Should Spinal Injury Patients See a Gynecologist After a Month? - Obstetrics and Gynecology

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Hello Dr.
Lu: I am a patient with spinal cord injury and I haven't come in for a month.
Should I get tested? Do I need to see a gynecologist?

LL, 20~29 year old female. Ask Date: 2009/11/05

Dr. Lü Lizheng reply Obstetrics and Gynecology


Dear LL: Hello, even for patients with spinal cord injuries, if the uterus, ovaries, and fallopian tubes are functioning normally, and there are no specific gynecological diseases, pregnancy is still possible if there has been sexual intercourse.
Therefore, if your period is late and you have had recent sexual activity, it is necessary to take a pregnancy test to confirm.
If your period continues to be delayed, I recommend consulting with a gynecologist.
Wishing you safety and health.
Sincerely, Dr.
Li-Cheng Lu, Attending Physician, Department of Obstetrics and Gynecology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2009/11/05

More Info


When it comes to spinal injuries, particularly those resulting from trauma such as car accidents, the recovery process can be complex and multifaceted. Your question about whether spinal injury patients should see a gynecologist after a month is quite relevant, especially considering the potential impacts of such injuries on overall health and well-being.

Firstly, it is essential to understand that spinal injuries can affect various bodily functions, including those related to the reproductive system. Depending on the severity and location of the spinal injury, patients may experience changes in their menstrual cycle, sexual function, and overall reproductive health. This is particularly true for injuries that involve the lower back or pelvis, as these areas are closely linked to the nerves that control reproductive organs.

If you have not had a menstrual cycle for a month following your spinal injury, it is advisable to consult with a gynecologist. This is important for several reasons:
1. Hormonal Changes: Stress from an injury, changes in physical activity, and alterations in body weight can all impact hormonal balance, which in turn can affect menstrual cycles. A gynecologist can help assess whether these changes are temporary or if they require further investigation.

2. Potential Complications: In some cases, spinal injuries can lead to complications such as pelvic organ dysfunction, which may affect bladder and bowel control, as well as reproductive health. A gynecologist can evaluate any symptoms you may be experiencing and provide appropriate care or referrals if necessary.

3. Psychological Impact: The emotional and psychological toll of dealing with a spinal injury can also affect reproductive health. Stress, anxiety, and depression can all contribute to menstrual irregularities. A gynecologist can offer support and resources to help manage these aspects of recovery.

4. Preventive Care: Regular gynecological check-ups are essential for maintaining reproductive health, especially after a significant injury. These visits can help ensure that any potential issues are identified and addressed early on.

In summary, it is advisable for spinal injury patients, especially those experiencing changes in their menstrual cycle or reproductive health, to see a gynecologist. This consultation can provide valuable insights into any underlying issues and help ensure a comprehensive approach to recovery.
In addition to seeing a gynecologist, it is crucial to maintain open communication with your primary care physician or the specialist managing your spinal injury. They can provide guidance on the overall recovery process, including physical rehabilitation and any necessary imaging studies to monitor healing.
As you continue your recovery, be attentive to your body’s signals. If you notice any new symptoms or changes, do not hesitate to seek medical advice. Recovery from a spinal injury is a journey that requires a multidisciplinary approach, and addressing all aspects of health, including reproductive health, is vital for a successful outcome.

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