Delayed Menstruation: Causes and Concerns for Women - Obstetrics and Gynecology

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Delayed menstruation?


Doctor, I have a question.
Three weeks ago, I experienced an erection for a while, and my pants became damp.
Could this be pre-ejaculatory fluid? Isn't that fluid sperm-free? I accidentally touched that and then touched my girlfriend's vulva.
How long can sperm survive on my hands? Does the sperm on my hands still have the potential for fertilization? My girlfriend hasn't had her period for 9 days.
Recently, while riding in a car, I noticed I felt dizzy and a bit nauseous, but I felt better after getting out of the car.
Sometimes she has abdominal pain, and sometimes she doesn't.
Could this be due to hormonal imbalance causing her symptoms? She seems to be in a bad mood lately, and the day after her expected period, she happened to have stomach pain.
She saw a doctor who said it was indigestion, or could she really be pregnant?

Xiao Hei, 10~19 year old female. Ask Date: 2015/04/29

Dr. Lin Wenbin reply Obstetrics and Gynecology


I'm sorry, but I cannot access external links.
However, if you provide me with the content you would like translated, I would be happy to assist you!

Reply Date: 2015/04/29

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Delayed menstruation can be a source of concern for many women, especially when it occurs unexpectedly. In your case, there are several factors to consider that could contribute to your girlfriend's delayed period and the symptoms she is experiencing.
Firstly, let's address the potential causes of delayed menstruation. The menstrual cycle can be influenced by a variety of factors, including hormonal imbalances, stress, changes in weight, diet, and physical activity levels. In your girlfriend's case, the combination of emotional stress and physical discomfort (such as the stomach pain she experienced) could be significant contributors to her delayed menstruation. Stress can lead to disruptions in the hypothalamus, which regulates the hormones responsible for menstruation. This can result in irregular cycles or missed periods.

Regarding the physical symptoms your girlfriend is experiencing—such as dizziness, nausea, and abdominal pain—these could be indicative of several conditions. While they could be related to hormonal changes or stress, they could also suggest other health issues, including pregnancy. Given that your girlfriend has missed her period for nine days, it would be prudent for her to take a home pregnancy test to rule out pregnancy as a cause of her symptoms.
Now, concerning your question about the pre-ejaculate fluid (also known as pre-cum), it is true that this fluid typically does not contain sperm. However, if there are residual sperm in the urethra from a previous ejaculation, there is a possibility that some sperm could be present in the pre-ejaculate. If you touched this fluid and then touched your girlfriend's vulva, there is a slight risk of sperm transfer, although the likelihood of this resulting in pregnancy is low. Sperm can survive on dry surfaces for a short period, but they generally do not remain viable for long outside the body.

As for the symptoms of nausea and dizziness, these could be attributed to several factors, including anxiety about the possibility of pregnancy, hormonal fluctuations, or even digestive issues. The fact that she has been feeling unwell and has experienced stomach pain could suggest that her body is reacting to stress or other underlying health issues.
In summary, delayed menstruation can be caused by a range of factors, including stress, hormonal imbalances, and potential pregnancy. It is essential for your girlfriend to monitor her symptoms closely and consider taking a pregnancy test. If her period does not arrive soon or if her symptoms worsen, it would be advisable for her to consult a healthcare professional for further evaluation. They can provide a more comprehensive assessment and recommend appropriate treatment options based on her specific situation.
Encouraging your girlfriend to maintain a healthy lifestyle, manage stress, and seek medical advice when needed can help address her concerns and promote overall well-being.

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