Am I Pregnant? Your Chances After Recent Symptoms - Obstetrics and Gynecology

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Doctor, my last sexual intercourse was on August 30.
I went to see a gynecologist on September 8 due to lower abdominal pain.
I did not take a pregnancy test, only an abdominal ultrasound.
The doctor told me that a cyst had ruptured, which is why I felt discomfort.
Do I still have a chance of getting pregnant this month? My menstrual period is expected to arrive around September 14 or 15.

Yu, 20~29 year old female. Ask Date: 2016/09/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a pregnancy test is generally reliable only after 12 days post-conception.
It is advisable to take preventive measures beforehand.
If your period is more than a week late, it is recommended to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/09/09

More Info


Determining whether you are pregnant can be a complex process, especially when considering the timing of your last sexual encounter and the symptoms you are experiencing. Based on the information you've provided, let's break down the situation.

You mentioned that your last sexual encounter was on August 30, and your expected menstrual period was around September 14-15. If you had unprotected intercourse during your fertile window, which typically occurs about 14 days before your next expected period, there is a possibility of pregnancy. Sperm can survive in the female reproductive tract for up to five days, so if you ovulated shortly after your last sexual encounter, conception could have occurred.

The abdominal pain you experienced on September 8 could be attributed to various factors, including ovulation pain, premenstrual symptoms, or other non-pregnancy-related issues. The ultrasound indicated a ruptured cyst (water tumor), which can also cause discomfort but does not necessarily indicate pregnancy.
If your period does not arrive as expected, it would be advisable to take a home pregnancy test. These tests are designed to detect the hormone human chorionic gonadotropin (hCG), which is produced shortly after a fertilized egg attaches to the uterine lining. Testing a few days after your missed period will yield the most accurate results.

If you do experience symptoms such as nausea, breast tenderness, fatigue, or frequent urination, these could be early signs of pregnancy. However, it's essential to note that some women may not experience any symptoms at all in the early stages of pregnancy.

If your period arrives as expected, it is unlikely that you are pregnant. However, if you have irregular cycles or if your symptoms persist, it may be worth consulting with a healthcare provider for further evaluation. They can perform a blood test to check for pregnancy and assess any underlying issues that may be causing your symptoms.

In summary, while there is a chance of pregnancy based on your last sexual encounter, the abdominal pain and the ultrasound findings suggest that other factors may be at play. If your period does not come as expected, taking a pregnancy test will provide clarity. If you have further concerns or if your symptoms worsen, seeking medical advice is always a good step to ensure your health and well-being.

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