Urgent Questions About Unexplained Bleeding, Pregnancy, and Testing

Urgent!! Questions regarding unexplained bleeding, pregnancy, and pregnancy testing?

This is my menstrual cycle over the past few months.
In August, I experienced some stress, which caused some irregularities.
My cycles were as follows: 19/1-24/1, 22/12-27/12, 23/11-28/11, 26/10-31/10, 26/9-1/10, 26/8-31/8, 4/8-9/8, and 6/7-11/7.
My most recent menstrual period started on 19/1 and ended on 24/1.
The last sexual intercourse occurred on 26/1 (Friday), which was the eighth day of my menstrual cycle.
On that day, my boyfriend did not use a condom, and we engaged in intercourse for about 30 seconds without ejaculation inside the vagina; he finished manually.
About an hour later, we were intimate again, and my boyfriend used a condom, but he did not ejaculate.
This was due to my vagina becoming dry and somewhat painful.
That evening after intercourse, I noticed some discharge that seemed to have a slight color, possibly pink, but I was not sure.
The next day (27/1), when I wiped after using the bathroom, I saw some brown discharge that looked like blood, similar to the color at the end of my period.
After that day, I experienced intermittent brown discharge, which I noticed each time I wiped after using the restroom.
This occurred again on the evening of 30/1, as well as on 2/2 and 3/2.
However, yesterday and today (4/2 and 5/2), there was no brown discharge, but I did notice egg white-like discharge, which I typically experience during ovulation.
Given the above situation, I would like to ask the doctor:
1.
Based on my menstrual cycle, was the day of intercourse considered a safe period? What is the likelihood of pregnancy?
2.
Is the egg white discharge an indication of ovulation or an increase in discharge due to potential conception?
3.
Does ovulation bleeding occur before or after ovulation day?
4.
I have experienced ovulation bleeding in the past; is it possible that the bleeding I had on the day of intercourse and the following day was caused by the intercourse? Would the subsequent bleeding be classified as ovulation bleeding?
5.
I plan to take a pregnancy test on the 9th and 13th (which are the 14th and 18th days after intercourse).
Will the results be accurate? If the test is negative, should I test again? If I test negative 21 days after intercourse, can I consider that result reliable?
6.
I read online that pregnancy tests should be taken after a missed period, but I also saw that testing 18 days after intercourse is usually conclusive for a negative result.
If it has not yet been time for my period to arrive 18 days after intercourse, is a negative result still accurate?

WUTITI, 20~29 year old female. Ask Date: 2018/02/05

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Here is a summary of my menstrual cycle over the past few months.
In August, I experienced some stress, which caused some irregularities.
My cycles were as follows: 19/1-24/1, 22/12-27/12, 23/11-28/11, 26/10-31/10, 26/9-1/10, 26/8-31/8, 4/8-9/8, 6/7-11/7.
My most recent period was from 19/1 to 24/1, and my last sexual intercourse was on 26/1 (Friday), which was the eighth day of my menstrual cycle.
On that day, my boyfriend did not use a condom, and we engaged in intercourse for about 30 seconds without ejaculation in the vagina; he finished manually.
About an hour later, we were intimate again, and my boyfriend used a condom, but he did not ejaculate.
This was due to my vagina becoming dry and somewhat painful.
That evening after intercourse, I noticed some discharge that seemed slightly colored, like pink, but I wasn't sure.
The next day (27/1), when I wiped, I saw some brown discharge that looked like blood, resembling the color at the end of my period.
After that day, I had intermittent brown discharge, which I noticed when wiping after using the restroom.
This continued on the evenings of 30/1, 2/2, and 3/2.
However, yesterday and today (4/2 and 5/2), there was no brown discharge, but I observed egg-white-like discharge, which I usually experience during ovulation.
Based on this situation, I would like to ask the doctor:
1.
Considering my menstrual cycle, the day of intercourse should be a safe period, right? Is the chance of pregnancy high?
Answer: The most recent period was from 19/1 to 24/1, and intercourse was on 26/1, which should be a safe period with a low chance of pregnancy.
2.
Is the egg-white discharge now due to ovulation or increased secretion after conception?
Answer: The egg-white discharge on 4/2 and 5/2 indicates ovulation.
3.
Is ovulation bleeding before or after ovulation day?
Answer: It occurs after ovulation day.
4.
I have experienced ovulation bleeding before; is there a chance that the bleeding on the day of intercourse and the following day was caused by the intercourse? Would the subsequent bleeding be ovulation bleeding?
Answer: It is likely that the bleeding was caused by intercourse.
5.
I plan to take a pregnancy test on the 9th and 13th (14 and 18 days after intercourse, respectively).
Will the results be accurate? If negative, should I test again? If I test negative 21 days after intercourse, can I trust the result?
Answer: A negative result 21 days after intercourse can be considered reliable.
6.
I read online that pregnancy tests should be taken after a missed period, but I also saw that testing 18 days after intercourse is usually conclusive.
If it is less than 18 days after intercourse and before my expected period, is a negative result accurate?
Answer: A negative result less than 18 days after intercourse and before the expected period is not considered accurate.

Reply Date: 2018/02/05

More Info

When it comes to unexplained bleeding, pregnancy concerns, and testing, it's essential to approach the situation with a clear understanding of the menstrual cycle, ovulation, and the implications of sexual activity. Let's address your questions one by one.

1. Menstrual Cycle and Safe Period: Based on your menstrual cycle, if your last period started on January 19 and you had sexual intercourse on January 26, you were likely within your fertile window. The fertile window typically spans from about five days before ovulation to the day of ovulation itself. If your cycle is regular, ovulation usually occurs around 14 days before your next expected period. Therefore, while you may think you were in a "safe period," the risk of pregnancy is still present, especially if ovulation occurs shortly after intercourse.

2. Egg White Discharge: The presence of egg white cervical mucus is a sign of ovulation. This type of discharge is typically stretchy and clear, resembling raw egg whites. If you are experiencing this discharge, it indicates that you are likely ovulating or are in your fertile period. If you have had sexual intercourse during this time, there is a possibility of conception.

3. Ovulation Bleeding: Ovulation bleeding can occur around the time of ovulation, which is usually a few days before or on the day of ovulation. It is generally light and may be pink or brown in color. If you experienced bleeding around the time of ovulation, it could be attributed to this phenomenon.

4. Bleeding After Intercourse: If you have a history of ovulation bleeding, it is possible that the bleeding you experienced after intercourse could be related to that. However, if the bleeding is more than just spotting or is accompanied by pain, it is advisable to consult a healthcare provider to rule out any potential issues such as cervical irritation or infection.

5. Pregnancy Testing: Testing for pregnancy 14 days after potential conception (which would be around February 9) is generally considered reliable. If you test negative at that time, you may want to wait a few more days and test again, especially if your period does not arrive. Testing at 21 days post-intercourse is also a good timeframe for accuracy. If you receive a negative result then, it is likely accurate.

6. Timing of Pregnancy Tests: It is indeed recommended to wait until after a missed period to test for pregnancy for the most reliable results. However, testing 18 days after intercourse can also provide a good indication of whether or not you are pregnant. If your period is late and you test negative, it may be worth consulting a healthcare provider for further evaluation.

In summary, while there are various factors at play regarding your menstrual cycle, ovulation, and potential pregnancy, the best course of action is to monitor your symptoms and test for pregnancy at the appropriate times. If you continue to experience unexplained bleeding or have concerns about your reproductive health, seeking medical advice is crucial. A healthcare provider can offer personalized guidance based on your specific situation and medical history.

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