Pregnancy Concerns: Symptoms and Testing Insights - Obstetrics and Gynecology

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Pregnancy issues


Hello doctor, at the end of December, when my period was about to come, my boyfriend touched my vagina with his hand, and I'm not sure if there were any sperm present.
I got my period on January 29th, but I've been feeling something strange in my lower abdomen, which I think might be psychological.
Later, I bought a pregnancy test, and it only showed one line.
My period came on March 5th, although it was a few days late; my average cycle is 30 to 31 days.
Recently, I've been experiencing diarrhea and nausea, but I can't vomit.
Could this be a sign of pregnancy? Since December, I've felt something odd in my lower abdomen, and my appetite has been good.
Doctor, is it possible that I am pregnant?

Ting, 20~29 year old female. Ask Date: 2016/03/25

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the onset of menstruation generally indicates that pregnancy has not occurred.
It is advisable to take preventive measures beforehand.
Wishing you good health.

Reply Date: 2016/03/25

More Info


It sounds like you're experiencing a lot of uncertainty and anxiety regarding the possibility of pregnancy, especially given the symptoms you've described. Let's break down your concerns and provide some clarity.

Firstly, based on your timeline, it appears that you had your last menstrual period at the end of December, and you mentioned that you had a normal period on March 5. If your menstrual cycle is typically around 30-31 days, this suggests that your cycle is regular, and the occurrence of your period in March indicates that you likely are not pregnant. A home pregnancy test that shows only one line typically means that you are not pregnant, especially if taken after a missed period.

However, you mentioned experiencing unusual sensations in your lower abdomen, increased appetite, and gastrointestinal symptoms like diarrhea and nausea. These symptoms can be caused by a variety of factors, including stress, anxiety, or even gastrointestinal issues unrelated to pregnancy. It's important to note that psychological factors can significantly influence how we perceive physical sensations, leading to a heightened awareness of bodily changes.

If you are still concerned about the possibility of pregnancy, it might be worth considering a few points:
1. Timing of Ovulation: If you had unprotected intercourse close to your ovulation period, there is a chance of pregnancy. However, since you have had a subsequent menstrual period, this likelihood decreases significantly.

2. Home Pregnancy Tests: These tests are generally reliable when used correctly. If you have taken a test and it shows negative results, it is unlikely that you are pregnant, especially if you have had a normal menstrual cycle afterward.

3. Symptoms of Early Pregnancy: Common early pregnancy symptoms can include nausea, breast tenderness, fatigue, and missed periods. The symptoms you are experiencing, such as nausea and changes in appetite, could be related to other factors, including stress or dietary changes.

4. Consulting a Healthcare Provider: If your symptoms persist or worsen, or if you continue to feel anxious about the possibility of being pregnant, it would be wise to consult with a healthcare provider. They can perform a more sensitive blood test for pregnancy and evaluate your symptoms in the context of your overall health.

5. Mental Health Considerations: Given the emotional toll that uncertainty can take, it’s important to address any anxiety or stress you may be feeling. Talking to a friend, family member, or mental health professional can provide support and help you manage these feelings.

In conclusion, while your symptoms may be concerning, they do not necessarily indicate pregnancy, especially given the recent onset of your menstrual cycle. If you have further doubts, a visit to your healthcare provider can provide reassurance and clarity. Remember, taking care of your mental health is just as important as your physical health during this time.

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