Pregnancy Chances: What to Know About Delayed Menstruation

What is the likelihood of getting pregnant?

Hello, my period usually starts around the 5th or 6th of the following month, but it hasn't come yet this month.
I had sexual intercourse on November 14th with a condom that did not break.
On December 9th, I went to the gynecologist for an ultrasound, and the doctor mentioned that my endometrium was quite thick.
They also performed a urine pregnancy test, which came back negative.
Before leaving, I asked the doctor how many weeks into a pregnancy a test would show positive, and they said two weeks.
I told them about the sexual intercourse on November 14th, and the doctor said it was unlikely that I was pregnant and that I shouldn't worry.
Is that really the case? A few days ago, I experienced some bleeding while masturbating.
At first, I thought my period was about to start, but after waiting a few days, it still hasn't come.
Could this be a symptom of early pregnancy bleeding?

Shq, 10~19 year old female. Ask Date: 2017/12/22

Dr. Huang Jianzhong reply Obstetrics and Gynecology

My period has always come around the beginning of the next month, around the 5th or 6th.
However, this month it still hasn't arrived.
I had sexual intercourse on November 14th with a condom, and it did not break.
On December 9th, I went to the gynecologist for an ultrasound, and the doctor mentioned that my endometrium was quite thick.
I also had a urine test, which showed I was not pregnant.
Before leaving, I asked the doctor how many weeks into a pregnancy a test would show positive, and the doctor said two weeks.
I told him that the sexual intercourse was on November 14th, and he said it was unlikely that I was pregnant and not to worry.
Is that true? Answer: Yes, it is true.
A few days ago, I experienced some bleeding while masturbating.
At first, I thought my period was about to start, but after waiting a few days, it still hasn't come.
Is this a symptom of early pregnancy bleeding? Answer: No, it is not.

Reply Date: 2017/12/22

More Info

When it comes to understanding delayed menstruation and the chances of pregnancy, it's essential to consider several factors, including the timing of sexual intercourse, the use of contraception, and the body's natural menstrual cycle. Based on your description, it seems you have a regular cycle, typically starting around the 5th or 6th of each month. However, this month, you have not yet experienced your period, which can understandably cause concern.

You mentioned having sexual intercourse on November 14 while using a condom, which is a reliable form of contraception when used correctly. The fact that the condom did not break or slip off further reduces the likelihood of pregnancy. Following this, you had a visit to your gynecologist on December 9, where an ultrasound indicated a thickened endometrium, and a urine pregnancy test returned negative. This is a reassuring sign, as it suggests that there is no current pregnancy.

The doctor’s comment about the endometrial thickness could indicate that your body is preparing for menstruation, which can sometimes happen even if your period is delayed. The menstrual cycle can be influenced by various factors, including stress, hormonal fluctuations, changes in weight, and even illness. It's not uncommon for women to experience variations in their cycle, leading to occasional delays.

Regarding your concern about the bleeding you experienced during masturbation, it’s important to differentiate between menstrual bleeding and other types of bleeding. Early pregnancy can sometimes present with light spotting, known as implantation bleeding, but this typically occurs around the time of expected menstruation if conception has taken place. Since your urine test was negative and you had a medical professional confirm that pregnancy was unlikely, it is more probable that the bleeding you experienced is unrelated to pregnancy. It could be due to other factors such as hormonal changes, irritation, or even a minor injury.

If your period does not arrive soon, or if you continue to experience unusual bleeding or any other concerning symptoms, it would be wise to follow up with your healthcare provider. They may recommend further testing, such as a blood test for pregnancy, which can detect pregnancy earlier than a urine test, or they may want to investigate other potential causes for your delayed menstruation and bleeding.

In summary, while the chance of pregnancy seems low given your circumstances, it’s essential to monitor your body and consult with your healthcare provider if you have any ongoing concerns. They can provide personalized advice and reassurance based on your specific situation. Remember, it's always better to seek medical advice if you're feeling uncertain about your health.

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