The likelihood of pregnancy and pelvic inflammatory disease?
Hello doctor, I had sexual intercourse on March 26 with a condom.
Today, April 5, I went to the hospital for a pelvic inflammatory disease check-up, and the urine test result showed that I am not pregnant.
Is this really accurate? Am I really not pregnant? If I have been taking medication for pelvic inflammatory disease for three days and still feel bloated, uncomfortable, and have frequent urination, should I continue taking the same medication or what should I do?
Ms. Li, 20~29 year old female. Ask Date: 2017/04/05
Dr. Huang Jianzhong reply Obstetrics and Gynecology
1.
I had sexual intercourse on March 26 with a condom, and today, April 5, I went to the hospital for a pelvic inflammatory disease check-up.
The urine test result showed that I am not pregnant.
Is this really accurate? Am I really not pregnant? Answer: It is necessary to know the menstrual history.
2.
If I have been taking medication for pelvic inflammatory disease for three days and still feel bloated, painful, and have frequent urination, should I continue taking the same medication or...? Answer: Consult a different physician.
Reply Date: 2017/04/05
More Info
When it comes to understanding pregnancy chances and the implications of pelvic inflammatory disease (PID), it's essential to consider several factors. Based on your situation, you had unprotected sexual intercourse on March 26 and subsequently visited the hospital on April 5, where a urine test indicated that you were not pregnant.
Firstly, urine pregnancy tests are generally quite accurate when taken after a missed period. Given that your sexual encounter was on March 26 and you tested on April 5, it is still relatively early to detect pregnancy, as most tests are most reliable after a missed period, which typically occurs about two weeks after ovulation. If your menstrual cycle is regular and you expect your period around this time, the test may indeed be accurate. However, if your cycle is irregular or if you ovulated later than expected, there is still a possibility of pregnancy. If you have any doubts, it may be worthwhile to repeat the test a few days later or consult with your healthcare provider for a blood test, which can detect pregnancy earlier than a urine test.
Regarding your pelvic inflammatory disease, it is crucial to address the symptoms you are experiencing. PID can cause significant discomfort, including pelvic pain, frequent urination, and other gastrointestinal symptoms. If you have been on medication for three days and are still experiencing pain and discomfort, it is advisable to follow up with your healthcare provider. They may need to reassess your condition, as persistent symptoms could indicate that the infection has not resolved or that there may be complications such as abscess formation or chronic PID.
In terms of treatment, it is essential to complete the full course of antibiotics as prescribed, even if you start feeling better. However, if your symptoms persist or worsen, you should not hesitate to return to your doctor. They may need to adjust your treatment plan or conduct further tests to ensure that the infection is adequately addressed.
Additionally, PID can have implications for future fertility. If you have had multiple episodes of PID, it can lead to scarring of the fallopian tubes, which may affect your ability to conceive. Therefore, it is crucial to manage any infections promptly and effectively to minimize the risk of long-term complications.
In summary, while your urine test suggests that you are not pregnant, it is essential to consider the timing of the test and your menstrual cycle. If you have concerns about pregnancy or your health, follow up with your healthcare provider. For your PID, continue your prescribed treatment, but do not hesitate to seek further medical advice if your symptoms persist. Your health and well-being are paramount, and addressing these issues early can help prevent more significant complications in the future.
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