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Where do I start? 43 yrs old. No sexual intercourse for 9 years.

 

Customer Question

Where do I start? 43 yrs old. No sexual intercourse for 9 years. First time since- 6th April (last day of period), condom breaks spectacularly, only knew after ejeculation. Plan B pill 15 hours after. One week later barest spotting for 4 days, full bleeding for 2, spotting again for another 4. Cramping just like menstrual cramping crossed with ovulation pain most days since then. Last night kept me awake. Home Pregtest negative. No std/sid tests or docs visit yet. What could be causing pain this long after map.?
many many thanks!!!

Submitted: 339 days and 15 hours ago.
Category: OB GYN
Value: AU$69
Status: CLOSED
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Expert:  Dr. SS replied 339 days and 15 hours ago.

Greetings,

Is there any other symptom? Was any other test done? Is there any significant past illness? Regards.
Dr. SS41040.1402783565

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Expert:  Dr. SS replied 339 days and 15 hours ago.



After the use of Plan B there can be irregularity in the menstruation or cycle. Cramps and hormonal imbalance can be possible . The other possibility can be due to infection. When you have taken Plan B within 15 hours and bleeding occured and pregnancy test is negative, the possibility of pregnancy is almost nil. As you are having abdominal cramps, you should have a check with gynecologist. If you have any query, please feel free to ask.

It will be my privilege to assist you.
Regards.

Customer replied 339 days and 15 hours ago.

did you receive my response just then?

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Expert:  Dr. SS replied 339 days and 15 hours ago.

Sorry, I am waiting for your reply. I did not get it. Please resend.

Customer replied 339 days and 15 hours ago.

No tests done for std as yet. Two home preg tests done as there was sexual activity 4 times after first episode. no breakage of condoms next times but entry of partner without condom happened several times before condom was put on. No other medical condition or history. No children. No sexual activity for 9 years. Morning after pill taken 9 yrs ago with no ill effect. Constant dull pain not shooting but very agravating. Partner 10 yrs younger. Thought ectopic but definitely no other symptoms and no symptoms for stds other than constant pain. On scale of 1-10 probably a 6.

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Expert:  Dr. SS replied 339 days and 15 hours ago.

The possibility of pregnancy or ectopic is not there as you had sex on the last day of the period, taken Plan B, had bleeding there after, over all the pregnancy tests are negative. Besides STD other infection can be possible.

Customer replied 339 days and 15 hours ago.

what sorts of infections please?

Accepted Answer

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Expert:  Dr. SS replied 339 days and 15 hours ago.

Different infection can occur. There can be pelvic inflammatory disease, urinary tract infection can be associated without any urinary symptoms. Swab test can find out the type of bacteria..

Expert TypeDoctor(MD)
Category: OB GYN
Pos. Feedback: 91.5 %
Accepts: 1584
Answered: 5/11/2012

Experience: Experienced in maternity and women's health

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