Am I Pregnant? Symptoms and Testing After Intimacy - Obstetrics and Gynecology

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Can I get pregnant?


Your menstrual period was on March 6.
You had intimate contact on April 4 (but there was no direct genital contact).
On April 5, you took emergency contraception.
You experienced bleeding on April 12 that lasted for 5 days, and you are concerned that it may not be your menstrual period.
You took a pregnancy test on April 18 and again on April 21, both showing a single line.
You took another pregnancy test on May 5, which also showed a single line.
On May 18, you had another episode of bleeding (unsure if it was menstruation; the first day included abdominal pain), but it almost stopped by the fourth day.
You took a pregnancy test on May 22, which showed a single line.
On May 25, you visited a gynecologist for a pregnancy test, and the doctor determined you were not pregnant within 3 minutes.
You took another pregnancy test on May 29, which showed a single line, and another on May 30, which also showed a single line.
However, today (May 31), you noticed light spotting when wiping after using the restroom.
Could you please explain why this is happening? Is there a possibility of pregnancy? Given that there was no direct genital contact through clothing, is it unlikely that pregnancy could occur?

eva, 10~19 year old female. Ask Date: 2018/05/31

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The menstrual period started on March 6.
Intimate relations occurred on April 4 (but there was no direct contact between genitalia).
On April 5, emergency contraception was taken.
On April 12, there was bleeding that lasted for 5 days, which I am concerned may not be a menstrual period.
Pregnancy tests were conducted on April 18 and April 21, both showing a single line.
Another pregnancy test on May 5 also showed a single line.
On May 18, there was bleeding (unsure if it was a menstrual period; the first day was accompanied by abdominal pain), but it almost stopped by the fourth day.
A pregnancy test on May 22 showed a single line.
On May 25, I visited a gynecologist who, after less than 3 minutes, determined that I was not pregnant.
Pregnancy tests on May 29 and May 30 both showed a single line.
However, today (May 31), I noticed faint blood when wiping after using the restroom.
Doctor, could you please explain why this is happening? Is there a possibility of pregnancy? Given that there was only rubbing through clothing, is there really no chance of pregnancy?
Answer: You are not pregnant.
Rubbing through clothing does not pose a risk for pregnancy.

Reply Date: 2018/05/31

More Info


Based on the information you provided, it seems that you have been experiencing a range of symptoms and have undergone several pregnancy tests following intimate encounters. Let's break down your situation and address your concerns regarding the possibility of pregnancy.

First, it's important to understand how pregnancy tests work. Most home pregnancy tests detect the hormone human chorionic gonadotropin (hCG) in your urine, which is produced shortly after a fertilized egg attaches to the uterine lining. Typically, hCG levels can be detected about a week after a missed period. If you have been testing regularly and consistently receiving negative results (one line), it is a strong indication that you are not pregnant.

You mentioned that you had a period-like bleeding on April 12, which lasted for five days. This could very well be your menstrual cycle, especially if it followed your usual cycle pattern. The bleeding you experienced on May 18, which was accompanied by abdominal pain, could also be a normal menstrual period, albeit lighter than usual. The fact that you have had multiple negative pregnancy tests (including on May 22 and May 29) further supports the likelihood that you are not pregnant.

Regarding the faint blood you noticed on May 31, this could be due to several reasons. It might be related to hormonal fluctuations, especially if your menstrual cycle is irregular or if you are experiencing premenstrual symptoms. Light spotting can occur for various reasons, including ovulation, hormonal changes, or even stress. If you have been under stress, it can affect your menstrual cycle and cause symptoms like spotting.

As for your concern about the intimate encounter on April 4, if there was no direct genital contact and no ejaculation, the risk of pregnancy is extremely low. Sperm need to be deposited in the vaginal canal for there to be a possibility of fertilization. Additionally, the use of emergency contraception (the morning-after pill) shortly after the encounter further reduces the risk of pregnancy.

In summary, based on the negative pregnancy tests, the timing of your bleeding, and the nature of your intimate encounters, it is unlikely that you are pregnant. However, if you continue to experience unusual symptoms, such as persistent abdominal pain, irregular bleeding, or any other concerning signs, it would be wise to consult with a healthcare provider for further evaluation. They can perform a blood test for pregnancy, which is more sensitive than home urine tests, and assess any other potential underlying issues.

In conclusion, while the possibility of pregnancy seems low given your circumstances, it's always best to consult with a healthcare professional if you have ongoing concerns or symptoms that are troubling you. They can provide personalized advice and reassurance based on a thorough assessment of your health.

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