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Irregular periods, foul vaginal discharge and abdominal pain after intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   madam,
i'm XXXXXXXX from bangalore.. i'm a 24 year old female married a year ago.. before my marriage i used to get my periods once in 45 days and during my marriage time i had to take a postpone tablet prescribed by a gyneac and later i got the periods on date continuously for 2 montha and then the problem started of irregularity in my periods it took nearly 3 months - 4 months some time... when i visited docter she did ultra sound scan , internal scan and the results were normal without any problems... and then she asked me to have a check of my harmones level during periods.. but due to some problems i could not go thru the tests.. also i got my period only after taking Regestrone 5mg tablet.. now as we are trying for a baby.. i'm worried .. and of late from past 2-3 weeks when we have intercourse i get left abdominal pain and also my husband is complaining that i smell very bad during intercourse... i'm very tensed please tell me what i'm supposed to do.. and also its been 1month 14 days i've not got my periods yet....
Doctor :   Hi
Doctor :   Dr.XXXhere.
Doctor :   how can I help you?
Doctor :   ok. let me read what you have typed
User :   hello sir
User :   i think u can u can see my message...
Doctor :   yes, i can, and I am reading through it. please give me sometime.
User :   k..
Doctor :   I would suggest you to go ahead with the hormonal analysis advised to rule out any hormonal problems related to your periods
Doctor :   regarding the foul smell that you get,
User :   ok but i haven't got my periods
Doctor :   does it accompany any vaginal discharge?
Doctor :   do you have any itching or burning while having intercourse?
User :   yes... discharge was there for 2-3 days...
User :   but now it has stopped...
Doctor :   these hormonal test can be done at anytime
Doctor :   ok
User :   nope...
Doctor :   then I would advise you to get a vaginal smear test done by a gynecologist
Doctor :   to look for any possible infection
User :   oh but the doc i consulted told to get it done when i have my periods...
Doctor :   which could lead to pain and foul smell
User :   ok...
User :   i've left abdominal pain...
User :   mid abdomen...
User :   that too i get only after sex...
User :   it lasts for 1-2 days...
Doctor :   yes, it could signal pelvic inflammatory disease., and you should get treated first to be able to conceive.
User :   ok...
User :   so what steps should i take now...
Doctor :   steps that you shoul dtake now are: Doctor :   1) a careful and thorugh examination along with vaginal smears to rule out infection
Doctor :   2) pelvic and abdominal ultrasound to look for causes in ovary or uterus for abnormality in periods and also the abdominal pain, and evidence for PID
Doctor :   3) go ahead with hormonal tests likes FSH, LH, Prolactin, DHEA, thyroid function tests
User :   ok cant i conceive as it is..?
Doctor :   to look for any hormonal causes responsible
Doctor :   4) if any infection is found, both you and your husband should take treatment simultanoeusly to prevent re-infection
User :   ok...
User :   cant i conceive as it is..?
Doctor :   5) unless infections are treated, it is difficult to conceive, since it alters secretions and hampers with sperms to enter and reach the egg.
Doctor :   the above test results will confrim th ecause for your symptoms, focus first to correct the underlying causes
Doctor :   such that you can plan for pregnancy and a continue with a safe pregnancy
User :   ok...
Doctor :   have you followed what I have said?
User :   yup...
User :   and what are the chances of getting pregnent as of now...
Doctor :   we cannot say for sure anything as the current status of hormones and possibility of infection is not known
User :   k...
Doctor :   if you are already pregnant as of now, the pelvic scan and the hormonal tests with pick it up
Doctor :   and if you are pregnant already a blood HCG level test will be done
User :   ok....
User :   but i took a home test 2 weeks back thats on the day i was expecting my period it came out -VE
Doctor :   is there anything else I can help you with?
User :   yup i had a doubt regarding taking regestrone 5mg...
Doctor :   sometimes it will come as negative in early pregnancy even if you are pregnant
User :   ok..
Doctor :   this happens due to less concentration of pregnancy hormone in urine
User :   k...
