Pregnancy Signs and Symptoms: Your Questions Answered

Are you pregnant?

Hello, Doctor.
My last menstrual period was from April 7 to April 14.
I experienced abnormal bleeding from April 21 to April 27 for a week.
My next expected menstrual period is on May 13.
I had sexual intercourse on April 18, 19, May 10, 11, and 15.
On May 22, I took a pregnancy test and it showed one line.
On May 26, I tested three times; one test from the same brand showed a faint second line, another was almost invisible, and a different brand did not show anything.
Therefore, on the evening of May 26, I went to the obstetrics and gynecology department for an ultrasound and pregnancy test, which showed no signs of pregnancy, but my uterus was slightly swollen.
The doctor prescribed medication to help elevate the uterus and said that I should expect my period to come seven days after finishing the medication.
If it doesn’t come, I should return for a follow-up.
Last night, after taking the medication, I woke up this morning with lower abdominal pain and a feeling of nausea.
I would like to ask if this is a side effect of the medication.
My mood and sleep schedule have not been good this month, and I have also taken cold medicine, which in the past has delayed my period by a week.
Additionally, I would like to know what the chances of pregnancy are, considering that the intercourse occurred four days after my period and four days before my next expected period, and I did not take proper precautions.
I understand this is not a good contraceptive method (I realize my mistake).
What should I do in the coming days? Should I continue to buy pregnancy tests? I have been drinking a lot of water and am concerned about diluting my urine.
Thank you, Doctor.

Bi Bi, 20~29 year old female. Ask Date: 2016/05/27

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is not possible to determine pregnancy solely based on subjective symptoms.
It is recommended to return for a check-up in a week to confirm whether or not you are pregnant.
Thank you! Wishing you peace and health.

Dr.
Zhang

Reply Date: 2016/05/27

More Info

Thank you for your detailed inquiry regarding your pregnancy concerns. It’s understandable to feel anxious during this time, especially with the various symptoms and uncertainties you are experiencing. Let’s break down your questions and provide clarity on each aspect.

1. Understanding Your Symptoms: The symptoms you are experiencing, such as abdominal pain and nausea, can be attributed to several factors. If you have recently taken medication to induce your period, it is possible that these symptoms are side effects of the medication. Hormonal changes can lead to nausea and abdominal discomfort. However, if the pain is severe or persistent, it is crucial to consult your healthcare provider to rule out any complications.

2. Pregnancy Testing: The faint line on your pregnancy test can indicate a very early pregnancy, but it can also be a sign of a chemical pregnancy, where the pregnancy does not progress. Since you have had a negative ultrasound and no signs of a developing pregnancy, it is essential to follow your doctor’s advice. If your period does not arrive after taking the medication, a follow-up appointment is necessary to reassess your situation.

3. Timing of Intercourse: Engaging in unprotected intercourse close to your expected ovulation period can increase the likelihood of pregnancy. However, since you have taken medication to induce your period, it may alter your cycle. If you are concerned about the possibility of pregnancy, continue to monitor your symptoms and consider taking another pregnancy test a few days after your expected period date for more accurate results.

4. Hydration and Testing: Drinking plenty of water is essential for your overall health, but it can dilute your urine, potentially affecting the accuracy of home pregnancy tests. If you are testing, try to use first-morning urine, as it typically contains higher levels of hCG (the hormone detected by pregnancy tests).

5. Emotional and Physical Well-being: It’s common for women to experience emotional fluctuations during this time, especially with the uncertainty surrounding your menstrual cycle and potential pregnancy. Ensure you are taking care of your mental health by seeking support from friends, family, or professionals if needed. Adequate rest and a balanced diet can also help stabilize your mood.

6. Next Steps: If your symptoms persist or worsen, or if you have any concerns about your health, do not hesitate to reach out to your healthcare provider. They can provide personalized advice based on your medical history and current situation. Additionally, if you are feeling unwell due to the cold medication you have taken, it may be worth discussing with your doctor to ensure it is safe and appropriate for you.

In summary, while the symptoms you are experiencing can be concerning, they may be related to the medication you have taken or hormonal changes in your body. Continue to monitor your symptoms, follow your doctor's advice, and consider retesting for pregnancy if your period does not arrive as expected. Remember, open communication with your healthcare provider is key to navigating this uncertain time.

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