Delayed Menstruation: Symptoms and Pregnancy Concerns

Delayed menstruation?

Hello, doctor.
I previously asked a question, but I have developed some additional symptoms.
My situation is as follows: my last menstrual period was on May 30, and I had sexual intercourse on June 13 (without protection).
On July 4, I went to the hospital for an ultrasound and a urine pregnancy test.
The doctor said that nothing was seen on the ultrasound, and the urine test result was one line.
As of now, July 8, my period still hasn't arrived, I have been experiencing vaginal discharge, and when I apply pressure to my breasts, a small amount of fluid comes out.
Could this indicate that I am pregnant?

Nìmíng, 20~29 year old female. Ask Date: 2018/07/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The last menstrual period was on May 30.
There was sexual intercourse on June 13 (without protection).
On July 4, an ultrasound and urine pregnancy test were performed at the hospital.
The doctor stated that nothing was seen on the ultrasound, and the urine test also showed one line.
As of July 8, the menstrual period has not arrived, there has been continuous vaginal discharge, and when the breasts are squeezed, a small amount of fluid is released.
Is it possible that I am pregnant?
Answer: The last menstrual period was on May 30, and as of July 8, the period has not arrived.
An ultrasound and urine pregnancy test were conducted on July 4, which showed nothing on the ultrasound and one line on the urine test, indicating that pregnancy is unlikely.

Reply Date: 2018/07/08

More Info

Understanding delayed menstruation and its implications for pregnancy can be a complex issue, particularly when accompanied by various symptoms. Based on your description, it seems you are experiencing a delay in your menstrual cycle, which can be concerning, especially after unprotected sexual intercourse.
Firstly, it's important to note that a missed period can be one of the earliest signs of pregnancy, but it is not definitive on its own. The fact that you had sexual intercourse on June 13 without protection raises the possibility of pregnancy, especially since your last menstrual period was on May 30. However, the ultrasound and urine test conducted on July 4 did not indicate pregnancy, which is a good initial sign.
The presence of discharge and the ability to express a small amount of fluid from your breasts can also be indicative of hormonal changes in your body. This could be due to various factors, including stress, hormonal imbalances, or even the onset of a new menstrual cycle. Hormonal fluctuations can lead to symptoms such as breast tenderness, changes in discharge, and missed periods.
If your period does not arrive soon, it is advisable to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. For the most accurate results, it is best to wait until at least a week after your missed period to take the test, as this allows for higher levels of hCG to accumulate in your urine.

In addition to pregnancy, there are other potential causes for a delayed period, including:
1. Stress: High levels of stress can disrupt your hormonal balance, leading to missed or delayed periods.

2. Weight Changes: Significant weight loss or gain can affect your menstrual cycle.

3. Polycystic Ovary Syndrome (PCOS): This condition can cause irregular periods and hormonal imbalances.

4. Thyroid Issues: An underactive or overactive thyroid can also lead to menstrual irregularities.

5. Other Medical Conditions: Conditions such as diabetes or certain medications can impact your cycle.

Given your symptoms and the timeline of events, it is crucial to monitor your situation closely. If your period does not arrive within a week or two, or if you experience any additional concerning symptoms (such as severe pain, heavy bleeding, or other unusual changes), it would be wise to consult with a healthcare provider. They may recommend further testing or evaluation to determine the underlying cause of your symptoms.

In summary, while there is a possibility of pregnancy given the circumstances, the negative results from your recent tests suggest that it may not be the case. However, hormonal changes can lead to similar symptoms, and it is essential to keep track of your menstrual cycle and any changes in your body. If you have further concerns or if your symptoms persist, seeking medical advice is the best course of action.

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