Doctor :   a blood test called as beta HCG test and pelvic scan is done in such cases to confirm the pregnancy
Doctor :   so not take any medications now if you suspect that you are pergnant
User :   how can i know whether i'm preg or not apart from hpt
Doctor :   report to your doctor and get these tests done
User :   ok...
User :   one thing doc,
Doctor :   yes, please proceed
User :   i got my periods lastime only after taking regestrone tablet...
User :   5mg...
Doctor :   ok
User :   so will it help me in ovulating normally?
User :   in that perticular month?
User :   u there?
Doctor :   yes, if the hormonal status is fine, it will not affect ovulation since you take only to get your periods. do you take it daily or only for few days to get your periods?
User :   that was the first time i took it...
User :   i wont take it regularly...
User :   it was prescribed by a doc...
Doctor :   were you taking it on a regular basis?
User :   nope...
Doctor :   i mean to ask were you taking it daily ? if yes when was the last pill that you took?
User :   for 3 days.... the last day i took pill was on 27th 0f april
User :   i got my period on 2nd of may..
Doctor :   ok
Doctor :   then do not worry if you have not taken it again. it will not affect the ovulation
User :   what i meant to ask was that whether i was in my fertile period by 13th -14th of may..
User :   the 14th day... after my period started..
Doctor :   the fertile period depends on the menstrual cycle length
Doctor :   for a regular 28 day cycle it is between 8th-16th day taking day1 as first day of bleeding
User :   ok what about the one with irregular cycle..
User :   like me?
Doctor :   it will be difficult to tell for irregular cycles
User :   ok...
Doctor :   usually egg release for conception purposes in these cases are done by serial follicle scans
User :   ok..
User :   will it help me if i have intercourse during my fertile period to conceive...
User :   i normally check it by muscus thickness...
User :   ?
User :   u there?
Doctor :   it should be fine, if the infection issues are solved
Doctor :   since they interfere with process of conception
User :   k...
Doctor :   you do have foul smell and pain with intercourse
Doctor :   which suggest infection
User :   ok..
User :   actually i get the pain after intercourse...
Doctor :   yes.
User :   not during...
User :   and i will normally have some sort of smell... but of late it has increased a bit...
User :   but thing is i'm very hygenic aven my husband...
User :   even.
User :   ?
User :   u there?
Doctor :   are you able to get what I am typing?
User :   ok
User :   hello
Doctor :   foul smell and pain both suggest infection. please do not hesitate to get tested for the same, since it will help to find out the
Doctor :   cause such that treatment can be started
User :   ?
User :   ok...
Doctor :   and you can plan for conception
User :   ok...
Doctor :   any pain during or after intercourse suggest PID
User :   PID?
Doctor :   and unless it is treated, you will not be able to concieve in case you are still not pregnant
Doctor :   I have explained earlier in chat with you that PID is pelvic inflammatory disease.
Doctor :   you can go through th entire chat later to have a better understanding
Doctor :   of what I have tried to explain you
User :   ok...
User :   so i can get the harmones test done any time...?
Doctor :   is there anything else you would like to ask me?
User :   right?
Doctor :   yes
User :   okay then thank u doc...
Doctor :   follow the steps suggested for futher treatment
Doctor :   and to find the cause
Doctor :   i will summarise again
User :   thanks for patiently listenin to my probs....
User :   ok...
Doctor :   steps that you should take now are: 1) a careful and thorugh examination along with vaginal smears to rule out infection
2) pelvic and abdominal ultrasound to look for causes in ovary or uterus for abnormality in periods and also the abdominal pain, and evidence for PID
3) go ahead with hormonal tests likes FSH, LH, Prolactin, DHEA, thyroid function tests to look for any hormonal causes responsible
4) if any infection is found, both you and your husband should take treatment simultanoeusly to prevent re-infection
5) unless infections are treated, it is difficult to conceive, since it alters secretions and hampers with sperms to enter and reach the egg.
the above test results will confrim th ecause for your symptoms, focus first to correct the underlying causes such that you can plan for pregnancy and a continue with a safe pregnancy
Doctor :   please get back to me in case you have further queries
User :   sure...
User :   thank you..
Doctor :   is there anything else you would like to ask me?
User :   nope thats it sir..
Doctor :   thanks for consulting me. bye for now.
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