expert type icon EXPERT

Dr. Jessica G. Scotchie, MD

OB-GYN (Obstetrician-Gynecologist) | Reproductive Endocrinology

Dr. Jessica Scotchie is an obstetrician-gynecologist practicing in Chattanooga, TN. Dr. Scotchie specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Scotchie can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Scotchie can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
23 years Experience
Dr. Jessica Scotchie, MD
  • Chattanooga, TN
  • University of Florida College of Medicine
  • Accepting new patients

Clitoral adhesion?

You should seek care with a gynecologist that can thoroughly examine you and help you know how to manage what is going on.

Vaginal issues?

If you have had a history of infections you really need to be seen and examined to have tests run and determine the appropriate medication, it isn’t possible to diagnose just based READ MORE
If you have had a history of infections you really need to be seen and examined to have tests run and determine the appropriate medication, it isn’t possible to diagnose just based on symptoms.

Spotting blood?

It is difficult to say what is going on without an exam, but it is possible you may have a tear or skin breakage around the vagina. It would be best to avoid touching the area READ MORE
It is difficult to say what is going on without an exam, but it is possible you may have a tear or skin breakage around the vagina. It would be best to avoid touching the area for a couple of weeks to let anything heal, if your symptoms continue then you should seek care with a gynecologist who can do an exam for you.

White spots around vaginal opening?

You should report symptoms to your OBGYN for an examination to be scheduled, it definitely warrants an exam.

Negative pregnancy test but no period?

If a pregnancy test is consistently negative then you are not pregnant.

Why do I bleed during intercourse?

You need to have a physical exam to see why – you may have a tear in the opening of the vagina or a thin area that tears with sex. You may have an abnormality on the cervix that READ MORE
You need to have a physical exam to see why – you may have a tear in the opening of the vagina or a thin area that tears with sex. You may have an abnormality on the cervix that bleeds with touching, which would occur with sex. It isn’t possible to diagnose without looking to see what is going on.

Unwanted pregnancy?

It is very unlikely that you would be pregnant if no penetration occurred. It is worthwhile checking a pregnancy test 2 weeks after you had the contact but very unlikely you would READ MORE
It is very unlikely that you would be pregnant if no penetration occurred. It is worthwhile checking a pregnancy test 2 weeks after you had the contact but very unlikely you would be pregnant.

Nexplanon implant?

You should report your symptoms to your gynecologist (check a pregnancy test too if you could be pregnant), you may be having breakthrough bleeding from the Nexplanon but there READ MORE
You should report your symptoms to your gynecologist (check a pregnancy test too if you could be pregnant), you may be having breakthrough bleeding from the Nexplanon but there could be other causes, a physical exam, labs and ultrasound are important to fully evaluate your symptoms.

Am I pregnant?

Liquid discharge would not be a pregnancy symptom in the first few weeks of pregnancy. If you are at the time when your period is due, and you have regular periods, and a pregnancy READ MORE
Liquid discharge would not be a pregnancy symptom in the first few weeks of pregnancy. If you are at the time when your period is due, and you have regular periods, and a pregnancy test is negative, then you are not pregnant.

Pregnancy question?

Many types of hormonal imbalances can cause a period to be late – if the pattern continues you should see an OBGYN for an exam, labs and possibly an ultrasound for further evaluation. READ MORE
Many types of hormonal imbalances can cause a period to be late – if the pattern continues you should see an OBGYN for an exam, labs and possibly an ultrasound for further evaluation.

Is this a yeast infection?

It's difficult to say for certain after doing a physical exam, but the symptoms sound like a yeast infection. It would be reasonable to try an over-the-counter antifungal medication READ MORE
It's difficult to say for certain after doing a physical exam, but the symptoms sound like a yeast infection. It would be reasonable to try an over-the-counter antifungal medication like Monistat, the symptoms should improve within a few days, if they do not you should seek medical attention for an exam.

Delay in periods?

Some women will not have much if any of a withdrawal bleed when taking the birth control pill, that is OK and does not mean the pill is not working or is unsafe, you do not have READ MORE
Some women will not have much if any of a withdrawal bleed when taking the birth control pill, that is OK and does not mean the pill is not working or is unsafe, you do not have blood building up in the uterus, rather, the lining doesn’t grow much when you are on the pill so there is very little to shed.

Abnormal pap smear results?

Abnormal cells are common on paps – sometimes they are related to HPV but in other cases, it may be from bleeding or inflammation (sometimes if there is any yeast or bacterial READ MORE
Abnormal cells are common on paps – sometimes they are related to HPV but in other cases, it may be from bleeding or inflammation (sometimes if there is any yeast or bacterial vaginosis in the vagina it can cause some inflammatory cell changes). If the HPV is negative, it almost always resolves on its own. The most important thing is simply to follow up as your doctor has advised.

Zofran side effect?

Its an unusual side effect to have from Zofran, but it would be worthwhile to stop and see if your symptoms resolve.

HCG Level?

It doesn’t mean anything other than you have high HCG levels consistent with pregnancy, you’ll need to wait until the ultrasound to confirm if you have a viable pregnancy.

Unwanted pregnancy?

There isn’t much you can do at this point other than wait to see if you are pregnant, take a pregnancy test 2 weeks after you had sex and if it is negative, then you are not likely READ MORE
There isn’t much you can do at this point other than wait to see if you are pregnant, take a pregnancy test 2 weeks after you had sex and if it is negative, then you are not likely pregnant.

Pregnancy question?

Its best to wait to see if your period starts, sometimes home pregnancy tests can detect very low HCG levels but many times these HCG levels will fall on their own and may not READ MORE
Its best to wait to see if your period starts, sometimes home pregnancy tests can detect very low HCG levels but many times these HCG levels will fall on their own and may not result in a true pregnancy, so we generally recommend waiting to see if the period is late, then testing.

Is this period bleeding or injury bleeding?

Its not likely a tear, but without a physical exam it is impossible to know.

When did I conceive or get pregnant?

Its difficult to know for certain but based on what you’ve described, if the doctor is saying that you are now 25 wks 2 days, you likely conceived (ie had fertilization of the READ MORE
Its difficult to know for certain but based on what you’ve described, if the doctor is saying that you are now 25 wks 2 days, you likely conceived (ie had fertilization of the egg) 23 wks and 2 days ago, within a week of that estimate.

Bleeding in early pregnancy?

You have what is called a threatened miscarriage and there is no way to know why women have bleeding in early pregnancy. It is important to follow the pregnancy and if the embryo READ MORE
You have what is called a threatened miscarriage and there is no way to know why women have bleeding in early pregnancy. It is important to follow the pregnancy and if the embryo grows and the bleeding resolves then typically the pregnancy will continue without complication. Sometimes the bleeding is a sign that the pregnancy is not developing well and may be trying to miscarry, the only way to tell which situation you have is to monitor and see what changes in future ultrasounds. I’m sorry you’ve having a hard time and hope everything works out for you.