Pregnancy or Delayed Period? Your Symptoms and Concerns

Pregnancy or delayed menstruation?

The last menstrual period was on April 9, with a cycle of approximately 29-34 days.
On April 21, there was one instance of protected intercourse followed by unprotected intercourse without ejaculation.
On May 7, there was also unprotected intercourse, and after wiping, a small amount of pink discharge was noticed, prompting a pregnancy test which showed a single clear line.
On May 10, a lump resembling a tumor was discovered on the same side, which can expel pus.
On May 12, there was protected intercourse without ejaculation, followed by brief unprotected penetration, after which manual stimulation was performed.
Another pregnancy test was conducted, showing a single clear line again, but menstruation has not yet occurred.
Could this indicate pregnancy or just a delayed period? If it is not pregnancy, could it be related to the lump on that side?

S, 10~19 year old female. Ask Date: 2018/05/13

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The last menstrual period was on April 9, with a cycle length of approximately 29-34 days.
On April 21, there was one instance of intercourse with a condom followed by another without a condom and no ejaculation.
On May 7, there was also intercourse without a condom, and after wiping, a small amount of pink discharge was noticed, leading to a pregnancy test which showed a single clear line.
On May 10, a lump resembling a tumor was discovered on that side, which can expel pus.
On May 12, there was one instance of intercourse with a condom and no ejaculation, followed by some unprotected thrusting, and then manual stimulation.
Another pregnancy test was conducted, which also showed a single clear line, but menstruation has not yet occurred.
1.
Is this a case of pregnancy or a delayed menstrual period? Answer: The last menstrual period was on April 9, with a cycle length of approximately 29-34 days.
The pregnancy test on May 12 showed a single clear line, indicating a delayed menstrual period.
2.
If it is not pregnancy, could it be related to the lump on that side? Answer: The lump is not related to the situation.

Reply Date: 2018/05/13

More Info

When it comes to concerns about a delayed period and the possibility of pregnancy, it's essential to consider various factors that can influence menstrual cycles and the symptoms you may be experiencing. Based on your description, you have had unprotected sexual encounters, which raises the question of whether pregnancy could be a factor in your delayed menstruation.

Firstly, a delayed period can be caused by multiple factors, including stress, hormonal imbalances, changes in weight, lifestyle changes, and medical conditions. Stress, in particular, can significantly impact your menstrual cycle. The body reacts to stress by altering hormone levels, which can lead to irregularities in the menstrual cycle. If you are currently facing stressful situations, such as exams or other life changes, this could be a contributing factor to your delayed period.

Regarding the possibility of pregnancy, it is important to note that a missed period is one of the most common early signs of pregnancy. However, it is not the only reason for a delayed period. Since you mentioned that you have had unprotected sexual encounters, it would be prudent to take a home pregnancy test if your period is more than a week late. Home pregnancy tests are generally reliable and can provide you with a clearer answer regarding your pregnancy status.

You also mentioned experiencing a pink discharge and a lump that resembles a cyst or abscess. While this may not directly indicate pregnancy, any unusual changes in your body should be evaluated by a healthcare professional. The lump you described could be a sebaceous cyst or an infection, which may require medical attention. Infections can sometimes lead to changes in menstrual cycles, so it is essential to address this issue with a doctor.

If your pregnancy test comes back negative and your period still does not arrive, it would be wise to consult with a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly an ultrasound, to determine the cause of your symptoms and any underlying issues that may be affecting your menstrual cycle.

In summary, while a delayed period can be a sign of pregnancy, it can also result from various other factors, including stress and health conditions. Taking a home pregnancy test is a good first step to clarify your situation. If the test is negative and your period does not come, or if you have concerns about the lump or any other symptoms, seeking medical advice is crucial. Your health and well-being should always be a priority, and a healthcare professional can provide the guidance and support you need.

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