Could I Still Be Pregnant? Symptoms and Testing

Is it possible to be pregnant?

On March 3rd, I had intimate contact with my boyfriend, and he ejaculated.
My period started on March 14th.
This month, my period came on April 7th, but since March 3rd, I've noticed stretch mark-like marks on my thighs, lower back, and buttocks.
Some of these marks have faded to white, while others are still quite red, and it seems like they are increasing.
Last month, I visited a dermatologist who said it was due to weight gain and vascular expansion, but I haven't gained much weight.
Additionally, I have a slight protrusion below my belly button, although I also have constipation, and I haven't experienced breast tenderness or morning sickness.
I've taken two pregnancy tests, both of which showed negative results.
Could I still be pregnant, or should I wait a while longer and test again?

Niming, 10~19 year old female. Ask Date: 2018/04/28

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On March 3rd, I had intimate contact with my boyfriend, and he ejaculated.
My period started on March 14th.
This month, my period came on April 7th.
However, since March 3rd, I've noticed stretch mark-like marks on my thighs, lower back, and buttocks, some of which have faded to white while others are still quite red, and it seems like they are increasing in number.
Last month, I visited a dermatologist who said it was due to weight gain causing blood vessel dilation, but I haven't gained much weight.
Additionally, I have a slight protrusion below my belly button, although I also have constipation, and I haven't experienced breast tenderness or morning sickness.
I've taken two pregnancy tests, both of which showed negative results.
Given this information, is there still a possibility that I could be pregnant, or should I wait a while longer before testing again?
Answer: Since your period started on March 14th and again on April 7th, and you have taken two pregnancy tests that both showed negative results, it is highly unlikely that you are pregnant.
There is no need to test again.

Reply Date: 2018/04/28

More Info

Based on the information you've provided, it seems that you have had a few sexual encounters, and you are experiencing some unusual physical symptoms. However, you have also had your menstrual periods on time and have tested negative for pregnancy twice. Let's break down your situation to provide a clearer understanding.

First, it's important to note that the menstrual cycle is a complex interplay of hormones, and variations can occur for many reasons, including stress, diet, and physical changes. The fact that you had your period on 3/14 and again on 4/7 suggests that your body is still functioning within a normal cycle, which typically ranges from 21 to 35 days. The presence of menstrual bleeding is a strong indicator that you are not pregnant, as menstruation typically signifies the shedding of the uterine lining when pregnancy does not occur.

Regarding the symptoms you mentioned, such as the appearance of stretch marks (striae) on your thighs, lower back, and buttocks, these can occur due to various factors, including weight fluctuations, hormonal changes, or even genetic predisposition. It's worth noting that stretch marks can appear even without significant weight gain, especially if there are rapid changes in body composition or hormonal levels. The skin can stretch and cause these marks to form, and they may appear red or purple initially before fading to a lighter color.

The protrusion below your belly button could be attributed to several factors, including bloating, constipation, or even changes in muscle tone. Given that you mentioned experiencing constipation, this could certainly contribute to a feeling of fullness or protrusion in the abdominal area. It's also important to consider that stress and anxiety can lead to gastrointestinal symptoms, which may exacerbate feelings of discomfort.

You mentioned that you have not experienced breast tenderness or nausea, which are common early signs of pregnancy. The negative pregnancy tests you conducted further support the likelihood that you are not pregnant. Home pregnancy tests are generally reliable when used correctly, especially when taken after a missed period. If you have taken two tests that both returned negative results, it is unlikely that you are pregnant.

However, if you continue to experience unusual symptoms or if your menstrual cycle becomes irregular, it would be wise to consult with a healthcare provider. They can perform a more thorough evaluation, including a blood test for pregnancy, which is more sensitive than home tests, and can also assess for other potential causes of your symptoms.

In summary, based on your menstrual history, negative pregnancy tests, and the nature of your symptoms, it seems unlikely that you are pregnant. However, if you have ongoing concerns or if your symptoms worsen, seeking medical advice would be the best course of action. It's always better to err on the side of caution when it comes to your health.

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