Delayed Menstruation: Pregnancy Concerns and Solutions - Obstetrics and Gynecology

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Delayed menstruation?


I have read through the information, but I'm still concerned about the sexual encounter with my boyfriend on May 29.
We took a shower together before engaging in sexual activity, and there was accidental contact with the genital area (without intentional friction).
We used a condom throughout the encounter, but halfway through, I removed the condom and used my hand to help him finish.
He ejaculated on my chest, and some semen flowed onto my abdomen, but I wiped it off with a wet tissue and waited for it to dry before taking a shower.

I read online that it is not easy to get pregnant under these circumstances.
On June 2, I experienced some bleeding, which was lighter than usual, and the color on the pad was quite dark.
Normally, I would have cramps, but this time I didn't feel any pain.
I'm not sure if this is due to stress from exams.
My last period was at the end of April, and I only bled on June 2, which is a long gap since my last sexual encounter in February, where we also used a condom, and he ejaculated in my mouth.
My periods have been normal since then.
Given these circumstances, is there a possibility of pregnancy, or could there be other explanations? Should I take a pregnancy test or see a gynecologist? If I were to be pregnant, would it be possible to take medication for an abortion?

Xuan, 10~19 year old female. Ask Date: 2017/06/06

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy are low, but it is always best to take preventive measures beforehand.
Do not rely on the safe period.
If you still experience any discomfort, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2017/06/06

More Info


Understanding delayed menstruation and the concerns surrounding potential pregnancy can be quite stressful, especially when there are various factors at play. Based on your description, it seems you have had a series of events that have led to uncertainty about whether you might be pregnant. Let’s break down your situation and address your concerns.

First, it’s important to note that while you engaged in sexual activity, you took precautions by using a condom, which significantly reduces the risk of pregnancy. However, no contraceptive method is 100% effective, and there is always a small chance of pregnancy, especially if there was any potential for sperm to come into contact with the vaginal area. The fact that you experienced some bleeding on June 2, which was different from your usual menstrual cycle, adds another layer of complexity to your situation.

The bleeding you described could be a light period or it could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus. However, since you mentioned that this bleeding was less than usual and without pain, it could also be attributed to stress or hormonal fluctuations, especially considering the pressure of upcoming exams. Stress can significantly impact your menstrual cycle, causing delays or changes in flow.

Given that you have had a normal menstrual cycle following your last sexual encounter in February, it seems less likely that you are pregnant, but it is not impossible. If you are feeling anxious about the possibility of pregnancy, the best course of action would be to take a home pregnancy test. These tests are widely available, easy to use, and can provide results within minutes. If the test is positive, it is advisable to consult with a healthcare provider for further evaluation and guidance.

If you find yourself in a situation where you are indeed pregnant and considering your options, it is crucial to seek medical advice. In the United States, there are safe and legal options for terminating a pregnancy, including medication and in-clinic procedures. The choice of method will depend on how far along you are in your pregnancy and your personal circumstances. A healthcare provider can help you understand these options and what would be best for your health.

In addition to addressing the potential for pregnancy, it’s also important to consider your emotional well-being. The stress and anxiety surrounding this situation can be overwhelming. If you find that your worries are affecting your daily life, it may be beneficial to talk to a mental health professional. They can provide support and coping strategies to help you manage your feelings.

In summary, while the risk of pregnancy seems low given your precautions, taking a home pregnancy test will provide clarity. If you are pregnant and considering your options, consulting with a healthcare provider is essential. Remember, it’s important to prioritize your mental health during this time, and seeking support can be incredibly beneficial.

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