Ovarian Swelling and Menstrual Irregularities: Key Questions Answered - Obstetrics and Gynecology

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Menstrual issues


This time my period was late, so I went to see a gynecologist.
The doctor performed an ultrasound and said that my left ovary is slightly swollen.
He mentioned that it could be influenced by my menstrual cycle, so he advised me to return for a check-up after my period.
The doctor prescribed me three types of medication.
During my first dose, I accidentally took one less pill, but for the subsequent three doses, I took the full amount.
After my check-up with the doctor, my boyfriend and I still had sexual intercourse, but he always used a condom and practiced withdrawal.
On the fifth day after taking the medication, I experienced some blood-tinged discharge with blood clots, but there was no actual menstrual blood.
Could this be related to the swelling, or is it connected to my initial missed dose of medication? Should I go back to see the doctor for a check-up? Is there a possibility of pregnancy?

lanse, 10~19 year old female. Ask Date: 2005/02/03

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: It is best for you to return to the hospital for a check-up to see if you are pregnant at the Hsinchu Hospital, Department of Obstetrics and Gynecology, Dr.
Cheng Jin-He.

Reply Date: 2005/02/03

More Info


Understanding ovarian swelling and menstrual irregularities can be quite complex, especially when considering the interplay of hormonal changes, medication, and underlying conditions. Based on your description, it seems that you are experiencing some irregularities in your menstrual cycle, which may be linked to ovarian swelling and the medications prescribed by your doctor.

Firstly, ovarian swelling, or edema, can occur for various reasons, including hormonal fluctuations associated with your menstrual cycle. The ovaries are highly responsive to hormonal signals, and during the menstrual cycle, they undergo significant changes. If your doctor mentioned that the swelling might be influenced by your menstrual cycle, it is likely that they are considering the normal physiological changes that occur during this time.

Regarding the medications you were prescribed, it is important to take them as directed. Missing a dose, especially if it is the first dose of a new medication, can sometimes lead to unexpected side effects or changes in your menstrual cycle. The fact that you experienced blood-like discharge with clots after taking the medication could be related to the hormonal adjustments your body is undergoing due to the medication. This discharge may not necessarily indicate a problem, but it is essential to monitor it closely.

You mentioned having sexual intercourse with your boyfriend while using condoms and practicing withdrawal. While these methods can reduce the risk of pregnancy, no contraceptive method is 100% effective. The presence of blood or blood clots could be a sign of your body adjusting to the hormonal changes, but it is also wise to consider the possibility of pregnancy, especially if there was any failure in contraceptive methods.

If you are concerned about the possibility of pregnancy or if the discharge continues or worsens, it would be prudent to return to your healthcare provider for further evaluation. They may recommend a pregnancy test to rule out pregnancy and possibly perform additional imaging or blood tests to assess the condition of your ovaries and overall reproductive health.

In summary, while the ovarian swelling and the discharge you are experiencing may be related to hormonal changes and the medications you are taking, it is always best to consult with your healthcare provider for personalized advice. They can provide clarity on whether your symptoms are normal or if further investigation is needed. It's essential to prioritize your health and well-being, and open communication with your healthcare provider is key to managing any concerns you may have.

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