Mark P. Lacy, MD
Specialty: Obstetrics & Gynecology
Location and Office HoursAnMed Health OB/GYN Associates
2000 E Greenville
Anderson, SC 29621
How are women affected by the pressure to conceive?
Good In Bed answeredNo matter how excited a woman is about the prospect of being pregnant, she can experience just as many sexual roadblocks as her male partner. Sex on demand can be tricky for her -- even if she’s the one doing the demanding. For example, it’s easy for women to get in the goal-oriented, baby-making mindset, where sex is simply a means to an ends. That can mean that she may not even be in the mood when she initiates sex, but is guided instead by ovulation. Yet a lack of desire can lead to additional problems, like decreased lubrication and difficulty climaxing. It’s important to devote the same amount of attention to foreplay and arousal when trying to conceive that you normally would.
How do lax pelvic floor muscles affect a woman?
Pelvic floor muscles aid in supporting the vagina and also the functions of the bladder and rectum. So, weakness or disruptions of these muscles can impact the quality of life of a women based on symptom severity.
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How can I not have periods for six months and not be pregnant?
An extended period of time where the menstrual period is absent and there is not a current pregnancy is often a sign of infrequent or absent ovulation. If you had previously had normal periods or had somewhat unpredictable periods, I recommend you have an evaluation by a Gynecologist.
A period is initiated by the cessation of progesterone production approximately 14 days after ovulation if a conception has not occurred. This production of progesterone by what is called the corpus luteum only occurs if you ovulate, therefore it is common for women to go long periods of time without menstruation if they are not ovulating or ovulation infrequently. If you are not ovulating, the bleeding that will finally occur is because of instability of the lining of the uterus due to being continuously stimulated by ovarian estrogen without the counter-balancing effect of progesterone that comes after ovulation. This can not only make it difficult to conceive, but prolonged overstimulation of the lining of the uterus by unopposed estrogen can increase your risk of uterine hemorrhage, endometrial hyperplasia as well as uterine cancer.
There are many risk factors for absent or infrequent ovulation such as obesity, smoking, diabetes, family history of infertility as well as a common condition called Polycystic Ovarian Syndrome. Women with these symptoms should be evaluated whether they are currently seeking pregnancy or not given the complications of having these conditions and not being treated.
There are many explanations for what you are going through as well as readily-available treatments for these conditions both for women who are trying to conceive as well as women who do not desire current pregnancy. I would recommend visiting an OB/Gyn to discuss this further.Helpful? 5 people found this helpful.
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