Delayed Period with No Breast Tenderness: Could It Be Pregnancy? - Obstetrics and Gynecology

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Menstruation is delayed, and there is no breast tenderness at all?


Last month, my period started on May 1st.
I had sexual intercourse on May 26th and 27th, during which two times we did not use a condom, but he withdrew just a few seconds before ejaculation.
Normally, I experience breast tenderness and lower abdominal pain a week before my period, but this time I have not felt any breast discomfort, and the lower abdominal pain is only mild.
A few days ago, I noticed some thick white discharge, but today the discharge has stopped, and my period has not yet arrived.
Currently, I have some lower abdominal discomfort, feeling like something is about to come out, but nothing happens when I go to the bathroom.
I would like to ask the doctor if this could be a sign of pregnancy?

ting, 20~29 year old female. Ask Date: 2017/06/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Last month, my period started on May 1st.
I had sexual intercourse on May 26th and 27th, and during two of those instances, we did not use a condom.
However, he withdrew just a few seconds before ejaculation.
Normally, I experience breast tenderness and lower abdominal pain a week before my period, but this time I have not felt any breast discomfort, and the lower abdominal pain is only mild.
A few days ago, I noticed some thick white discharge, but today there is no discharge at all, and my period has not started yet.
Currently, I have some lower abdominal pain, and it feels like something is about to come out, but when I go to the bathroom, there is nothing.
I would like to ask the doctor if this could mean I am pregnant? Answer: Take a pregnancy test on June 6th.

Reply Date: 2017/06/02

More Info


When it comes to a delayed period, especially when accompanied by a lack of typical premenstrual symptoms such as breast tenderness, it is natural to wonder about the possibility of pregnancy. In your case, you mentioned that your last menstrual period started on May 1st, and you had unprotected intercourse on May 26th and 27th. Given that you typically experience breast tenderness and abdominal pain before your period, the absence of these symptoms could indeed be concerning.

Firstly, it is important to understand that a delayed period can be caused by various factors, not just pregnancy. Stress, hormonal imbalances, changes in weight, and even illness can all affect your menstrual cycle. In your situation, since you have had unprotected intercourse, it is reasonable to consider the possibility of pregnancy, but it is also essential to keep in mind that there are other explanations for your delayed period.

You mentioned that you experienced some thick white discharge a few days ago, which has since disappeared. Changes in vaginal discharge can occur for various reasons, including hormonal fluctuations, and are not solely indicative of pregnancy. The absence of typical premenstrual symptoms, such as breast tenderness, could also suggest that your body is responding differently this cycle, possibly due to stress or other lifestyle factors.

To determine whether you might be pregnant, it is advisable to take a home pregnancy test. These tests are most reliable when taken after a missed period, as they measure the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. Since your period is delayed, taking a test now could provide you with a clearer answer. If the test is negative and your period still does not arrive, it may be worth waiting a few days and testing again or consulting with a healthcare provider for further evaluation.

In summary, while the possibility of pregnancy exists given your recent sexual activity, the absence of typical premenstrual symptoms and changes in discharge could also indicate other factors at play. It is essential to monitor your body and consider taking a pregnancy test to clarify your situation. If you continue to experience a delayed period or have concerns about your menstrual health, seeking advice from a healthcare professional would be beneficial. They can provide personalized guidance based on your medical history and current symptoms.

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