Missed Period After Menstrual Induction: Is Pregnancy Still Possible?

I received an injection to induce menstruation, but my period still hasn't arrived?

Hello Dr.
Huang: My menstrual period started on April 23, and I took a pregnancy test at the clinic on May 25, which was negative.
I thought I would wait and see! I went to the hospital again on May 30 for another check, and the result was still negative, so I received a menstrual induction injection.
As of now, my period has not arrived.
Is there still a possibility of pregnancy?

Xin Xin, 20~29 year old female. Ask Date: 2018/06/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Menstruation started on April 23.
A pregnancy test at the clinic on May 25 was negative, so I decided to wait and see.
I went to the hospital again on May 30 for another check, and the result was still negative.
I received a menstrual induction injection.
As of now, my period has not arrived.
Is there still a possibility of pregnancy? Answer: There is no possibility of pregnancy in this case.

Reply Date: 2018/06/04

More Info

When considering the possibility of pregnancy after missed periods and hormonal treatments, it's important to understand the various factors at play. Based on your timeline and the treatments you've undergone, let's break down the situation.

You mentioned that your last menstrual period started on April 23, and you had a pregnancy test on May 25 that was negative. Following that, you received a menstrual induction injection on May 30. The fact that you have not had a period since then raises questions about your current reproductive status.

Firstly, it's essential to recognize that hormonal treatments, such as menstrual induction injections, can sometimes lead to irregular cycles. These injections are designed to stimulate the uterus to shed its lining, which can sometimes take time to regulate. If your body is still adjusting to the hormonal changes, it may delay your menstrual cycle further.

Regarding the possibility of pregnancy, it is still feasible, albeit with some caveats. The negative pregnancy tests you received on May 25 and May 30 suggest that you were not pregnant at those times. However, if you had unprotected intercourse after these tests, there is still a chance of conception occurring. Pregnancy tests are most accurate when taken after a missed period, typically about a week after the expected date of menstruation. If you have not had a period since your last test, it may be worthwhile to wait a few days and take another pregnancy test for a more definitive answer.

Additionally, if you are experiencing symptoms such as breast tenderness, nausea, or fatigue, these could be early signs of pregnancy. However, they can also be side effects of hormonal treatments or signs of an impending menstrual cycle.

If you continue to miss your period and have negative pregnancy tests, it would be advisable to consult with your healthcare provider. They may recommend further testing, such as a blood test to measure your hCG levels, which can provide more accurate information about your pregnancy status. They can also evaluate your overall reproductive health, especially considering your history of hormonal treatments and any underlying conditions that may affect your menstrual cycle.

In summary, while there is still a possibility of pregnancy, the negative tests and the hormonal treatments suggest that your body may be in a state of adjustment. Monitoring your symptoms and consulting with your healthcare provider will be crucial in determining your next steps. If you have any concerns about your reproductive health or the effects of the treatments you've received, do not hesitate to seek medical advice.

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