Patient's question:
Detailed medical condition and consultation purpose: After getting pregnant, I underwent medication abortion, which was not complete. Later, I had a D&C procedure. It has been 50 days since the medication abortion and 37 days since the D&C. My period has not come yet, and I am very worried. My menstrual cycle has always been a bit irregular. In my mind, it should be like others, coming regularly. After giving birth, it was normal for a couple of months, but after a few months, it became irregular. Is this normal for someone in my situation? When is the menstrual period considered normal in general? I am very worried about the possibility of menopause.Medical history: My menstrual cycle has always been every two months or every one and a half months.
Doctor's answer:
Hello;The withdrawal method, also known as the coitus interruptus method, is a form of contraception. The withdrawal method is based on a physiological phenomenon in men. The male climax consists of two stages. In the first stage, semen is concentrated at the base of the penis, referred to as the "inevitable ejaculation" stage. After a few seconds, it reaches the second stage—the "ejaculation" stage, where semen is expelled through the urethra.
When using the withdrawal method, the man withdraws his penis from the vagina during the inevitable ejaculation stage and ejects semen outside the woman's body. During sexual arousal, the secretions of a man may contain a small amount of sperm, but it is not guaranteed to contain sperm. Although there is a possibility of pregnancy, the chance is very low. The reason the withdrawal method is not recommended for contraception is that it is difficult to control. If he can indeed control the withdrawal method well, you may not get pregnant.
However, the withdrawal method can lead to a serious sexual issue: premature ejaculation. For couples using the withdrawal method for contraception, the most common practice is to stimulate the man to a highly excited state during foreplay, insert the penis, thrust a few times, and suddenly withdraw to ejaculate. This allows the man to satisfy himself while ensuring the woman does not get pregnant. However, due to the ease of falling into sexual psychological traps, both partners often overlook the idea that the man should help satisfy the woman from the start. As a result, the man may soon develop a habit of premature ejaculation.
The withdrawal method can cause young men with little sexual experience to develop a rapid ejaculation response. The man cannot thrust in the vagina until he orgasms or enjoy the peak of pleasure freely. At the same time, both physically and psychologically, both partners may come to believe that the vagina is only