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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Menses And Foul Odour With Thick Discharge?

Hi. I want to remain anoymous and I don t want anyone to know im even here online. Um. Im late for my period and I am really scared. Im 18. I took the birth control pill for a year, stopped for 3 months, took it again for a month, and stopped again (i took it in march 2014 for the one month.) and my last cycles were 31 days, 28 days, 35 days, 30 days, 25 days and now im on day 34 and im very scared. i dont want to be pregnant but my period has not come. I have a fowl smelling oder and thick discharge. please help.
Tue, 29 Jan 2019
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Urologist 's  Response
Hello,

I am sorry to hear about your condition. You should know that birth control pills can only work when taken regularly and at the same time while having unprotected sex.

It is usual that menstrual cycle can vary for plus or minus 5 days. not properly taking pills can also mess up with your cycle.

However, in cases like this, in my practice, I will advise my patient first to take a pregnancy test and have a check-up as soon as you find out because as you mentioned, it is also accompanied by foul-smelling order and vaginal discharge which may prompt immediate treatment.

Vaginal discharges may be normal however a change with this, as you mentioned is now foul smelling with thick discharge. This can be a sign of infection.

Most common cause of this is bacterial vaginosis which can be linked to sexual intercourse. That is why using extra method of protection such as condoms are advised.

However, bacterial vaginosis is usually accompanied by yeast infection especially if the thick discharge resembles cheese-like consistency.

If this is the case, I usually give my patient 7 day treatment of metronidazole + anti fungal like fluconazole.

You may have to undergo a pelvic exam by your local gynecologist where your doctor might collect a sample of cervical discharge to confirm what kind of vaginitis you have since this platform is limited and i won't be able to do a complete physical examination.

In that case, proper treatment may be prescribed. For the meantime, you must practice proper vaginal hygiene by washing every day and wiping from front to back after urination.

You must also avoid douching to help keep bacteria balanced in the vagina. Keep your vagina dry and increase water intake.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Manuel C See IV, Urologist
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What Causes Delayed Menses And Foul Odour With Thick Discharge?

Hello, I am sorry to hear about your condition. You should know that birth control pills can only work when taken regularly and at the same time while having unprotected sex. It is usual that menstrual cycle can vary for plus or minus 5 days. not properly taking pills can also mess up with your cycle. However, in cases like this, in my practice, I will advise my patient first to take a pregnancy test and have a check-up as soon as you find out because as you mentioned, it is also accompanied by foul-smelling order and vaginal discharge which may prompt immediate treatment. Vaginal discharges may be normal however a change with this, as you mentioned is now foul smelling with thick discharge. This can be a sign of infection. Most common cause of this is bacterial vaginosis which can be linked to sexual intercourse. That is why using extra method of protection such as condoms are advised. However, bacterial vaginosis is usually accompanied by yeast infection especially if the thick discharge resembles cheese-like consistency. If this is the case, I usually give my patient 7 day treatment of metronidazole + anti fungal like fluconazole. You may have to undergo a pelvic exam by your local gynecologist where your doctor might collect a sample of cervical discharge to confirm what kind of vaginitis you have since this platform is limited and i won t be able to do a complete physical examination. In that case, proper treatment may be prescribed. For the meantime, you must practice proper vaginal hygiene by washing every day and wiping from front to back after urination. You must also avoid douching to help keep bacteria balanced in the vagina. Keep your vagina dry and increase water intake. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist