[20F] Experiencing menstrual delay and possible UTI or yeast infection symptoms

Patient Description

A 20-year-old female reports a delayed menstrual cycle, with her last period occurring at the end of January and no period in February. She is experiencing premenstrual-like symptoms including bloating, diarrhea, cramping, sore breasts, acne, mood swings, and increased appetite. Additionally, she reports painful bowel movements with a strong odor, which could be indicative of a urinary tract infection (UTI) or yeast infection. She has had unprotected sexual intercourse since her last period and is unsure about the possibility of pregnancy. The patient has no known drug allergies, is not on any medications, and has no pre-existing medical conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Pregnancy: Given that you've had unprotected intercourse since your last period and your period is late, pregnancy is a possibility. The symptoms you're experiencing, such as sore breasts, increased appetite, mood swings, and acne, can be early signs of pregnancy. However, these symptoms are also common premenstrual symptoms and can occur due to hormonal fluctuations throughout your menstrual cycle.

    • A home pregnancy test can help confirm or rule out this possibility. These tests are usually very accurate when taken after a missed period.
  • Premenstrual Syndrome (PMS): This is a group of symptoms that occur in women typically between ovulation and the start of the menstrual period. Symptoms can include mood swings, tender breasts, food cravings, fatigue, irritability, and depression. However, PMS would not explain your missed period.

  • Gastrointestinal issues: Your symptoms of bloating, diarrhea, and cramping could be due to a variety of gastrointestinal issues, such as irritable bowel syndrome (IBS), food intolerance, or an infection.

What you can do

  1. Take a home pregnancy test: This is the most immediate step you can take to confirm or rule out pregnancy. These tests are usually very accurate when taken after a missed period.

  2. Monitor your symptoms: Keep track of your symptoms and any changes. This can be helpful information to share with your doctor.

  3. Consult a healthcare provider: Given your symptoms and missed period, it would be a good idea to consult a healthcare provider. They can provide a formal assessment, order relevant tests if necessary, and discuss potential treatments or next steps.

What you should look out for

  • Severe abdominal pain
  • Heavy vaginal bleeding
  • Fever or chills
  • Persistent or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


Can a delayed menstrual cycle be a sign of pregnancy?

Yes, a delayed menstrual cycle can be a sign of pregnancy, especially if you have had unprotected intercourse. Other early signs of pregnancy can include sore breasts, mood swings, and increased appetite.


What are common symptoms of premenstrual syndrome (PMS)?

Common symptoms of PMS include mood swings, tender breasts, food cravings, fatigue, irritability, and depression. These symptoms typically occur between ovulation and the start of the menstrual period.


How accurate are home pregnancy tests after a missed period?

Home pregnancy tests are usually very accurate when taken after a missed period. They work by detecting the hormone hCG in your urine, which is present during pregnancy.


What could cause painful bowel movements with a strong odor?

Painful bowel movements with a strong odor could be caused by gastrointestinal issues such as infections, irritable bowel syndrome (IBS), or food intolerances. It could also be indicative of a urinary tract infection (UTI) or yeast infection.


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