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Missed periods with pain in the pelvis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3573 Questions

Doctor :   HI'
Doctor :  
How can i help you?
User :   Hi. I have not had a period for about two and a half months, but have taken several pregnancy tests, all of which were negative. And Ive been extremely sore in my pelvis area after sex.
Doctor :  
May i know your age>
User :   Me and my husband just had intercourse and we had to stop due to extreme sharp pains in my pelvis and soreness in my vagina.
User :   23.
Doctor :  
ANd were your cycles regular gefore?
User :   For the most part. Ive always been irregular, but generally all within the same time frame give or take a week.
Doctor :  
Ok.
Doctor :  
There are vorious cause for missing a period.
Doctor :  
Pregnancy is one among them.
Doctor :  
YOu can get an ultrasound examintion to rule this out.
User :   My husband has had a vasectomy in the past 7 months so Im quite sure im not pregnant which is my concern.
Doctor :  
According to your symptoms there are likely hood of infection
Doctor :  
Ok.
Doctor :  
So the chance of pregnancy is unlikely.
User :   I have no discharge or smell coming from my vagina though.
Doctor :  
Pelvic infection can present as pain and soreness around the genital regions with delayed menstruation.

User :   Hello?
Doctor :   Hi
User :   Is this the same doctor as before that I was speaking with about pelvic pain?
Doctor :  
Yes the other possibilty being harmonal disturbances secondary to ovarian conditions.
User :   Like?
User :   Could a pelvic infection cause missed periods?
Doctor :   The chances of harmonal changes is secondary to PCOD is the other cause,

Doctor :  
But is also unlikely in your case.
Doctor :  
The chance of infection secondary to urine infection or genital infection has to be ruled out first.
Doctor :  
I shall suggest you these measures.
Doctor :   Are you following?
User :   Yes
Doctor :  
The treatment suggestions are
Doctor :  
1. Drink adequate amounts of water.
Doctor :  
2. Concentrate on your diet
Doctor :  
diet most constitute of a healthy nutritious diet.
Doctor :  
A well balanced diet is a necessity with addition of iron rich source of food
User :   I take Iron supplements.
Doctor :  
3. Get an Hemoglobin and urine test done.
User :   So my missed periods could be caused by an infection but there are no symptoms for the infection? Like I said, I have no vaginal discharge or odor.
Doctor :  
Continue on the iron supplements and a complete blood counts with hemoglobin analysis is better.
User :   Does this sound like anything serious? I.E. Ovarian cancer, etc?
Doctor :  
Yes, since you have soreness around the vagina and pelvic pain there are chances of infection
User :   I have no soreness until intercourse, though.
Doctor :   The chances of ovarian cancer is unlikely.
Doctor :  
I would also suggest these.
Doctor :  
4. Vaginal smear /pap smear , PH Analysis and a pelvic examination by a gynaecologist for a defintive analysis.
Doctor :  
5. USe vaginal douches with vinegar
Doctor :   it does not seem like a serious condition, but i would suggest these test for a definitive diagnosis.
Doctor :  
Have you followed?
User :   I have an appointment with my GYN on the 9 of Dec. Yes I follow.
User :   Vinegar is ok for my vagina?
User :   Regular vinegar?
Doctor :   If you are not allergic to it in the past, you can use it.
User :   Ok.
Doctor :  
Regular vinegar should be ok.
User :   Ok.
User :   I think thats all I needed.
Doctor :   Please fill the feed back form too.
User :   Alright.
Doctor :   DO you have any other query?
User :   No, other than that Im quite healthy.
Doctor :  
You can get back to us after these test and the examination done and we shall be able to guide you further.
User :   That would be great. Thank you.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   How do I follow up with my file?
User :   Just, explain to whomever my problem again?
User :   Also, my I ask if you are an American doctor or is that confidential?
Doctor :   Your chat detail will be stored in the previous chat history and the next time you chat all the doctors here can access this chat and wioll guide you further.
Doctor :  
The details are maintained as a confidential file and can be accessed only when you come to chat with us again.
Doctor :  
We are from India.
Doctor :  
Do you have any other query?
User :   . Thank you doctor. I think that would be all.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   Certainly. Ciao!
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