Signs of Pregnancy: Symptoms and When to Test - Obstetrics and Gynecology

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Hello doctor, I have been experiencing constant lower abdominal pain, dizziness, and my period hasn't arrived yet.
There is almost no discharge, and my cycle is typically 35 days.
I had sexual intercourse on July 8th (my first time) using a condom throughout, but I'm unsure if any pre-ejaculate fluid got inside.
Since July 8th seems to be around my ovulation period, could this be a sign of pregnancy? When is the best time to take a pregnancy test?

Kiki, 10~19 year old female. Ask Date: 2018/07/26

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you can find out if you are pregnant by taking a pregnancy test now.
Wishing you good health.

Reply Date: 2018/07/26

More Info


When it comes to understanding the signs of pregnancy and determining the right time to take a pregnancy test, it’s important to consider various factors, including your menstrual cycle, symptoms, and the timing of sexual activity. Based on your description, let's break down your concerns and provide some clarity.


Signs of Pregnancy
1. Common Symptoms: Early signs of pregnancy can vary widely among individuals. Some common symptoms include:
- Missed Period: This is often the first sign that prompts individuals to consider pregnancy.

- Nausea or Vomiting: Often referred to as "morning sickness," this can occur at any time of day.

- Breast Changes: Tenderness, swelling, or darkening of the areolas can occur.

- Fatigue: Increased tiredness is common in early pregnancy due to hormonal changes.

- Frequent Urination: This can start early in pregnancy as the uterus expands and puts pressure on the bladder.

- Mood Swings: Hormonal fluctuations can lead to emotional changes.

2. Your Symptoms: You mentioned experiencing lower abdominal pain and dizziness, which can be associated with early pregnancy, but they can also be linked to other factors such as hormonal changes, stress, or even premenstrual symptoms. The absence of significant vaginal discharge is not necessarily a sign of pregnancy; it can vary from person to person.


Timing of Sexual Activity and Risk of Pregnancy
You indicated that you had sexual intercourse on July 8, which you believe was around your ovulation period. While using condoms significantly reduces the risk of pregnancy, no contraceptive method is 100% effective. Pre-ejaculate fluid (pre-cum) can contain sperm, and if it comes into contact with the vaginal area, there is a potential risk of pregnancy, albeit low.


When to Take a Pregnancy Test
1. Timing: The best time to take a home pregnancy test is after you have missed your period. Since you have a 35-day cycle, if your period is due and has not arrived, you can test. Most home pregnancy tests are designed to detect the hormone hCG (human chorionic gonadotropin) in urine, which is produced shortly after a fertilized egg attaches to the uterine lining.

2. Testing Early: If you are eager to test before your missed period, some sensitive tests can detect pregnancy a few days before your expected period. However, testing too early may result in a false negative, as hCG levels may not be high enough to detect.


Conclusion
Given your symptoms of abdominal pain and dizziness, it is advisable to monitor your menstrual cycle closely. If your period does not arrive as expected, taking a pregnancy test would be the next logical step. If the test is positive or if you continue to experience unusual symptoms, it would be wise to consult with a healthcare provider for further evaluation and guidance.

In summary, while your symptoms could suggest pregnancy, they are not definitive. The timing of your sexual activity and the use of protection also play crucial roles in assessing your risk. Always consider following up with a healthcare professional for personalized advice and to discuss any ongoing symptoms or concerns.

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