Could I Be Pregnant? Symptoms and Concerns - Obstetrics and Gynecology

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Can I get pregnant?


Hello Doctor: On August 14, I had intercourse using a condom, and I held the tip before putting it on.
However, I am worried there might be a hole that I didn't notice, although I am sure it didn't completely break.
My menstrual cycle has been irregular in the past, and I was supposed to get my period on August 21, but it is now a week late.
I have been experiencing abdominal discomfort that has lasted for more than three days, and my discharge is white, sometimes clear.
I would like to ask the doctor if this means I might be pregnant.
Thank you, Doctor!

Xie xie yi sheng, 10~19 year old female. Ask Date: 2018/09/03

Dr. Huang Jianzhong reply Obstetrics and Gynecology


On August 14, I had intercourse using a condom, and I made sure to pinch the tip before putting it on.
However, I am worried there might be a hole that I didn't notice, although I am certain it didn't completely break.
My menstrual cycle has been irregular in the past, and I was supposed to get my period on August 21, but it is now a week late.
I have been experiencing dull abdominal pain that has lasted for more than three days, and my discharge is white, sometimes clear.
I would like to ask the doctor if this means I am pregnant.

Answer: It is unlikely that you are pregnant, but it would be a good idea to take a pregnancy test.

Reply Date: 2018/09/03

More Info


It sounds like you are experiencing a lot of anxiety and uncertainty regarding the possibility of being pregnant, especially given the circumstances surrounding your recent sexual activity and the symptoms you are experiencing. Let's break down your concerns and symptoms to provide a clearer understanding.

Firstly, the use of condoms is generally an effective method of contraception when used correctly. However, concerns about potential failure, such as breakage or slippage, can understandably lead to anxiety. The fact that you took precautions by pinching the tip of the condom before putting it on is a good practice to minimize the risk of spillage. However, it is important to remember that no contraceptive method is 100% effective, and this uncertainty can lead to heightened anxiety.

Regarding your symptoms, a missed period is often one of the first signs of pregnancy, especially if your menstrual cycle is usually regular. Since you mentioned that your period was due on August 21 and it is now a week late, this could be a sign of pregnancy. The abdominal discomfort you are experiencing could also be related to early pregnancy symptoms, but it could also be due to other factors such as stress, hormonal changes, or even premenstrual symptoms.

The white or clear discharge you mentioned is common in various stages of the menstrual cycle and can also occur in early pregnancy due to hormonal changes. However, it is important to note that these symptoms alone are not definitive indicators of pregnancy.

To determine whether you are pregnant, the most reliable method is to take a home pregnancy test. These tests are designed to detect the hormone hCG (human chorionic gonadotropin), which is produced during pregnancy. It is advisable to wait until at least the first day of your missed period for the most accurate results. If you take the test and it is positive, you should schedule an appointment with your healthcare provider for further evaluation and prenatal care.

If the test is negative and your period does not arrive, it may be worth consulting with a healthcare professional to explore other potential causes for your missed period and abdominal discomfort. Stress and anxiety can significantly impact your menstrual cycle, leading to irregularities.

In terms of managing your anxiety, it is crucial to address these feelings constructively. Here are some strategies that may help:
1. Limit Information Overload: While it is natural to seek information online, excessive searching can lead to increased anxiety. Try to limit your research to reputable sources and avoid forums that may amplify your worries.

2. Practice Relaxation Techniques: Engage in activities that promote relaxation, such as deep breathing exercises, meditation, or yoga. These practices can help reduce anxiety and improve your overall well-being.

3. Talk About Your Feelings: Sharing your concerns with a trusted friend or family member can provide emotional support and help alleviate feelings of isolation.

4. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider speaking with a mental health professional. They can provide coping strategies and support tailored to your needs.

5. Stay Active: Regular physical activity can help reduce anxiety and improve mood. Aim for at least 30 minutes of moderate exercise most days of the week.

In conclusion, while your symptoms may indicate a possibility of pregnancy, the most effective way to confirm this is through a pregnancy test. Regardless of the outcome, addressing your anxiety and seeking support can significantly improve your mental health and overall quality of life. Remember, you are not alone in this, and there are resources available to help you navigate your concerns.

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