Dr. Reetika
Obstetrics and Gynecology
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
Hi doctor,
I am an 18-years-old female. I had my period twice this month, and I have been having uncomfortable feelings on my lower left abdomen. There is blood again, so this is the third time I have had blood, and it is not the time for my period yet. I have had a history of hormonal imbalance, but this has not happened before. I recently stopped birth control because my partner and I do not get intimate. I have used so many pregnancy tests, which is always negative, so I am sure that I am not pregnant. I do not have money to go to a doctor, so I want to make sure I am sick before we go to doctors, so I do not waste my family’s remaining money. It has been going on for months (the random cramps). I have also lost my appetite, and whenever I eat, I can only eat a bit. Yes, I had a rectal examination before because I did not get my period for three months. I also have many experiences with UTI in the past.
Hi,
Welcome to icliniq.com.
I fully understand your concern and will surely help you. See you have irregular periods, and there can be one of the several reasons for the same like hormonal imbalance, stress, weight gain or loss, polycystic ovarian syndrome, etc. Coming to them one by one:
1. As you have said, hormonal imbalance, please tell me if you have undergone any tests, also when did you stop birth control pills?
2. Stress is leading to irregularities in periods of several females worldwide. Also, COVID-19 stress has made things worse. Almost 25% of females worldwide are experiencing irregular periods as of today.
3. Your height and weight are fine. Have you tested yourself for thyroid anytime?
4. Polycystic Ovarian Syndrome (PCOS) is a problem in girls of reproductive age. Do you have excess hair growth, thinning of hair and scalp, oily skin? Irregular periods you are already having. So note down if you are having any unusual signs, as I mentioned.
The image you have shared (attachment removed to protect patient identity) appears to be of mild spotting only, so I think that is not worrisome. Please share additional details as requested so that I can help you better. If you were sexually active, please repeat the urine pregnancy test with the first urine of the day for an accurate result. Do not drink too much fluid before your test. Adhere to all guidelines written on the package of the pregnancy test kit. Based on the pregnancy test outcome and other details, we can decide upon further management of your menstrual health. Do not worry; I am always there for you. God bless.
Patient's Query
Hello doctor,
Thank you for answering my queries.
I must admit that I am sexually active, but we do the behind one. The butt one because I am afraid of getting pregnant. We have not done the normal one for almost a year now. I have taken four pregnancy tests, and all came out negative. I had taken two pregnancy tests last month. I have gone through a rectal examination in the past for my hormonal imbalance; they did not find anything serious, just that I needed to take birth control pills. I have been having a bit of hair fall, and whenever I scratch my scalp, there is white stuff (but I think it is because of my current shampoo). My face has been oily sometimes, but I do not know if that means anything. I have had pretty bad acne cases sometimes, but I also have sensitive skin, so I am not sure. My main concern is the pain in my lower left abdomen. There is always an uncomfortable feeling on my lower left, mainly when I lie on my stomach. Also, I stopped in the middle of my birth control last month. Also, I have not been tested for thyroid.
Hi,
Welcome back to icliniq.com.
Thanks for the details you have shared (attachment removed to protect patient identity).
Firstly you need not get tensed. Whatever issues you are going through, that is not very usual, and many girls undergo similar or even worst problems, so firstly, cheer up. Please do not get so scared with vaginal intercourse; with appropriate birth control, you can enjoy your sexual life without fear of getting pregnant. Even if you are doing intercourse from behind, I hope you are also using some precautions like barrier contraception like a condom. I guess we can undertake an ultrasound scan for checking for PCOS (polycystic ovary syndrome). Do you have any ultrasound scan centers around your house? Please do not worry; I am always there for you. Feel free to ask any questions or to share any additional information.
God bless.
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Obstetrics and Gynecology
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