Can Failed Conception Cause Abdominal Pain? Symptoms and Timing

Q: Can Failed Conception Cause Abdominal Pain? Symptoms and Timing

Hello： The ovulation date of March 21 is correct. <br>If you are experiencing abdominal pain and bleeding, please visit a gynecologist for an ultrasound to determine if it is ovulation pain or ovulatory bleeding.

Can unsuccessful conception cause abdominal pain?

In February, I had intercourse with my husband with the intention of getting pregnant, and we timed it according to my ovulation calculations, but it was unsuccessful.
(I had my period on January 2.) At the end of January, I visited a gynecologist who prescribed ovulation medication, which I started taking on the third day of my period in February (I had my period on February 5 and began taking the ovulation medication on February 7).
I had intercourse on February 13, 15, and 18.
From February 21 to 25, I experienced breast enlargement and tenderness, and my nipples were sensitive.
However, on February 28 and around March 3, those sensations disappeared.
Did I miss my ovulation period? On March 5, after urinating, I noticed a small amount of bright red blood when I wiped.
The same situation occurred the next morning on March 6.
Around noon, I started experiencing abdominal pain and began passing blood clots, with severe abdominal pain in the afternoon and evening.
😔😔 After that, I got my period, but there were mostly blood clots! Could the unsuccessful conception have caused the abdominal pain? PS: Since I have plans for pregnancy, I avoided cold drinks.
How should I calculate my ovulation date for March? If I count from February 5 to March 6, my menstrual cycle is 29 days, and I calculated my ovulation date to be March 21.
Is that correct?

Miss A, 20~29 year old female. Ask Date: 2017/03/08

Dr. Cai Yonglong reply Obstetrics and Gynecology

Hello: The ovulation date of March 21 is correct.
If you are experiencing abdominal pain and bleeding, please visit a gynecologist for an ultrasound to determine if it is ovulation pain or ovulatory bleeding.

Reply Date: 2017/03/08

More Info

Failed conception can indeed lead to abdominal pain, and understanding the symptoms and timing surrounding this experience is crucial for managing your health and emotional well-being.
From your description, it appears that you have been actively trying to conceive, and you have been monitoring your ovulation closely. The timeline you provided indicates that you were taking ovulation medication and tracking your cycle meticulously. The symptoms you experienced, such as breast tenderness and sensitivity, are common premenstrual symptoms and can also occur in early pregnancy. However, the onset of abdominal pain and bleeding you described suggests that you may be experiencing a menstrual period or possibly a miscarriage, especially given the presence of blood clots.

When conception fails, it can lead to a variety of physical and emotional responses. Physically, the hormonal changes that occur during your menstrual cycle can cause abdominal cramping and pain. This is often due to the shedding of the uterine lining, which can be accompanied by discomfort. In some cases, if a fertilized egg does not implant properly, it can lead to early pregnancy loss, which may also present with abdominal pain and bleeding.

The timing of your symptoms is also significant. You mentioned experiencing abdominal pain and bleeding shortly after your expected period. This aligns with the typical menstrual cycle, where the body prepares for a potential pregnancy, and if that does not occur, menstruation begins. The presence of blood clots can indicate a heavier flow, which is not uncommon during menstruation, especially if your cycle has been disrupted by hormonal treatments.

Regarding your question about ovulation timing, calculating your ovulation can be tricky, especially if you have irregular cycles or if hormonal medications are involved. Generally, ovulation occurs about 14 days before the start of your next period. If your cycle is consistently 29 days, ovulation would typically occur around day 15. However, since you are taking ovulation medication, this could alter your cycle and timing. It’s important to follow your healthcare provider's guidance on how to best track ovulation while on medication.

If you continue to experience significant abdominal pain, heavy bleeding, or any other concerning symptoms, it is essential to consult with your healthcare provider. They may recommend further evaluation to rule out any underlying conditions, such as ectopic pregnancy or other gynecological issues.
In summary, while failed conception can lead to abdominal pain due to hormonal changes and the onset of menstruation, it is crucial to monitor your symptoms closely. If you have any doubts or if your symptoms worsen, seeking medical advice is the best course of action. Your health and well-being should always come first, especially during this emotionally charged time of trying to conceive.

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