Dr. Muhammad Majid Hanif
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I and my partner are sexually active. Although we take precautions (using two condoms at a time) there is always a sense of fear when it comes to her. Each time she gets her period it is delayed by two weeks or 10 days at least and less discharge in terms of flow. Last time she had a normal flow (6 days) according to her but had a little abdominal pain, with watering mouth and a bit of headache. May I know the cause for why her periods get delayed and a reduced discharge because it creates an impression as if it is of implantation bleeding and leading to pregnancy. Request your understanding of how things work as it creates daily confusion and stress. Also, does she require to seek a personal doctor inspection? She is 25 years old.
Hi,
Welcome to icliniq.com.
No, there is no need for inspection. You can go for pregnancy tests with home testing kits. This change in periods (duration and flow) is normal for her as she is active sexually and there are emotional and hormonal changes that cause all of this. If there are no flow, excess flow, missing periods unbearable and sustained pain in her abdomen, back and thighs then there is a need for a gynecologist visit for checkup.
Patient's Query
Thank you doctor,
Periods are delayed but with less discharge. While intercourse, I am sure I have not ejaculated within but the delayed period is a serious cause of increasing stress and irregular flow adds much to it. Last time she had her period between 20th and 26th. Is it the right time to take a test and can you enlighten on mouth-watering and headaches? She claims she never underwent these changes. Also, I would like to know whether these changes occur even if she is not pregnant? How much is it possible?
Hello,
Welcome back to icliniq.com.
Well, after review of the query you raised, here are the elaborated and personalized answers.
One thing about the periods and their cyclic timings is: The first day of the cycle is considered to be the first day of bleeding in the last menstrual period. A delay of up to 10 days is not bothersome but more than that really is. Taking her dates into account of 20th, her month completes on 20th of next month. A delay of up to 10 days makes it 30th for the wait time and expected span of start of periods. Occasional delay if fine, but more frequent one is bothersome. Discharge if scanty, is not a major issue if it is the same forever. But a recent decrease or increase in discharge is something warranting a doctor visit.
Coitus interruptus is one of the least reliable methods of contraception in which male ejaculated outside. This method has huge failure rates and is not recommended usually. You need barrier contraception and you mentioned earlier you do it.
Headache and excess mouth watering does not seem to be related. It may be due to some medications (if she is taking any) weather changes, food or oral hygiene related.
Other causes of excess production of saliva and over-stimulated salivary glands may be:
Gastroesophageal reflux disease in which stomach acid is overproduced or there is a lack of mechanisms to keep the acid confined to the stomach cavity. The result is regurgitation of stomach acid into the food pipe and the mouth. Some patients also feel heart-burn in the center of chest, pain in right side below the chest or center of the abdomen. Does she feel any of the symptoms related to digestive system other than watering of mouth? Better take her to a lab for vitamin B3, B12 and vitamin D levels. Thyroid function tests and complete blood counts for my review to cover all the aspects of her disease events. Thyroid disease is also a cause of change in period patterns.
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Cardiology
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