HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Missed Period, Painful Intercourse And Constipation?

Hi, I am 27 years old. I haven t had a period in 3 months. I have had some very light brown spotting. The spotting doesn t last for long and it isn t enough to fill up a pad. I ve been experiencing pain during intercourse. Also on occasion there s been incontinence. Lastly, constipation. Today I had the hardest time passing my stool. I was straining and sweating pretty bad. I was in so much pain sitting out standing hurt. I felt like I was going to die........ ( probably not relevant....but...) I ve been Beltching alot
Mon, 16 Nov 2015
Report Abuse
Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
I will discuss about your problems individually.
Post coital bleeding occurs due to disorders of cervix, endometrium and vagina mainly.
A clinical assessment of the genital tract by a gynecologist is required.
Infection and inflammation of any of these sites can lead to post-coital bleeding.
Infection and inflammation of cervix are common cause of post-coital bleeding.
Cancer of cervix also causes post-coital bleeding but at your age it is unlikely.
The menstrual abnormality - decrease in menstrual flow can occur due to hormonal imbalance.
Low hemoglobin or anemia can also cause decreased menstrual flow or amenorrhea (absence of menstruation).
Thus, a complete hemogram is required to estimate the blood hemoglobin level.
If hemoglobin is found to be normal, an endometrial biopsy or curretting will be required to assess the status of endometrium.
Constipation needs to be managed by modifying the dietary habits.
Diet rich in fiber and low in refined carbohydrates will improve the consistency of stools.
For immediate relief soft softeners can be taken after prescription by your primary healthcare provider.
The incontinence is probably due to constipation.
Hard stools sometimes stimulate the bladder nerves and cause incontinence.
Thus, treatment of constipation treat the incontinence also.

Thanks and take care
Dr Shailja Puri
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Missed Period, Painful Intercourse And Constipation?

Hello and welcome to HCM, I will discuss about your problems individually. Post coital bleeding occurs due to disorders of cervix, endometrium and vagina mainly. A clinical assessment of the genital tract by a gynecologist is required. Infection and inflammation of any of these sites can lead to post-coital bleeding. Infection and inflammation of cervix are common cause of post-coital bleeding. Cancer of cervix also causes post-coital bleeding but at your age it is unlikely. The menstrual abnormality - decrease in menstrual flow can occur due to hormonal imbalance. Low hemoglobin or anemia can also cause decreased menstrual flow or amenorrhea (absence of menstruation). Thus, a complete hemogram is required to estimate the blood hemoglobin level. If hemoglobin is found to be normal, an endometrial biopsy or curretting will be required to assess the status of endometrium. Constipation needs to be managed by modifying the dietary habits. Diet rich in fiber and low in refined carbohydrates will improve the consistency of stools. For immediate relief soft softeners can be taken after prescription by your primary healthcare provider. The incontinence is probably due to constipation. Hard stools sometimes stimulate the bladder nerves and cause incontinence. Thus, treatment of constipation treat the incontinence also. Thanks and take care Dr Shailja Puri