Menstrual Issues: Questions on Contraceptives and Health

Menstrual issues

Hello, doctor! I have a few questions to ask.

1.
I started taking pre-menstrual medication in January and continued until May.
As a result, my period did not come in June when I stopped taking the medication.
On June 25, I went to see a doctor, who advised me to stop taking the pre-menstrual medication and prescribed a 3-day course of menstrual regulation medication.
The doctor also mentioned to return for a follow-up once my period arrives.
However, on June 29, I had unprotected intercourse with my boyfriend, and he ejaculated outside.
If I got pregnant, would my period really not come? Should I discuss this with the doctor during my follow-up appointment tomorrow, or am I overthinking it and should just wait a bit longer?
2.
I have been experiencing recurrent yeast infections this year.
I regularly take cranberry probiotics and vitamin C supplements.
I am considering whether my stress and poor sleep might be affecting my immune system.
Do you think I should consult a family medicine doctor or a mental health professional?

Rou, 20~29 year old female. Ask Date: 2024/07/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is important to consult a physician.
The primary treatment for vaginal candidiasis involves the use of suppositories and topical creams.
If there is no improvement with ongoing treatment, the doctor may arrange for further examinations, such as microscopy of discharge or culture tests.
For patients with drug resistance or recurrent infections, oral medications may also be used.
It is recommended to temporarily abstain from sexual intercourse during the treatment period.
Thank you! Wishing you peace and health.
Dr.
Zhang

Reply Date: 2024/07/03

More Info

When it comes to menstrual issues and contraceptive use, it's essential to approach the situation with accurate information and a clear understanding of your body. Let's address your questions one by one.

1. Contraceptive Use and Menstrual Cycle: You mentioned that you started taking emergency contraceptive pills in January and stopped in May, after which your period did not come in June. It’s important to note that emergency contraceptive pills can disrupt your menstrual cycle, leading to irregularities. When you visited your doctor on June 25, they advised you to stop the emergency contraceptive pills and prescribed a three-day course of menstrual regulation medication. This is a common practice to help restore your menstrual cycle.

Regarding your encounter with your boyfriend on June 29, where you had unprotected intercourse but he withdrew before ejaculation, it’s crucial to understand that this method, known as the withdrawal method, is not entirely reliable. There is a risk of pre-ejaculate fluid containing sperm, which could lead to pregnancy. If your period does not arrive as expected, it would be wise to take a pregnancy test. You should definitely inform your doctor about this encounter during your next visit. They can provide you with the best advice based on your situation and may recommend further testing or a different contraceptive method if necessary.

2. Recurring Yeast Infections: You mentioned experiencing recurrent yeast infections and that you have been taking cranberry probiotics and vitamin C. While these supplements can support urinary tract health and boost your immune system, they may not be sufficient to prevent yeast infections, especially if there are underlying issues at play. Stress and lack of sleep can indeed weaken your immune system, making you more susceptible to infections.
It would be beneficial to consult with a healthcare provider, such as a family doctor or a gynecologist, who can assess your situation more thoroughly. They may recommend antifungal treatments or other medications to help manage the yeast infections. Additionally, if you feel that your mental health is impacting your physical health, seeking help from a mental health professional could be beneficial. Stress management techniques, such as mindfulness, therapy, or even lifestyle changes, can significantly improve your overall well-being.

In summary, it’s essential to communicate openly with your healthcare provider about all aspects of your health, including contraceptive use and recurring infections. They can provide tailored advice and treatment options that suit your specific needs. Remember, taking care of your mental health is just as important as addressing physical health issues, and both are interconnected. If you continue to experience anxiety or stress regarding your health, consider reaching out to a mental health professional for support. Your health is a priority, and seeking help is a positive step towards managing your concerns effectively.

Similar Q&A

Understanding Menstrual Issues: Causes and Solutions for Irregular Periods

The following is the doctor's previous response, but I originally wanted to ask about menstruation, not other causes of bleeding. Let's focus on menstruation first. Isn't menstruation something that should occur regularly? Aside from not having it due to aging, how...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the method of drug-induced menopause is not suitable for long-term use as it may have side effects. If there are related medical conditions, please consult a physician for examination and advice. Thank you! Wishing you peace and health. Dr. Zhang

Understanding Women's Health: Common Concerns in Gynecology

Hello, doctor. I have a few questions I would like to ask: 1. If a woman has her period twice in one month, does that mean she ovulated twice in that month? Does this imply that she is more likely to become pregnant? 2. Sometimes my menstrual cycle is shorter than 28 days, a...

Dr. Lü Lizheng reply Obstetrics and Gynecology
1. There must be at least a 21-day interval between two menstrual periods for ovulation to potentially occur. This does not necessarily mean that conception is more likely; it could also indicate irregular menstruation. 2. If menstruation occurs too early or too late, it may in...

Impact of Birth Control Pills on Menstrual Health and Uterine Condition

If a person has regular menstrual cycles, no issues with menstrual pain, and a healthy uterus, taking oral contraceptive pills solely for the purpose of contraception should not make the uterus unhealthy. However, after discontinuing the pills, it is possible for menstrual cycles...

Dr. Wu Xianghui reply Obstetrics and Gynecology
No, unless it is stopping medication without a doctor's guidance.

Understanding Menstrual Changes After Starting Birth Control Pills

I started my menstrual cycle on the 15th and began taking a 21-day oral contraceptive on the 16th. However, I forgot to take the pills after 4 days, so I stopped taking them. Then, on the 22nd, I noticed that I had my period again, but I'm not sure if this is actually my men...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
I started my menstrual cycle on the 15th and began taking a 21-day oral contraceptive on the 16th. However, I forgot to take the pills after 4 days, so I stopped taking them. Then, on the 22nd, I noticed that I started bleeding again, but I'm not sure if this is my menstrual...