Is Trichomoniasis Linked to Delayed Menstrual Periods? - Obstetrics and Gynecology

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Is there a relationship between trichomoniasis and the absence of menstruation?


Hello doctor, I have been diagnosed with trichomoniasis.
Before the diagnosis, I was considering pregnancy, so I carefully calculated my fertile period.
My menstrual period started on September 27 and was due on October 27, but since it was delayed, I went to the hospital for a check-up and was diagnosed with trichomoniasis, but I am not pregnant.
The doctor prescribed a medication to induce menstruation, but I expressed my concern about wanting to get pregnant and feared that taking the medication might prevent that.
The doctor informed me that this medication acts as a progestin if I am pregnant and as a menstruation-inducing drug if I am not.
Is there such a medication? I have been using both oral and topical treatments for trichomoniasis for 7 days, and I have taken the menstruation-inducing medication for 3 days, but my period is still 13 days late.
Is this normal? I have been to the hospital for three check-ups and am not pregnant.
Could this be due to the trichomoniasis?

Ms. G, 10~19 year old female. Ask Date: 2015/11/09

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
The medication prescribed by the doctor should be progesterone.
2.
Trichomoniasis will not affect the menstrual cycle.
3.
If menstruation still does not occur, please seek medical attention for further examination.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/11/09

More Info


Trichomoniasis, caused by the parasite Trichomonas vaginalis, is a common sexually transmitted infection (STI) that can lead to various symptoms, including vaginal discharge, itching, and discomfort during intercourse. However, its relationship with menstrual cycle irregularities, such as delayed periods, is not straightforward.

Firstly, it is essential to understand that menstrual cycles can be influenced by numerous factors, including stress, hormonal imbalances, changes in weight, and underlying health conditions. In your case, the delay in your menstrual period could be attributed to several reasons, and while trichomoniasis can cause inflammation and discomfort, it is not typically recognized as a direct cause of delayed menstruation.
When you mentioned that you had considered pregnancy and calculated your fertile window, it is crucial to note that anxiety and stress about potential pregnancy can also affect your menstrual cycle. Stress can lead to hormonal fluctuations that may delay ovulation or menstruation. Additionally, the body can react to infections, including STIs, by altering hormonal levels, which might also contribute to menstrual irregularities.

Regarding the medication prescribed by your doctor, it seems you were given a medication that serves dual purposes: it can act as a menstrual regulator if you are not pregnant and as a supportive treatment if you are pregnant. This type of medication is not uncommon; however, it is essential to follow your doctor's advice closely. If you are concerned about the effects of the medication on your ability to conceive, it is always best to communicate these concerns with your healthcare provider.

You mentioned that you have been using both oral and topical treatments for trichomoniasis for seven days and have taken the menstrual-regulating medication for three days, yet your period is still delayed by 13 days. This delay is indeed concerning, especially since you have already taken multiple pregnancy tests that returned negative results. While it is possible that the trichomoniasis could contribute to some menstrual irregularity due to inflammation or stress, the delay you are experiencing may also be due to other factors unrelated to the infection.

In summary, while trichomoniasis is not typically linked to delayed menstrual periods, the stress of dealing with an STI and the potential for hormonal fluctuations can certainly play a role. If your period does not arrive soon, or if you continue to have concerns about your menstrual cycle and potential pregnancy, I strongly recommend following up with your healthcare provider. They may want to conduct further evaluations to rule out other underlying conditions that could be affecting your menstrual cycle, such as polycystic ovary syndrome (PCOS) or thyroid issues.

In conclusion, while trichomoniasis itself is not a direct cause of delayed menstruation, the interplay of stress, hormonal changes, and the infection's impact on your body can contribute to menstrual irregularities. It is essential to maintain open communication with your healthcare provider regarding your concerns and treatment options as you navigate this situation.

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