Could She Be Pregnant? Symptoms and Menstrual Irregularities - Obstetrics and Gynecology

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Can I get pregnant?


On October 28, I had intimate contact with my girlfriend, involving only friction of our private areas.
The next day, on October 29, she got her period, and she has had her period regularly for the following two months.
However, now my girlfriend is frequently experiencing headaches, constipation, diarrhea, body heat, and excessive sleepiness.
Is there a possibility that she could be pregnant? Previously, in December, she visited a gynecologist who performed an ultrasound and mentioned that she was in her ovulation period, but her period started the next day.
Is this normal? I read online that it is still possible to have a period during pregnancy.
Given this information, could my girlfriend be pregnant?

Xiao Bai, 10~19 year old female. Ask Date: 2018/02/20

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On October 28, I engaged in intimate touching with my girlfriend, which only involved friction of our private areas.
The next day, on October 29, she got her period, and she has had her period regularly for the following two months.
However, she has been experiencing frequent headaches, constipation, diarrhea, body heat, and excessive sleepiness.
Is there a possibility of pregnancy?
Answer: Since the intimate touching only involved friction and there was no penetration, the likelihood of pregnancy is very low.
In December of the previous year, she had an ultrasound with a gynecologist who indicated that she was ovulating a few days prior, and her period came the very next day.
Is this normal?
Answer: It is not uncommon for a period to occur shortly after ovulation.
I researched online and found that it is still possible to have a period even if one is pregnant.
Given this, could my girlfriend still be pregnant?
Answer: Based on the information provided, it is unlikely that your girlfriend is pregnant.

Reply Date: 2018/02/20

More Info


When considering the possibility of pregnancy, it's essential to understand the various symptoms and menstrual irregularities that can arise. In your case, your girlfriend has experienced regular menstrual cycles following the intimate encounter on October 28, which is a strong indicator that she is not pregnant. Menstrual cycles typically occur every 21 to 35 days, and the presence of a menstrual period is generally a sign that pregnancy has not occurred.

However, the symptoms your girlfriend is experiencing—headaches, constipation, diarrhea, body heat, and increased fatigue—can be attributed to several factors, including hormonal changes, stress, dietary changes, or even underlying health conditions. It's important to note that these symptoms are not definitive indicators of pregnancy.
In some cases, women may experience what is known as "implantation bleeding," which can occur around the time of their expected period, leading to confusion about whether they are menstruating or experiencing early pregnancy symptoms. However, since your girlfriend has had regular menstrual cycles after the encounter, the likelihood of pregnancy is significantly reduced.

Regarding the ultrasound performed in December, it is common for doctors to monitor ovulation and menstrual cycles to assess fertility and reproductive health. If the ultrasound indicated that she was in her ovulation phase, it means that she was fertile at that time. However, if her period followed shortly after, it suggests that ovulation did not result in fertilization.

It's also worth mentioning that some women can experience light bleeding during early pregnancy, which can sometimes be mistaken for a menstrual period. This phenomenon is known as "decidual bleeding." However, this is relatively rare, and the timing and nature of the bleeding can help differentiate it from a regular menstrual cycle.

If your girlfriend continues to experience unusual symptoms or if there is any doubt about her pregnancy status, the best course of action would be to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. If the test is positive, it would be advisable for her to consult a healthcare provider for further evaluation and guidance.

In summary, based on the information provided, it seems unlikely that your girlfriend is pregnant, especially since she has had regular menstrual cycles following the intimate encounter. However, if her symptoms persist or worsen, it would be prudent for her to seek medical advice to rule out any other underlying health issues. Regular check-ups with a healthcare provider can help ensure that any potential concerns are addressed promptly and effectively.

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