Could You Be Pregnant? Symptoms and Concerns - Obstetrics and Gynecology

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Hello Doctor: For the past two to three days, I have been experiencing a slight pain in my abdomen, and my nipples hurt when touched.
I also have a constant urge to vomit, but I haven't actually vomited.
I had sexual intercourse with my boyfriend on September 28, and my period has not arrived yet (it is already late).
This morning, I experienced continuous sharp abdominal pain that was quite severe, and I had a large bowel movement.
Now I feel okay, but I'm unsure if this will happen again.
Could these symptoms indicate a possible pregnancy or another condition? Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2016/10/15

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, a pregnancy test typically requires at least 12 days after conception to yield accurate results.
It is advisable to take preventive measures for contraception beforehand.
If your period is more than a week late, it is recommended to consult a gynecologist.
Wishing you good health.

Reply Date: 2016/10/15

More Info


It sounds like you're experiencing a range of symptoms that can indeed be concerning, especially when considering the possibility of pregnancy. Let's break down your situation and explore the potential implications of your symptoms.

Firstly, the symptoms you described—abdominal pain, breast tenderness, and nausea—are commonly associated with early pregnancy. Many women report similar experiences during the first few weeks after conception. The abdominal pain you mentioned could be due to various reasons, including hormonal changes, implantation, or even gastrointestinal issues. It's also worth noting that stress and anxiety can exacerbate physical symptoms, leading to discomfort.

The fact that your menstrual period is delayed is another significant indicator. A missed period is often one of the first signs of pregnancy. However, it's essential to remember that various factors can cause a delayed period, including stress, changes in weight, hormonal imbalances, or underlying health conditions.

Regarding the abdominal pain, if it was a sharp, severe pain, it could be a sign of something more serious, such as an ectopic pregnancy or other gastrointestinal issues. However, if the pain is mild and intermittent, it may simply be your body adjusting to hormonal changes or digestive issues. The fact that you experienced a bowel movement after the pain could suggest that it was related to gastrointestinal discomfort rather than a reproductive issue.

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 the test is positive, it would be advisable to schedule an appointment with your healthcare provider for further evaluation and prenatal care.

If the test is negative and your symptoms persist, it would be wise to consult a healthcare professional. They can perform a more thorough examination, possibly including blood tests or ultrasounds, to rule out any other conditions that might be causing your symptoms.

In summary, while your symptoms could indicate pregnancy, they could also be attributed to other factors. Taking a home pregnancy test will provide clarity, and if you continue to experience discomfort or have concerns, seeking medical advice is crucial. Remember, early prenatal care is essential for a healthy pregnancy, so don't hesitate to reach out to a healthcare provider for support and guidance.

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