Menstrual Delay After Ovulation: Pregnancy Concerns and Factors

Intimate relations during ovulation period, with a delayed menstrual period and no other discomfort?

Nìmíng, 10~19 year old female. Ask Date: 2017/05/16

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The last menstrual cycle was from April 13 to April 17.
From April 20 until yesterday, I had intimate relations with my boyfriend, during which I performed oral sex until he ejaculated and swallowed without rinsing my mouth or washing my hands.
I then stimulated my external genitalia to orgasm (without inserting fingers or touching my saliva).
Before going to sleep, I washed my hands with soap and rinsed my mouth with water.
While removing his pants, I touched his genitals but did not feel any mucus.
On May 14, I engaged in anal intercourse using a condom, and afterward, I performed a water test which showed no holes in the condom.
On the night of May 14, I took a pregnancy test (urine was in my body for over 4 hours) which was negative.
Since then, I have been eating ice, and my period still hasn’t arrived.
My menstrual cycle has never been very regular, but it has been quite punctual in previous months.
Recently, I have been stressed due to school exams and am worried about pregnancy, which has affected my mental state.
I also have a habit of staying up late.
I took emergency contraception in February and again in December of last year.
Currently, I have the following symptoms: 1.
Sensitive nipples (but no change in color or texture), 2.
Minimal vaginal discharge that tastes sour (similar to before my period), 3.
Occasional left abdominal pain (some say it’s ovarian).
My body temperature has been consistently around 37.6 to 37.7 degrees Celsius before bed and 37.3 degrees Celsius in the morning.
My normal body temperature tends to be slightly elevated but has never exceeded 37.5 degrees Celsius.
I am a bit worried because I am a student and have never given birth.
I heard that I cannot take birth control pills and must have surgery to clear everything out.
Is there a chance I could be pregnant? Can eating ice delay my period by more than a week?
Answer: 1.
The last menstrual cycle was from April 13 to April 17, so a pregnancy test should be taken after May 24 to determine if you are pregnant.
2.
From April 20, you had intimate relations (oral sex until ejaculation, swallowing without rinsing mouth or washing hands, and stimulating your external genitalia without insertion or saliva contact).
You washed your hands and rinsed your mouth before removing his pants and touched his genitals without feeling any mucus.
On May 14, you had anal intercourse with a condom, and the water test showed no holes: you are unlikely to be pregnant.
3.
Your current symptoms: 1.
Sensitive nipples (but no change in color or texture), 2.
Minimal vaginal discharge that tastes sour (similar to before your period), 3.
Occasional left abdominal pain (not a specific sign of pregnancy).
4.
You have never given birth; the information about not being able to take birth control pills and needing surgery is incorrect.
5.
Eating ice will not delay your period by more than a week.
Thank you for taking the time to clarify these concerns!

Reply Date: 2017/05/16

More Info

When it comes to understanding menstrual delays after ovulation and the associated concerns regarding pregnancy, several factors must be considered. Based on your description, it appears that you are experiencing a delay in your menstrual cycle, which can be influenced by various physiological and psychological factors.

Firstly, it's important to note that menstrual cycles can vary significantly from person to person and even from month to month. Stress, changes in routine, and lifestyle factors such as sleep patterns and diet can all contribute to irregularities in your cycle. You mentioned that you have been under stress due to exams and have a habit of staying up late, which can certainly affect your hormonal balance and lead to a delayed period.

Regarding your sexual activities, you indicated that you engaged in oral sex and anal sex with the use of a condom, which reduces the risk of pregnancy significantly. The fact that you performed a pregnancy test on May 14 and received a negative result is also a reassuring sign, especially since you mentioned that the urine was retained in your bladder for over four hours prior to testing. This retention can enhance the accuracy of the test.

You also expressed concerns about symptoms such as breast sensitivity, changes in vaginal discharge, and abdominal pain. Breast tenderness can occur due to hormonal fluctuations, which are common in the premenstrual phase or during ovulation. The changes in vaginal discharge you described, particularly if they are similar to what you experience before your period, may also indicate that your body is preparing for menstruation rather than pregnancy.

The abdominal pain you mentioned could be related to ovulation or other benign conditions, such as ovarian cysts, rather than an indication of pregnancy. It’s worth noting that if the pain becomes severe or is accompanied by other concerning symptoms, it would be advisable to consult a healthcare professional.

As for your question about whether eating ice could delay your period, there is no scientific evidence to support the idea that consuming cold foods or beverages can directly affect menstrual cycles. However, extreme dietary changes or stress related to food intake can potentially influence your cycle.

In conclusion, while there is a possibility of pregnancy given the nature of your sexual activities, the negative pregnancy test and the timing of your menstrual cycle suggest that other factors, such as stress and hormonal fluctuations, are more likely the cause of your delayed period. If your period does not arrive soon or if you continue to experience unusual symptoms, it would be prudent to consult a healthcare provider for further evaluation and peace of mind. They can provide you with more personalized advice and may suggest additional testing if necessary.

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