Concerns About Unprotected Sex: Pregnancy and Emotional Impact

I had an unpleasant sexual experience with my boyfriend?

Dear Doctor: I had sexual intercourse with my boyfriend on October 13th, and he did not use a condom.
On October 14th, I experienced bleeding, which increased the following day but then stopped.
I went to the hospital for an examination, and the doctor said it was ovulatory bleeding.
However, in the past few days, I have noticed that my abdomen has been getting larger.
My partner is already in a relationship, and I regret having had sexual relations with him after he sweet-talked me.
I am currently very upset and crying every day.
Am I a suitable candidate for an abortion? Doctor, could you please tell me if I might be pregnant? I have been taking psychiatric medication for a long time.
My menstrual period usually starts around October 5th or 6th.
I hope you can provide me with good advice! Thank you!

Xiao Luo, 40~49 year old female. Ask Date: 2016/10/30

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the chances of pregnancy are low.
Generally, a pregnancy test should be taken at least 12 days after conception to yield accurate results.
It is always best to use contraceptive measures beforehand and not to rely on the safe period.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/10/30

More Info

It sounds like you are going through a very challenging time, and I want to acknowledge the emotional turmoil and anxiety you are experiencing following your recent encounter. Let's break down your concerns regarding the possibility of pregnancy, the emotional impact of your situation, and the implications of your ongoing psychiatric medication.

First, regarding the possibility of pregnancy: Since you had unprotected sex on October 13 and experienced bleeding shortly afterward, it is understandable to be concerned. The bleeding you described as "排卵性出血" (ovulatory bleeding) can occur around the time of ovulation and is not uncommon. However, if your menstrual cycle typically starts around October 5 or 6, it is possible that you were already in the luteal phase of your cycle when you had unprotected intercourse. This timing can affect the likelihood of conception, but it does not entirely eliminate the possibility. If you are experiencing abdominal swelling, it could be due to various factors, including hormonal changes, stress, or even gastrointestinal issues, rather than pregnancy alone.

To determine if you are pregnant, a home pregnancy test can be taken about a week after your missed period for the most accurate result. If you have any doubts or if your symptoms persist, I recommend consulting with a healthcare provider who can perform a blood test for pregnancy and provide further guidance.

Now, let's address the emotional impact of your situation. It is completely normal to feel regret and sadness after engaging in a sexual encounter that you did not feel comfortable with, especially if it involved someone who is already in a relationship. The feelings of guilt and anxiety can be overwhelming, and it's important to acknowledge these emotions rather than suppress them. Talking to a trusted friend or a mental health professional can provide you with a safe space to express your feelings and help you process what happened.

Regarding your ongoing psychiatric medication, it is crucial to discuss any concerns about medication and pregnancy with your psychiatrist. Some psychiatric medications can have implications for pregnancy and fetal development, so it's essential to have a clear understanding of your options. If you are considering an abortion, it is also important to discuss how your medication may affect the procedure and your overall mental health during this time.

If you are feeling overwhelmed, consider reaching out to a mental health professional who can help you navigate these feelings and provide support. They can also assist you in developing coping strategies to manage anxiety and emotional distress.

In summary, while there is a possibility of pregnancy, the timing of your menstrual cycle and the nature of the bleeding you experienced may provide some reassurance. However, it is essential to confirm with a pregnancy test. Emotionally, it is vital to seek support and talk about your feelings of regret and anxiety. Lastly, do not hesitate to consult your psychiatrist regarding your medication and any potential implications for your mental health and pregnancy. Remember, you are not alone in this, and there are resources available to help you through this difficult time.

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