Addressing Women's Health: Concerns About Weight, Birth Control, and Vaginal Tightness

Sexual health issues?

Hello, I have some questions regarding sexual health and would like to seek professional advice.
My body type is tall and thin (167 cm, 45 kg), and many people say I am too thin, which I do not particularly like.
I thought it might be related to my constitution, so I heard that taking birth control pills could improve my body condition and help me gain weight.
I took them for three to four days, but my previous mild vaginal discharge issue became more pronounced, with a light red color appearing.
Out of fear, I stopped taking the oral contraceptives, and unexpectedly, a day or two later, I got my period, which made me even more anxious.
Since I am not very knowledgeable about this and am hesitant to visit a gynecologist, I am seeking answers from relevant professionals here.
My gastrointestinal health has never been very good, so I struggle to gain weight.
What methods can I use to improve this? Additionally, I have another question: if a woman has engaged in sexual intercourse and then does not have sexual activity for a period of time, will the tightness of the vagina return to what it was like before she lost her virginity? Will there be a significant difference?

Shaonü Xiaoyu, 20~29 year old female. Ask Date: 2001/07/24

Dr. Li Guanghan reply Obstetrics and Gynecology

If you want to gain weight and achieve a fuller body, you should increase your intake of nutritious and calorie-dense foods rather than relying on the side effects of birth control pills (such as weight gain) to increase your weight.
Suddenly stopping oral contraceptives during use is equivalent to inducing menstruation.
Aside from childbirth, which can cause more significant vaginal laxity, regular sexual activity does not typically result in substantial vaginal looseness.

Reply Date: 2001/07/24

More Info

Addressing women's health concerns, particularly those related to weight, birth control, and vaginal tightness, is crucial for overall well-being. Your situation raises several important points that deserve careful consideration.

Firstly, regarding your weight and the desire to gain some, it’s essential to understand that body weight is influenced by various factors, including genetics, metabolism, and lifestyle. At 167 cm and 45 kg, your Body Mass Index (BMI) is approximately 16.1, which is considered underweight. This can lead to various health issues, including weakened immune function, hormonal imbalances, and potential fertility issues. If you are struggling to gain weight, it may be beneficial to consult with a healthcare provider or a registered dietitian who can help you develop a tailored nutrition plan that focuses on calorie-dense foods, balanced macronutrients, and possibly supplements if necessary.

You mentioned considering birth control pills to help with weight gain. While some women do report weight gain as a side effect of hormonal contraceptives, this is not universal. Birth control pills can affect individuals differently, and they may also lead to other side effects, such as changes in menstrual bleeding patterns, as you experienced with the light pink discharge. This could indicate a hormonal adjustment in your body, especially after starting and then stopping the medication. It’s important to note that any unusual bleeding should be discussed with a healthcare professional to rule out any underlying issues.

Regarding your gastrointestinal concerns, if you have a history of digestive issues that prevent you from gaining weight, it’s crucial to address these with a healthcare provider. Conditions such as irritable bowel syndrome (IBS), food intolerances, or malabsorption syndromes can significantly impact your ability to maintain a healthy weight. A gastroenterologist can provide insights and potential treatments to improve your digestive health.

As for your question about vaginal tightness after sexual activity, it’s important to understand that the vagina is a muscular organ that can stretch and contract. After sexual activity, especially if there has been a significant gap in sexual intercourse, the vaginal muscles may return to a state similar to that of a woman who has not been sexually active. However, factors such as age, hormonal levels, and individual anatomy can influence this. If you have concerns about vaginal tightness or any discomfort, pelvic floor exercises, such as Kegel exercises, can help strengthen the pelvic muscles and improve overall vaginal tone.

In conclusion, your health concerns are multifaceted and warrant a comprehensive approach. Consulting with healthcare professionals, including a gynecologist, a dietitian, and possibly a gastroenterologist, will provide you with the best guidance tailored to your specific needs. Remember, maintaining open communication with your healthcare providers is key to addressing your health concerns effectively.

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