Am I Pregnant? Irregular Periods and Spotting - Obstetrics and Gynecology

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Could this lead to pregnancy?


I had my last menstrual period on February 6, and this month it was due on March 5.
I had intercourse during this time, and my period still hasn't arrived.
I've seen a doctor and received injections and medication to induce menstruation, but nothing has happened.
Today at noon, I noticed a little spotting, but by the evening, it was just a tiny amount, and the color resembles brownish.
What could this mean?

Miss Ye, 20~29 year old female. Ask Date: 2016/03/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is recommended to visit a hospital for a detailed examination by an obstetrician-gynecologist.
Wishing you good health.

Reply Date: 2016/03/27

More Info


It sounds like you are experiencing some concerning symptoms related to your menstrual cycle and potential pregnancy. Let's break down your situation and provide some insights into what might be happening.

Firstly, irregular periods can be caused by a variety of factors, including hormonal imbalances, stress, changes in weight, and underlying medical conditions. If your last menstrual period started on February 6 and you have not had a period since, it is understandable that you might be worried, especially if you have been trying to conceive.

The spotting you mentioned, particularly if it is brown in color, could be indicative of several things. Brown spotting often occurs when old blood is expelled from the body, which can happen at the beginning or end of a menstrual period. However, if you are experiencing this spotting outside of your expected menstrual cycle, it could also be a sign of implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus. This typically happens about 6 to 12 days after conception, so if you had unprotected intercourse around the time of ovulation, this could be a possibility.

Given that you have been receiving treatment to induce your period, it is also important to consider that the medications you are taking might affect your cycle and could potentially lead to irregular bleeding or spotting. Hormonal treatments can sometimes cause breakthrough bleeding, which may explain the brown discharge you are observing.

To determine whether you are pregnant, the most reliable method is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced shortly after a fertilized egg attaches to the uterine lining. If you take a test and it is positive, it would confirm pregnancy. If the test is negative and your period still does not arrive, it is advisable to consult with your healthcare provider for further evaluation.

In the meantime, if you continue to experience irregular bleeding, significant pain, or any other concerning symptoms, it is crucial to seek medical attention. Your healthcare provider can perform a physical examination, possibly conduct blood tests, and may recommend an ultrasound to assess your reproductive health and determine the cause of your symptoms.

In summary, while brown spotting can be a normal occurrence, especially if it is light and not accompanied by other symptoms, it is essential to monitor your situation closely. Taking a pregnancy test and consulting with your healthcare provider will provide you with the best course of action and peace of mind regarding your reproductive health. Remember, your health and well-being are paramount, so don’t hesitate to reach out for professional guidance.

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