Am I Pregnant? Pregnancy Testing and Symptoms

Can I get pregnant?

The menstrual period was on March 6.
Intimate relations occurred on April 4 (but there was no direct genital contact).
On April 5, emergency contraception was taken.
On April 12, there was bleeding (lasting for 5 days, and I am concerned it 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 had 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 for a pregnancy test, and the doctor concluded I was not pregnant within 3 minutes.
A pregnancy test on May 30 showed a single line, and another on June 20 also showed a single line.

Doctor, is there still a possibility of pregnancy in this situation? Is it possible to not detect pregnancy after such a long time? Does cervical mucus increase before menstruation? I have asked other doctors, but one has not yet responded.

t, 10~19 year old female. Ask Date: 2018/06/22

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, a single line on a pregnancy test indicates a low chance of pregnancy.
It is always best to take preventive measures beforehand and not to rely on the safe period.
The date of May 18 could potentially be your menstrual period, as discharge may sometimes increase before menstruation.
Wishing you good health.

Reply Date: 2018/06/22

More Info

Determining whether you are pregnant can be a complex process, especially when considering various symptoms and the timing of your menstrual cycle. Based on the information you've provided, let's break down the key points and clarify your situation.

1. Understanding Your Menstrual Cycle: You mentioned that your menstrual cycle is typically between 28 to 35 days. Your last menstrual period started on March 6, and you had intimate relations on April 4, followed by taking emergency contraception (the morning-after pill) on April 5. This medication is designed to prevent ovulation and, if taken within the appropriate time frame, can significantly reduce the chance of pregnancy.

2. Bleeding After Taking Emergency Contraception: The bleeding you experienced starting on April 12 could be a side effect of the emergency contraception. Many women experience changes in their menstrual cycle after taking this medication, including spotting or bleeding that may not be a true menstrual period. This is often referred to as withdrawal bleeding.

3. Pregnancy Testing: You have conducted multiple pregnancy tests (on April 18, April 21, May 5, May 22, May 25, and June 20), all of which returned negative results. Home pregnancy tests are generally reliable when used correctly, especially after a missed period. If you are testing too early, it may not detect the hormone hCG (human chorionic gonadotropin) if pregnancy has occurred. However, given the timeline and the consistent negative results, it is unlikely that you are pregnant.

4. Symptoms and Their Interpretation: You mentioned experiencing increased vaginal discharge and abdominal pain. It is common for women to notice changes in discharge before their menstrual period, which can be influenced by hormonal fluctuations. Abdominal pain can also be associated with ovulation, menstrual cramps, or other non-pregnancy-related issues.

5. Consulting a Healthcare Provider: Since you have already seen a gynecologist who confirmed that you are not pregnant, it may be beneficial to follow up if your symptoms persist or if you have concerns about your menstrual cycle. A healthcare provider can perform further evaluations, such as blood tests or ultrasounds, to rule out other conditions.

6. Possibility of Late Pregnancy Detection: While it is theoretically possible for some women to have a late positive pregnancy test, this is quite rare, especially if you have had multiple negative tests over several weeks. If you were pregnant, the hormone levels would typically be high enough to detect by the time you have missed your period.

In conclusion, based on the timeline and the negative pregnancy tests, it seems unlikely that you are pregnant. However, if you continue to experience unusual symptoms or if your menstrual cycle remains irregular, it is advisable to consult with a healthcare provider for further evaluation. They can provide personalized advice and help address any underlying issues that may be affecting your menstrual health.

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