Patient's Query
Hi doctor,
I am 21 years old. I had my last period two months back. Last month, (I do not remember the actual date) my boyfriend rubbed his penis against my vagina. After a week, I had a mild brown-colored discharge from my vagina. I wonder if this could be spotting. Till today, I have not got my period. I am very nervous. Please let me know if I am pregnant.
Hi,
Welcome to icliniq.com.
I can understand your concerns and I will help you get the best medical opinion.
At this age, you should be having regular periods. But with BMI (body mass index) greater than 24 kg/m2 there could be cycles once in a while without ovulation, which means no periods or delayed periods. You might miss your period once in a while. Factors like a recent sudden increase in weight or any episode of significant mental or physical stress can delay your periods.
For a lady with regular periods, ovulation occurs around the 12-16th day of the menstrual cycle. The egg will be alive for 24 hrs and the sperm will be alive for 72 hrs. So, the chance of pregnancy is low. Your sexual exposure was after the 16th day and by just rubbing the penis over the genitals you cannot get pregnant.
If you are having these irregular periods repeatedly, then this could be PCOD (polycystic ovarian disease). This is a congenital condition, which means it is a genetically programmed condition, and you can acquire it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone. You might have noticed obese men developing breasts. Young obese girls who develop periods at a younger age have high levels of estrogen hormone (female hormone) and fats act as a reservoir for tomorrow.
When the level is more than normal, this is converted to a hormone that maintains the balance between FSH (follicle-stimulating hormone) from the brain and the ovarian hormone. Follicle-stimulating hormone (FSH) as the name suggests, stimulates the follicle in the ovary. But once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone in the ovary. But when the same estrogen hormone comes from fat, the brain gets confused, and the growth of the follicle stops earlier at a stage when the follicle size is small and hence it will not rupture. In the next scan, you will see all these follicles as polycystic ovaries.
This is usually associated with obesity, irregular cycles, no period for a few months, heavy periods with clots and fleshy masses, spotting that occurs on and off, thyroid abnormalities, and an indirect influence on prolactin. You develop that extra pad of fat around the mid-segment of the body, especially near the waist, thighs, and breasts. No fat will develop beyond the elbows and the knees. Excessive growth of body hair, hair fall, a dark shade over the lower half of the face, acne, oily face, and black skin over the back of the neck, inner thighs, and under the surface of the breast can be noticed. Please let me know if you have a family history of diabetes, especially your father or his family. This will not allow ovulation to occur at the correct time and so you cannot get pregnant, until this is treated. But, there is a solution.
Your weight has to be as follows:
Weight (in pounds)= Height (in inches)-100
Your expected weight should be between 121-127 pounds. From this, you do not seem to be too overweight. Once you reduce your weight to the normal range, you will not require any medications to get your period. I suggest you do the following to reduce your weight:
As soon as you reduce at least 11 pounds, you will begin to see the changes.
Even if you do not have any of these features, missing periods may be an indication that you are at risk, so try to reduce those few pounds, and your period and hormonal levels will be regular.
Now to get your period, first you need to do a home urine pregnancy test to confirm whether you are pregnant or not. I am sure it will be negative. Then, I suggest you take any one of the following birth control pills:
I suggest you take any one of the above tablets twice a day for 10 days after consulting with your gynecologist. Throw away the 21st pill no matter what the cause is (except pregnancy). You will have periods within seven to ten days of the last pill. Do seriously think about weight plans, since they will correct the hormonal levels and your future periods.
I hope I have clarified your queries. Do write back if you have any further queries.
Thank you.
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Answered byDr. Balakrishnan. R
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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