicative of several factors, including hormonal fluctuations, the natural progression of fibroids, or even the onset of a new condition. It is also possible that what you are experiencing could be related to premenstrual syndrome (PMS), which can cause various symptoms, including changes in bleeding patterns.

Given your history of uterine fibroids and polyps, it is essential to consult with a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess the current state of your uterus and determine if the fibroids or polyps are causing your symptoms.

Additional Considerations:
- Monitoring Symptoms: Keep track of any additional symptoms you may experience, such as pain, changes in the consistency or color of your discharge, or any other unusual signs. This information can be valuable for your healthcare provider.

- Regular Check-Ups: If you have a history of fibroids or polyps, regular gynecological check-ups are crucial. These visits allow for monitoring of any changes in your condition and timely intervention if necessary.

- Lifestyle Factors: Maintaining a healthy lifestyle can also play a role in managing symptoms related to fibroids and menstrual health. Regular exercise, a balanced diet, and stress management techniques can contribute positively to your overall reproductive health.

- Educational Resources: For further reading, consider resources from reputable organizations such as the American College of Obstetricians and Gynecologists (ACOG) or the Mayo Clinic. They provide comprehensive information on menstrual health, fibroids, and pregnancy risks.

In conclusion, while the risk of pregnancy from your described scenario is very low, it is essential to remain vigilant about your menstrual health, especially with your history of fibroids and polyps. Regular consultations with your healthcare provider will help ensure that any changes in your menstrual cycle are appropriately addressed.

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