Can You Get Pregnant? Ovulation and Ovarian Cysts - Obstetrics and Gynecology

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Can I get pregnant?


The menstrual cycle is approximately 28 to 30 days.
On February 9, the first day of menstruation occurred, and on February 20, my boyfriend touched his genitals (without ejaculation) but there was some fluid.
After a while, he touched my vaginal opening without penetration (uncertain if the fluid had dried, and there was some random touching like on clothing).
I got my period on March 12, but the flow was lighter than usual.
I was worried it might be a false period, so I took a pregnancy test on March 18, which showed negative.
On March 24, I visited a gynecologist but did not take a pregnancy test or inform the doctor, only mentioning the light menstruation.
The doctor performed an ultrasound and told me there was a small cyst on my left ovary.
The next day, I took another pregnancy test, which was still negative.

Q1: Is there a possibility of pregnancy in this situation?
Q2: Is there a difference between a cyst and a gestational sac?
Q3: Can the uterus and ovaries be confused? For example, could something be in the uterus but be described as being in the ovary? Thank you, doctor.

An, 10~19 year old female. Ask Date: 2018/03/25

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The menstrual cycle is approximately 28 to 30 days.
On February 9, the first day of menstruation occurred, and on February 20, my boyfriend touched his genital area (without ejaculation) but there was some fluid.
After a while, he touched my vaginal opening without penetration (unsure if the fluid had dried, and there was some random touching like on clothing).
I got my period on March 12, but the flow was less than usual.
I was worried it might be a false period, so I took a pregnancy test on March 18, which showed negative.
On March 24, I visited a gynecologist but did not take a pregnancy test or inform the doctor, only mentioning the light menstrual flow.
The doctor performed an ultrasound and told me there was a small cyst on my left ovary.
The next day, I took another pregnancy test, which was still negative.
Q1: Is there a chance of pregnancy in this situation?
A: There is no chance of pregnancy in this situation.
Q2: Is there a difference between a cyst and a gestational sac?
A: A gestational sac refers to early pregnancy, while a cyst refers to a small follicle on the left ovary.
Q3: Can the uterus and ovaries be confused? For example, could something in the uterus be mistaken for the ovaries?
A: The uterus and ovaries cannot be confused.

Reply Date: 2018/03/25

More Info


Understanding the complexities of conception, especially in the context of ovarian cysts and menstrual cycles, is crucial for anyone trying to conceive. Let’s break down your questions and concerns regarding pregnancy, ovarian cysts, and the menstrual cycle.


Q1: Can You Get Pregnant?
Based on the scenario you described, the likelihood of pregnancy from the encounter you mentioned is relatively low. While pre-ejaculate fluid can contain sperm, the chances of conception occurring from external contact without penetration are minimal. The fact that you had a menstrual period on March 12, albeit lighter than usual, further suggests that you are not pregnant. A lighter period can sometimes occur due to various factors, including stress, hormonal fluctuations, or changes in lifestyle.

You mentioned taking a pregnancy test on March 18, which returned negative. This aligns with the timing of your menstrual cycle, as pregnancy tests are most accurate when taken after a missed period. Since you had a period, it is unlikely that you were pregnant at that time.


Q2: What is the Difference Between a Cyst and an Embryo?
Ovarian cysts and embryos are fundamentally different. An ovarian cyst is a fluid-filled sac that forms on the ovary, often as part of the normal menstrual cycle. Most cysts are benign and resolve on their own without treatment. They can vary in size and may cause discomfort or pain, but they do not indicate pregnancy.

On the other hand, an embryo is the early stage of development of a fertilized egg. It typically forms after sperm fertilizes an egg, and it implants in the uterine lining. The presence of an embryo is what indicates a pregnancy. The ultrasound you had that showed a small cyst on your left ovary is unrelated to the presence of an embryo.


Q3: Can the Uterus and Ovaries Be Confused?
In medical imaging, particularly ultrasounds, it is possible for structures to be misidentified, especially if they are close together or if there are abnormalities present. However, trained professionals can usually distinguish between the uterus and the ovaries based on their shape, size, and location. The uterus is a pear-shaped organ located centrally in the pelvis, while the ovaries are smaller and located on either side of the uterus. If there is any confusion or uncertainty, your healthcare provider should clarify the findings with you.


Additional Considerations
If you are trying to conceive and have concerns about your menstrual cycle or ovarian cysts, it is essential to maintain open communication with your healthcare provider. They can provide guidance tailored to your specific situation, including monitoring your menstrual cycle, assessing any cysts, and discussing ovulation timing.

For women with irregular cycles or those experiencing symptoms related to ovarian cysts, lifestyle changes such as maintaining a healthy weight, managing stress, and following a balanced diet can support reproductive health. If you have been trying to conceive for an extended period without success, it may also be beneficial to explore fertility assessments for both partners, as fertility can be influenced by various factors in both men and women.

In conclusion, while the possibility of pregnancy from your described encounter is low, understanding your menstrual cycle and the nature of ovarian cysts can help you navigate your reproductive health more effectively. If you have further questions or concerns, consider scheduling a follow-up appointment with your healthcare provider for personalized advice and support.

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