Are you pregnant?
Hello doctor, I underwent an induction of labor on November 18, and my first menstrual period came on December 23.
I had sexual intercourse in between but used condoms for protection, except for two instances where ejaculation occurred outside.
My second menstrual period arrived on January 21, and since then, I have not had any sexual intercourse.
However, I feel a slight protrusion in my lower abdomen, and I also have a history of constipation.
What is the likelihood of being pregnant?
Miss Lin, 20~29 year old female. Ask Date: 2017/02/04
Dr. Huang Jianzhong reply Obstetrics and Gynecology
I underwent an induction abortion on November 18, and my first menstrual period came on December 23.
I had sexual intercourse in between but used condoms for protection, except for two instances where ejaculation occurred outside.
My second menstrual period started on January 21, and since then, I have not had sexual intercourse.
However, I feel a slight protrusion in my lower abdomen, and I also have a history of constipation.
What is the likelihood of being pregnant? Answer: It is unlikely.
Reply Date: 2017/02/04
More Info
After undergoing an abortion on November 18, it's understandable to have concerns about your menstrual cycle and the possibility of pregnancy. Based on your timeline, you experienced your first menstrual period on December 23, which is a positive sign that your body is returning to its normal hormonal rhythm after the procedure.
In general, after an abortion, it is common for women to experience some irregularities in their menstrual cycles for a few months. However, the return of your menstrual cycle indicates that your body is beginning to regulate itself again. The fact that you have had two menstrual periods since the abortion suggests that your reproductive system is functioning, and you may be fertile again.
Regarding the chances of pregnancy, it is important to consider a few factors:
1. Timing of Ovulation: Ovulation typically occurs about 14 days before your next expected period. If your cycles are regular, you can estimate when you might ovulate. Since you had your second period on January 21, if your cycle is around 28 days, you might expect to ovulate around January 7. If you had unprotected intercourse around that time, there is a possibility of pregnancy.
2. Contraceptive Measures: You mentioned using condoms for protection during sexual intercourse, which is a reliable method of contraception when used correctly. However, if there were instances of unprotected intercourse, even if ejaculation occurred outside, there is still a risk of pregnancy due to pre-ejaculate fluid, which can contain sperm.
3. Physical Symptoms: The feeling of abdominal fullness or distension could be attributed to various factors, including hormonal changes, gastrointestinal issues like constipation, or even early signs of pregnancy. However, these symptoms alone are not definitive indicators of pregnancy.
4. Testing for Pregnancy: If you suspect you might be pregnant, the most reliable way to confirm this is through a home pregnancy test or a blood test at your healthcare provider. Home pregnancy tests are generally accurate if taken after a missed period, as they detect the hormone hCG, which is produced during pregnancy.
5. Consulting a Healthcare Provider: Given your recent abortion and the changes in your menstrual cycle, it might be beneficial to consult with your healthcare provider. They can provide personalized advice based on your medical history and current symptoms. They may also recommend a follow-up examination to ensure that everything is healing properly after the abortion.
In summary, while there is a possibility of pregnancy depending on your sexual activity and timing, the use of condoms significantly reduces that risk. If you have concerns or experience any unusual symptoms, it is always best to seek medical advice for peace of mind and to ensure your reproductive health is on track.
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